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

Paula Tanabe, PhD, RN, MPH, FAEN, FAAN, is an Associate Professor in the Schools of Nursing and Medicine and health services and clinical researcher. Dr. Tanabe’s program of research focuses on improving systems of healthcare and patient outcomes for persons with sickle cell disease. Dr. Tanabe has a strong focus on improving emergency department care for this population and has conducted many investigations in this area. Dr. Tanabe currently has AHRQ funding to disseminate decision support tools to primary care and emergency department providers throughout North Carolina and portions of South Carolina. These tools were based upon the National Heart, Lung and Blood Institute evidence-based recommendations for the treatment of sickle cell disease. Dr. Tanabe is also the co-PI for the National Heart, Lung and Blood Institute “Sickle Cell Disease Implementation Consortium, U01”. The consortium includes eight centers from across the United States. Each center will conduct a comprehensive assessment of barriers to care and enroll 300 patients in a registry and randomized controlled trial. She was previously assistant director of a T32 post-doctoral fellowship in health services research at Northwestern University. Her methodological expertise includes prospective multi-site trials, survey methods, qualitative research, quality improvement and learning collaboratives, and retrospective structured medical record reviews. Dr. Tanabe is a member of the Emergency Severity Index (ESI) Triage Research Team that develops educational tools to treat ED providers on the use of ESI.

Academic Program Affiliations
  • 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
  • 2017 || Outstanding PhD Faculty Award, Duke University School of Nursing
  • 2015 || 2015 Health Care Hero in Nursing, Triangle Business Journal
  • 2013 || Selected participant, Chancellor’s Clinical Leadership in Academic Medicine Program (CCHAMP), 2014 cohort, Duke Medicine Chancellor's Cabinet
  • 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 Interest
• Health services research
• Emergency department pain management
• Sickle cell disease
• Triage systems
• Pain management
Representative Publications
  • 2011 -- PubMed # : 21605324 -- Keough, V. A. and Stevenson, A. and Martinovich, Z. and Young, R. and Tanabe, P. Nurse practitioner certification and practice settings: implications for education and practice. J Nurs Scholarsh. 43(2); 195-202.
  • 2011 -- PubMed # : 21661097 -- Tanabe, P. and Ogunseitan, A. Understanding and meeting the hospitalist's challenge: Caring for adults with sickle cell disease. J Hosp Med. 6(5); 245-7.
  • 2011 -- PubMed # : 21237363 -- Tanabe, P. and Cline, D. M. and Cienki, J. J. and Egging, D. and Lehrmann, J. F. and Baumann, B. M. Barriers to screening and intervention for ED patients at risk for undiagnosed or uncontrolled hypertension. J Emerg Nurs. 37(1); 17-23.
  • 2010 -- PubMed # : 21293772 -- Gisondi, M. A. and Lu, D. W. and Yen, M. and Norris, R. and Courtney, D. M. and Tanabe, P. and Engel, K. G. and Emanuel, L. L. and Quest, T. E. Adaptation of EPEC-EM Curriculum in a residency with asynchronous learning. West J Emerg Med. December, 2010 11(5); 491-9. PMC3027445
  • 2010 -- PubMed # : 20382446 -- Cameron, K. A. and Engel, K. G. and McCarthy, D. M. and Buckley, B. A. and Mercer Kollar, L. M. and Donlan, S. M. and Pang, P. S. and Makoul, G. and Tanabe, P. and Gisondi, M. A. and Adams, J. G. Examining emergency department communication through a staff-based participatory research method: identifying barriers and solutions to meaningful change. Ann Emerg Med. 56(6); 614-22.
  • 2010 -- PubMed # : 21141291 -- Tanabe, P. and Porter, J. and Creary, M. and Kirkwood, E. and Miller, S. and Ahmed-Williams, E. and Hassell, K. A qualitative analysis of best self-management practices: sickle cell disease. J Natl Med Assoc. 102(11); 1033-41.
