Paula Tanabe, PhD, MSN, MPH, RN, FAEN, FAAN

Associate Professor
Phone: 
(919) 613-6038
Office: 
1001 Clipp Research Building

Paula Tanabe, who joined the DUSON faculty in July 2011, came to Duke from the Feinberg School of Medicine, Northwestern University, where she was Research Associate Professor in the Department of Emergency Medicine with a secondary faculty appointment at the Institute for Healthcare Studies. She earned a BS in Nursing at Rush University and an MS in Nursing at Loyola University, Chicago. She completed her PhD in 1996 at the University of Illinois-Chicago. From 2004 to 2006, she was a post-doctoral Health Services Research Fellow at Northwestern University, and completed an MPH at Northwestern in 2006.

Dr. Tanabe’s research in emergency medicine and health services includes studies of pain management practices in the emergency department with a strong emphasis on sickle cell disease, the role of the emergency clinician in screening and referral for patients with undetected hypertension, and research with the Emergency Severity Index (ESI) five-level triage system. She served as the Co-Chair of the National Emergency Nurses Association (ENA)/ American College of Emergency Physicians (ACEP) five-level triage task force that has made national recommendations regarding five-level triage systems, and is currently a member of the National Heart, Lung and Blood Institute of the National Institutes of Health Expert Panel developing evidence-based guidelines for primary care providers in the care of patients with sickle cell disease. She is a Fellow of the Academy of Emergency Nursing and the American Academy of Nursing.

Dr. Tanabe has over 20 years of experience as an ED nurse, researcher and educator and has published more than 40 journal articles. She was co-author and co-editor of the Emergency Severity Index, Version 4: Implementation Handbook published by the Agency for Healthcare Research and Quality, and was co-leader in the production of a 2-DVD video that is included in the standard training materials for the Emergency Severity Index.

Academic Program Affiliations

  • Doctor of Nursing Practice Program
  • PhD in Nursing Program

Education

  • MPH - Northwestern University
  • PhD - University of Illinois at Chicago
  • MSN - Loyola University, Chicago
  • BS - Rush University

Research Interests

Dr. Tanabe has conducted investigations aimed at improving pain management in the emergency department, with a strong focus on patients with sickle cell disease. Dr. Tanabe developed the Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS), a decision support tool aimed at improving the quality of care provided to adults with sickle cell disease in the ED setting.

Awards and Honors

  • 2012 || Fellow, American Academy of Nursing
  • 2012 || Fellow, Academy of Emergency Nursing, National Emergency Nurses Association
  • 2007 || Mayday Pain and Society Fellow – A Media and Policy Initiative, The Mayday Fund
  • 2007 || Outstanding Oral Research Presentation, Spring Symposium, Illinois College of Emergency Physicians
  • 2004 || Post-Doctoral Research Fellow, NRSA, nstitute for Health Services Research and Policy Studies, Dept Medicine, Feinberg School of Medicine, Northwestern University
  • 2003 || Nursing Practice Award, National Emergency Nurses Association
  • 2002 || Resident Research Award, 1st place, Illinois College of Emergency Physicians Resident Academic Forum, Oak Brook, IL
  • 2002 || Nursing Researcher Award, National Emergency Nurses Association
  • 1997 || Research Facilitation Award, National Emergency Nurses Association
  • 1996 || Doctoral Scholarship, National Emergency Nurses Association
  • 1992 || Nursing Educator Award, Sigma Theta Tau, Gamma Phi Chapter
  • 1987 || Inducted, Sigma Theta Tau