  • 2010 -- PubMed # : 20670322 -- Tanabe, P. and Reddin, C. and Thornton, V. L. and Todd, K. H. and Wun, T. and Lyons, J. S. Emergency Department Sickle Cell Assessment of Needs and Strengths (ED-SCANS), a focus group and decision support tool development project. Acad Emerg Med. 17(8); 848-58. PMC2914333
  • 2010 -- PubMed # : 20173433 -- Lazio, M. P. and Costello, H. H. and Courtney, D. M. and Martinovich, Z. and Myers, R. and Zosel, A. and Tanabe, P. A comparison of analgesic management for emergency department patients with sickle cell disease and renal colic. Clin J Pain. 26(3); 199-205.
  • 2010 -- PubMed # : 20370779 -- Tanabe, P. and Artz, N. and Mark Courtney, D. and Martinovich, Z. and Weiss, K. B. and Zvirbulis, E. and Hafner, J. W. Adult emergency department patients with sickle cell pain crisis: a learning collaborative model to improve analgesic management. Acad Emerg Med. 17(4); 399-407.
  • 2009 -- PubMed # : 19910790 -- Baumann, B. M. and Cienki, J. J. and Cline, D. M. and Egging, D. and Lehrmann, J. F. and Tanabe, P. Evaluation, management, and referral of elderly emergency department patients with elevated blood pressure. Blood Press Monit. 14(6); 251-6.
  • 2009 -- PubMed # : 19591723 -- Valdovinos, N. C. and Reddin, C. and Bernard, C. and Shafer, B. and Tanabe, P. The use of topical anesthesia during intravenous catheter insertion in adults: a comparison of pain scores using LMX-4 versus placebo. J Emerg Nurs. 35(4); 299-304.
  • 2009 -- PubMed # : 19591722 -- Tanabe, P. and Gisondi, M. A. and Barnard, C. and Lucenti, M. J. and Cameron, K. A. Can education and staff-based participatory research change nursing practice in an era of ED overcrowding? A focus group study. J Emerg Nurs. 35(4); 290-8.
  • 2009 -- PubMed # : 19265789 -- Baumann, B. M. and Cline, D. M. and Cienki, J. J. and Egging, D. and Lehrmann, J. F. and Tanabe, P. Provider self-report and practice: reassessment and referral of emergency department patients with elevated blood pressure. Am J Hypertens. 22(6); 604-10.
  • 2008 -- PubMed # : 18703306 -- Mercer, L. M. and Tanabe, P. and Pang, P. S. and Gisondi, M. A. and Courtney, D. M. and Engel, K. G. and Donlan, S. M. and Adams, J. G. and Makoul, G. Patient perspectives on communication with the medical team: pilot study using the Communication Assessment Tool-Team (CAT-T). Patient Educ Couns. 73(2); 220-3.
  • 2008 -- PubMed # : 18926342 -- Ducharme, J. and Tanabe, P. and Homel, P. and Miner, J. R. and Chang, A. K. and Lee, J. and Todd, K. H. and Pain and Emergency Medicine Initiative Study Group, The influence of triage systems and triage scores on timeliness of ED analgesic administration. Am J Emerg Med. 26(8); 867-73.
  • 2008 -- PubMed # : 18804714 -- Pearlman, M. K. and Tanabe, P. and Mycyk, M. B. and Zull, D. N. and Stone, D. B. Evaluating disparities in door-to-EKG time for patients with noncardiac chest pain. J Emerg Nurs. 34(5); 414-8.
  • 2008 -- PubMed # : 18640432 -- ESI Triage Research Team LLC, and Eitel, D. and Gilboy, N. and Rosenau, A. M. and Tanabe, P. and Travers, D. Does this patient meet the criteria for Emergency Severity Index level 2? J Emerg Nurs. 34(4); 382-3.
  • 2008 -- PubMed # : 18640406 -- Tanabe, P. and Gisondi, M. A. and Medendorp, S. and Engeldinger, L. and Graham, L. J. and Lucenti, M. J. Should you close your waiting room? Addressing ED overcrowding through education and staff-based participatory research. J Emerg Nurs. 34(4); 285-9.
  • 2008 -- PubMed # : 18207606 -- Tanabe, P. and Persell, S. D. and Adams, J. G. and McCormick, J. C. and Martinovich, Z. and Baker, D. W. Increased blood pressure in the emergency department: pain, anxiety, or undiagnosed hypertension? Ann Emerg Med. 51(3); 221-9.
  • 2007 -- PubMed # : 17898244 -- Lehrmann, J. F. and Tanabe, P. and Baumann, B. M. and Jones, M. K. and Martinovich, Z. and Adams, J. G. Knowledge translation of the American College of Emergency Physicians clinical policy on hypertension. Acad Emerg Med. 14(11); 1090-6.
  • 2007 -- PubMed # : 17306626 -- Todd, K. H. and Ducharme, J. and Choiniere, M. and Crandall, C. S. and Fosnocht, D. E. and Homel, P. and Tanabe, P. and PEMI Study Group, Pain in the emergency department: results of the pain and emergency medicine initiative (PEMI) multicenter study. J Pain. 8(6); 460-6.
  • 2007 -- PubMed # : 17389246 -- Tanabe, P. and Myers, R. and Zosel, A. and Brice, J. and Ansari, A. H. and Evans, J. and Martinovich, Z. and Todd, K. H. and Paice, J. A. Emergency department management of acute pain episodes in sickle cell disease. Acad Emerg Med. 14(5); 419-25.
  • 2007 -- PubMed # : 17379042 -- Tanabe, P. and Gilboy, N. and Travers, D. A. Emergency Severity Index version 4: clarifying common questions. J Emerg Nurs. 33(2); 182-5.
  • 2005 -- PubMed # : 16126100 -- Gilboy, N. and Tanabe, P. and Travers, D. A. The Emergency Severity Index Version 4: changes to ESI level 1 and pediatric fever criteria. J Emerg Nurs. 31(4); 357-62.
  • 2005 -- PubMed # : 16046958 -- Fernandes, C. M. and Tanabe, P. and Bonalumi, N. and Gilboy, N. and Johnson, L. and McNair, R. S. and Rosenau, A. M. and Sawchuk, P. and Suter, R. E. and Thompson, D. A. and Travers, D. A. Emergency department triage: why we need a research agenda. Ann Emerg Med. 46(2); 204-5.
  • 2005 -- PubMed # : 15930399 -- Tanabe, P. and Travers, D. and Gilboy, N. and Rosenau, A. and Sierzega, G. and Rupp, V. and Martinovich, Z. and Adams, J. G. Refining Emergency Severity Index triage criteria. Acad Emerg Med. 12(6); 497-501.
  • 2005 -- PubMed # : 15682128 -- Fernandes, C. M. and Tanabe, P. and Gilboy, N. and Johnson, L. A. and McNair, R. S. and Rosenau, A. M. and Sawchuk, P. and Thompson, D. A. and Travers, D. A. and Bonalumi, N. and Suter, R. E. Five-level triage: a report from the ACEP/ENA Five-level Triage Task Force. J Emerg Nurs. 31(1); 39-50; quiz 118.
  • 2004 -- PubMed # : 17381999 -- Worster, A. and Gilboy, N. and Fernandes, C. M. and Eitel, D. and Eva, K. and Geisler, R. and Tanabe, P. Assessment of inter-observer reliability of two five-level triage and acuity scales: a randomized controlled trial. CJEM. 6(4); 240-5.
  • 2004 -- PubMed # : 15192674 -- Tanabe, P. and Steinmann, R. and Kippenhan, M. and Stehman, C. and Beach, C. Undiagnosed hypertension in the ED setting--an unrecognized opportunity by emergency nurses. J Emerg Nurs. 30(3); 225-9.
  • 2004 -- PubMed # : 15175213 -- Tanabe, P. and Steinmann, R. and Anderson, J. and Johnson, D. and Metcalf, S. and Ring-Hurn, E. Factors affecting pain scores during female urethral catheterization. Acad Emerg Med. 11(6); 699-702.
  • 2004 -- PubMed # : 15072092 -- Tanabe, P. The effect of blood-drawing techniques and equipment on the hemolysis of ED laboratory blood samples. J Emerg Nurs. 30(2); 106-8.
  • 2004 -- PubMed # : 14765078 -- Tanabe, P. and Gimbel, R. and Yarnold, P. R. and Adams, J. G. The Emergency Severity Index (version 3) 5-level triage system scores predict ED resource consumption. J Emerg Nurs. 30(1); 22-9.