Areas of Expertise

  • Acute / Critical Care

Areas of Interest

Sickle cell disease
Pain management
Emergency care

Representative Publications

  • 2013 -- Spivey, A. Feel my pain. Duke Nursing Magazine. Winter, 2013 9(1); 14-17
  • 2013 -- PubMed # : 23526459 Glassberg, J. and Tanabe, P. and Richardson, L. and Debaun, M. Among emergency physicians, use of the term "Sickler" is associated with negative attitudes toward people with sickle cell disease. Am J Hematol. 88(6); 532-3
  • 2013 -- PubMed # : 23561465 Glassberg, J. A. and Tanabe, P. and Chow, A. and Harper, K. and Haywood Jr, C. and Debaun, M. R. and Richardson, L. D. Emergency Provider Analgesic Practices and Attitudes Toward Patients With Sickle Cell Disease. Ann Emerg Med. April, 2013 35(2); 143-153
  • 2013 -- PubMed # : 23636046 Tanabe, P. and Thornton, V. L. and Martinovich, Z. and Todd, K. H. and Wun, T. and Lyons, J. S. The Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS): Reliability and Validity. Adv Emerg Nurs J. April/June, 2013 35(2); 143-153
  • 2013 -- PubMed # : 23561465 Glassberg, J. A. and Tanabe, P. and Chow, A. and Harper, K. and Haywood Jr, C. and Debaun, M. R. and Richardson, L. D. Emergency Provider Analgesic Practices and Attitudes Toward Patients With Sickle Cell Disease. Ann Emerg Med. April, 2013 35(2); 143-153
  • 2013 -- PubMed # : 23380119 Haywood Jr, C. and Tanabe, P. and Naik, R. and Beach, M. C. and Lanzkron, S. The impact of race and disease on sickle cell patient wait times in the emergency department. Am J Emerg Med. April, 2013 31(4); 651-6
  • 2013 -- PubMed # : 23342819 Porter, J. and Feinglass, J. and Artz, N. and Hafner, J. and Tanabe, P. Sickle cell disease patients' perceptions of emergency department pain management. J Natl Med Assoc. February, 2013 104(9-10); 449-54
  • 2013 -- Benderly, B. L. (interview with P. Tanabe) Fighting Painful Misconceptions About Sickle Cell Disease In The ER . Kaiser Health News. January 24, 2013
  • 2013 -- Benderly, B. L. (interview with P. Tanabe) Fighting Painful Misconceptions About Sickle Cell Disease In The ER . NPR Shots health news blog. January 24, 2013
  • 2013 -- Spivey, A. Feel My Pain: Improving care for people with sickle cell disease in the emergency department. Research at Duke feature story (online). January 22, 2013

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Grant Funding (Selected)

  • Improving Emergency Department Management of Adults with Sickle Cell Disease

    Agency for Healthcare Research and Quality
    R18-HS019646-01A1
    09/2011 to 07/2014

    This researching implementation and change while improving quality project will redesign the process of emergency department (ED) management for adults with sickle cell disease (SCD). The project will use the Failure Modes, Effects, and Criticality Analysis (FMECA) to identify the vulnerabilities, risks, and weak points (failures) in the systems and processes involved in using the Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS), a decision support tool developed to improve the quality of care for adults with SCD. The root causes of each failure will be identified, then redesigned. The aims for the proposed project are to: (1) conduct a proactive risk assessment, FMECA of the workflow and operational systems and processes involved in four key decisions of the ED-SCANS regarding evaluation and management of SCD patients; (2) develop and implement standardized processes and interventions for each of the four decisions of the ED-SCANS; (3) conduct a formal program evaluation of the quality improvement implementation at each site; and (4) develop a toolbox for dissemination and implementation of effective systems and processes to support use of the ED-SCANS in EDs at additional low-resource US hospitals.

  • Sickle Cell Treatment Demonstration Project

    Health Resources and Services Administration, Maternal and Child Bureau
    U1EMCO7656
    02/2011 to 08/2014
    Role: Consultant

    The project will use the Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS) in four FQHC’s to identify adults with sickle cell disease seen in the emergency department who meet high risk or high utilization criteria, according to the ED-SCANS. Patients will be referred to a Regional Care Coordinator who will try to link patients with healthcare services.

  • A Decision Support Tool for Adult Sickle Cell Emergency Department Patients

    National Institutes of Health, National Institute of Nursing Research
    1K23NR010940-01A2
    02/2008 to 01/2011
    Role: Principal Investigator

    Title of Project: “A Decision Support Tool for Adult Sickle Cell Emergency Department Patients”
    Project Goal: The major goal of this career development project is to develop and pilot-test a decision support tool that will be used to identify service delivery needs and guide emergency department management and referrals for an under-served population: persons with sickle cell disease

  • Improving Pain Management Through Surveillance and Quality Improvement - The Illinois Emergency Department Pain Management Collaborative” (IED-PMC) Project I: Sickle Cell Disease - Acute Pain Episodes (SCD-APE)

    The Mayday Fund
    06/2007 to 05/2011
    Role: Principal Investigator

    Project Goal: The major goals of the project are to: (1) develop and test an ED-based SCD surveillance system, (2) implement a continuous quality improvement initiative and test the surveillance system for responsiveness to interventions, and (3) develop a tool-box of assessment tools, analgesic protocols and education materials designed to optimize quality care.

  • NP CAPS Study: Nurse Practitioner Certification and Practice Setting Study

    National Council of State Boards of Nursing
    P17001
    06/2007 to 05/2009
    Role: Principal Investigator

    Project Goal: The major goals of the project are to: (1) identify practice settings for the following groups of nurse practitioners currently certified by the American Nurses Credentialing Center: Adult Nurse Practitioners, Acute Care Nurse Practitioners and Family Nurse Practitioners, (2) measure agreement between identified practice settings and certification specialty, (3) identify additional preparation, orientation or education NPs receive in their clinical setting which may enhance their ability to safely practice, and (4) report NP’s self-perception of the ability to practice safely in an area outside their certification examination.