  • 2004 -- PubMed # : 14709429 -- Tanabe, P. and Gimbel, R. and Yarnold, P. R. and Kyriacou, D. N. and Adams, J. G. Reliability and validity of scores on The Emergency Severity Index version 3. Acad Emerg Med. 11(1); 59-65.
  • 2003 -- PubMed # : 12896895 -- Tanabe, P. and Kyriacou, D. N. and Garland, F. and Kyriacou, D. Factors affecting the risk of blood bank specimen hemolysis. Acad Emerg Med. August, 2003 10(8); 897-900.
  • 2002 -- PubMed # : 11960123 -- Tanabe, P. and Ferket, K. and Thomas, R. and Paice, J. and Marcantonio, R. The effect of standard care, ibuprofen, and distraction on pain relief and patient satisfaction in children with musculoskeletal trauma. J Emerg Nurs. 28(2); 118-25.
  • 2001 -- PubMed # : 11275859 -- Tanabe, P. and Thomas, R. and Paice, J. and Spiller, M. and Marcantonio, R. The effect of standard care, ibuprofen, and music on pain relief and patient satisfaction in adults with musculoskeletal trauma. J Emerg Nurs. 27(2); 124-31.
  • 2000 -- PubMed # : 11106476 -- Roettig, M. L. and Tanabe, P. Emergency management of acute coronary syndromes. J Emerg Nurs. December, 2000 26(6 Pt 2); S1-S42.
  • 2000 -- PubMed # : 10940837 -- Tanabe, P. and Buschmann, M. Emergency nurses' knowledge of pain management principles. J Emerg Nurs. 26(4); 299-305.
  • 1999 -- PubMed # : 10346837 -- Tanabe, P. and Buschmann, M. A prospective study of ED pain management practices and the patient's perspective. J Emerg Nurs. 25(3); 171-7.
  • 1997 -- PubMed # : 9379584 -- Tanabe, P. and Bollenberg, B. and Ignatowicz, N. An ENA state research committee: the Illinois experience. J Emerg Nurs. 23(4); 375-7.
  • 1996 -- PubMed # : 8936154 -- Koziol-McLain, J. and Tanabe, P. Reviewing the research literature: you don't have to do it alone. J Emerg Nurs. 22(4); 352-5.
  • 1995 -- PubMed # : 7658626 -- Tanabe, P. Recognizing pain as a component of the primary assessment: adding D for discomfort to the ABCs. J Emerg Nurs. 21(4); 299-304.
  • 2000 -- Tanabe, P. Out of compliance with standards? You must assess and treat pain quicker. ED Nursing. March 1, 2000 3(5); 56-63..
  • 2000 -- Tanabe, P. Front line: Emergency department tackles pain management. Joint Commission Benchmark. February, 2000 2(2); 6-7.
  • 2002 -- Tanabe, P. You must brace for change in ED pain management. ED Nursing. November, 2002 6(1); 8-11.
  • 2006 -- Gilboy, N. and Tanabe, P. Transporting low-risk chest pain patients – Do you need an RN and a monitor/defibrillator? Advanced Emergency Nursing Journal. Jul.-Sept,. 2006 28(3); 168-174.
  • 2006 -- Gilboy, N. and Tanabe, P. Can different types of central venous catheters be used to measure central venous pressure in an emergency situation? Advanced Emergency Nursing Journal. Oct.-Dec., 2006 28(4); 269-274.
  • 2011 -- Keough, V. A. and Tanabe, P. Survey research: An effective design for conducting nursing research. Journal of Nursing Regulation. January, 2011 1(4); 37-44.
  • 1991 -- Bielawski, B. and Tanabe, P. Cardiogenic shock. 1991 316-317.
  • 1991 -- Bielawski, B. and Tanabe, P. Neurogenic shock. 1991 318-319.
  • 1991 -- Bielawski, B. and Tanabe, P. Septic shock. 1991 320-321.
  • 2008 -- Tanabe, P. Pathways and protocols for the triage patient with acute pain. 2008 67-74.
  • 2009 -- Tanabe, P. and Todd, K. H. Pain in sickle cell disease. 2009 196-199.
  • 2010 -- Tanabe, P. and Holleran, R. S. and Reddin, C. J. Pain. 2010 127-147.
  • 2003 -- Gilboy, N. and Tanabe, P. and Travers, D. and Eitel, D. and Wuerz, R. Emergency Severity Index (ESI) implementation manual: A five-level triage system. 2003 .
  • 2005 -- Gilboy, N. and Tanabe, P. and Travers, D. A. and Rosenau, A. M. and Eitel, D. R. Emergency Severity Index, version 4: Implementation handbook. (AHRQ Publication No. 05-0046-2) May, 2005 .
  • 2011 -- PubMed # : 21741568 -- Reddin, C. C. and Cerrentano, E. and Tanabe, P. Sickle cell disease management in the emergency department: what every emergency nurse should know. J Emerg Nurs. July, 2011 37(4); 341-5.
  • 2007 -- Gilboy, N. and Tanabe, P. Oral rehydration therapy for pediatric gastroenteritis: can oral ondansetron eliminate the need for intravenous therapy? Advanced Emergency Nursing Journal. Jan.-Mar., 2007 29(1); 3-9.
  • 2003 -- Tanabe, P. New triage system gains popularity. Nursing Spectrum -- Greater Chicago. September 8, 2003 16(18); 5.
  • 1998 -- Mayer, T. A. and Ryan, N. and Currier, S. and Zimmers, T. and McKernan, K. M. and Schmidt, L. and Tanabe, P. and Weinman, S. and Sanders, P. and Zimmerman, P. G. Customer service still running amok. EN: Journal of Emergency Nursing. June, 1998 24(3); 208-12.
  • 2013 -- PubMed # : 21937097 -- Tanabe, P. and Stevenson, A. and DeCastro, L. and Drawhorn, L. and Lanzkron, S. and Molokie, R. E. and Artz, N. Evaluation of a train-the-trainer workshop on sickle cell disease for ED providers. J Emerg Nurs. November, 2013 39(6); 539-46.
  • 2012 -- PubMed # : 22114152 -- Tanabe, P. and Hasnain-Wynia, R. Promoting equity: developing quality measures for sickle cell disease. Am J Med Qual. 27(1); 80-2.
  • 2012 -- PubMed # : 22204885 -- Tanabe, P. and Paice, J. A. and Stancati, J. and Fleming, M. How do emergency department patients store and dispose of opioids after discharge? A pilot study. J Emerg Nurs. May, 2012 38(3); 273-9.
  • 2012 -- PubMed # : 22211429 -- McHugh, M. and Tanabe, P. and McClelland, M. and Khare, R. K. More patients are triaged using the emergency severity index than any other triage acuity system in the United States. Acad Emerg Med. January, 2012 19(1); 106-9.
  • 2011 -- Gilboy, N. and Tanabe, P. and Travers, D. and Rosenau, A. M. Emergency Severity Index A Triage Tool for Emergency Department Care, Version 4. Implementation Handbook 2012 (AHRQ Publication No. 11-M031) 2011 .
  • 2012 -- PubMed # : 22506947 -- Tanabe, P. and Hafner, J. W. and Martinovich, Z. and Artz, N. Adult emergency department patients with sickle cell pain crisis: results from a quality improvement learning collaborative model to improve analgesic management. Acad Emerg Med. April, 2012 19(4); 430-8.
  • 2013 -- PubMed # : 22575702 -- Buckley, B. A. and McCarthy, D. M. and Forth, V. E. and Tanabe, P. and Schmidt, M. J. and Adams, J. G. and Engel, K. G. Patient input into the development and enhancement of ED discharge instructions: a focus group study. J Emerg Nurs. November, 2013 39(6); 553-61.
  • 2014 -- PubMed # : 23099012 -- Pirotte, M. J. and Buckley, B. A. and Lerhmann, J. F. and Tanabe, P. Development of a screening and brief intervention and referral for treatment for ED patients at risk for undiagnosed hypertension: a qualitative study. J Emerg Nurs. January, 2014 40(1); e1-9.
  • 2012 -- PubMed # : 22693773 -- Oliveira, W. and Tanabe, P. Response to fall 2011 article: Clinical molecular testing: subspecialty, entry-level or specialist certification. Clin Lab Sci. 2012 25(2); 66.