  • Asthma Surveillance

    Illinois Department of Public Health
    03/2008 to 06/2009
    Role: Consultant

    Project Goal: The major goal of this project was to develop a state asthma surveillance system of patients who presented to the emergency department with asthma symptoms.

  • Palliative Care for Cancer Patients in Emergency Ward

    Cancer Education (R25E) Grants Program
    NCI - 1R25CA116472-01A1
    09/2006 to 08/2010
    Role: Co-Investigator

    Project Goal: This project developed a curriculum for emergency clinicians in palliative care.

  • Undetected Hypertension in the Emergency Department

    Agency for Healthcare Research and Quality
    1 RO3 HS015619-01A1
    09/2005 to 09/2006
    Role: Principal Investigator

    Project Goal: The goal of this project was to determine the proportion of patients with no known history of hypertension seen in an emergency department (ED) for an unrelated visit with elevated blood pressures, who have sustained elevated blood pressure when taken at home the week following the ED visit.

  • Should You Close Your Waiting Room? The Effect on Emergency Department Overcrowding

    National Emergency Medicine Foundation/National Emergency Nursing Foundation
    07/2005 to 06/2006
    Role: Co-Investigator

    Project Goal: The goal of this project was to develop criteria in which the emergency department waiting room could be closed. The project used staff-based participatory research methods to determine criteria by conducting workshops with emergency physicians and nurses.

  • Optimizing Triage of High-Acuity Patients: Revision of the Emergency Severity Index (ESI) Level 1 & 2 Criteria

    National Emergency Nurses Foundation/Sigma Theta Tau
    07/2003 to 06/2004
    Role: Principal Investigatpror

    Project Goal: The goal of this multi-center project was to identify characteristics of ESI Level 2 patients that require immediate evaluation and treatment, and refine ESI Level 1 and 2 criteria accordingly.

Faculty News

Duke Professors Inducted as Fellows in the American Academy of Nursing

2012-10-28
Duke University School of Nursing professors Donald "Chip" Bailey Jr. and Paula Tanabe were inducted, along with Mary Ann Fuchs, DNP, RN, FAAN, vice president of patient care and system chief nurse...

Tanabe Submits Grant to Compare Pain Management Sickle Cell Disease Patients in the ED

2012-08-03
Professor Paula Tanabe and team submitted an application to the Patient-Centered Outcomes Research Institute (PCORI) entitled "Comparing Pain Management Protocols for Sickle Cell Disease Patients in...

Tanabe Presents Public Health Webinar on Hemoglobinopathies

2012-06-03
Associate Professor Paula Tanabe presented a webinar on May 24 entitled "Sickle Cell Disease and Emergency Department Use" as part of the Public Health Webinar Series on Hemoglobinopathies hosted...

Tanabe Submits Grant Application to Investigate ED Discharge Pain Management Practices

2012-05-23
Paula Tanabe and team have submitted a Subcontract application on a George Washington University NIH R01 application entitled "Comparing Outcomes of Opioid and Non-opioid Analgesics Prescribed at ED...

Bailey, Fuchs, Tanabe Selected for Fellowship in American Academy of Nursing

2012-05-20
Associate Professor Chip Bailey, Mary Ann Fuchs, DNP'10, and Associate Professor Paula Tanabe will be inducted as Fellows in the American Academy of Nursing during the Academy’s 39th Annual Meeting...

Tanabe Submits Grant Application to Investigate ED Discharge Pain Management Practices

2012-05-13
Paula Tanabe and team have submitted a Subcontract application on a George Washington University NIH R01 application entitled "Comparing Outcomes of Opioid and Non-opioid Analgesics Prescribed at ED...

Tanabe Publishes in Academic Emergency Medicine

2012-04-29
Associate Professor Paula Tanabe published an article entitled "Adult emergency department patients with sickle cell pain crisis: Results from a quality improvement learning collaborative model to...

Tanabe Publishes in American Journal of Medical Quality

2012-02-09
Associate Professor Paula Tanabe published an article entitled "Promoting equity: Developing quality measures for sickle cell disease" in the American Journal of Medical Quality.

Tanabe Publishes in Journal of Emergency Nursing

2012-02-03
Associate Professor Paula Tanabe published an article entitled "How do emergency department patients store and dispose of opioids after discharge? A pilot study" in the Journal of Emergency Nursing....

Tanabe Publishes in Academic Emergency Medicine

2012-01-26
Associate Professor Paula Tanabe published an article entitled "More patients are triaged using the emergency severity index than any other triage acuity system in the United States" in Academic...

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