  • 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 .
  • 2013 -- Spivey, A. Feel my pain. Duke Nursing Magazine. Winter, 2013 9(1); 14-17.
  • 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 # : 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 -- 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 # : 23836847 -- Tanabe, P. and Dias, N. and Gorman, L. Care of children with sickle cell disease in the emergency department: parent and provider perspectives inform quality improvement efforts. J Pediatr Oncol Nurs. 30(4); 205-17.
  • 2014 -- Pirotte, M. J. and Buckley, B. A. and Lehrmann, J. F. and Tanabe, P. Development of a screening and brief intervention and referral for treatment for ED patients at risk for undiagnosed hypertension: A qualitative study Journal of Emergency Nursing. 40 e1-e9.
  • 2014 -- PubMed # : 24633639 -- Hopkins, L. and McCroskey, D. and Reeves, G. and Tanabe, P. Implementing a urinary tract infection clinical practice guideline in an ambulatory urgent care practice. Nurse Pract. April, 2014 39(4); 50-4.
  • 2014 -- PubMed # : 24436262 -- Bennett, A. and Garcia, E. and Schulze, M. and Bailey, M. and Doyle, K. and Finn, W. and Glenn, D. and Holladay, E. B. and Jacobs, J. and Kroft, S. and Patterson, S. and Petersen, J. and Tanabe, P. and Zaleski, S. Building a laboratory workforce to meet the future: ASCP Task Force on the Laboratory Professionals Workforce. Am J Clin Pathol. February, 2014 141(2); 154-67.
  • 2014 -- PubMed # : 25035751 -- Thornton, V. L. and Holl, J. L. and Cline, D. M. and Freiermuth, C. E. and Sullivan, D. T. and Tanabe, P. Application of a proactive risk analysis to emergency department sickle cell care. West J Emerg Med. July, 2014 15(4); 446-58.
  • 2015 -- PubMed # : 25673578 -- Williams, H. and Simmons, L. A. and Tanabe, P. Mindfulness-Based Stress Reduction in Advanced Nursing Practice: A Nonpharmacologic Approach to Health Promotion, Chronic Disease Management, and Symptom Control. J Holist Nurs. September, 2015 33(3); 247-59. PMC4532647
  • 2014 -- PubMed # : 25356894 -- Freiermuth, C. E. and Haywood Jr, C. and Silva, S. and Cline, D. M. and Kayle, M. and Sullivan, D. and Thornton, V. and Tanabe, P. Attitudes toward patients with sickle cell disease in a multicenter sample of emergency department providers. Adv Emerg Nurs J. Oct-Dec, 2014 36(4); 335-47.
  • 2014 -- PubMed # : 25241635 -- Tanabe, P. and Martinovich, Z. and Buckley, B. and Schmelzer, A. and Paice, J. A. Safety of an ED High-Dose Opioid Protocol for Sickle Cell Disease Pain. J Emerg Nurs. September, 2014 36(4); 335-47.
  • 2015 -- PubMed # : 25639238 -- Savage, W. J. and Buchanan, G. R. and Yawn, B. P. and Afenyi-Annan, A. N. and Ballas, S. K. and Goldsmith, J. C. and Hassell, K. L. and James, A. H. and John-Sowah, J. and Jordan, L. and Lottenberg, R. and Murad, M. H. and Ortiz, E. and Tanabe, P. J. and Ware, R. E. and Lanzkron, S. M. Evidence gaps in the management of sickle cell disease: A summary of needed research. Am J Hematol. April, 2015 90(4); 273-5.
  • 2014 -- PubMed # : 25203083 -- Yawn, B. P. and Buchanan, G. R. and Afenyi-Annan, A. N. and Ballas, S. K. and Hassell, K. L. and James, A. H. and Jordan, L. and Lanzkron, S. M. and Lottenberg, R. and Savage, W. J. and Tanabe, P. J. and Ware, R. E. and Murad, M. H. and Goldsmith, J. C. and Ortiz, E. and Fulwood, R. and Horton, A. and John-Sowah, J. Management of sickle cell disease: summary of the 2014 evidence-based report by expert panel members. JAMA. September, 2014 312(10); 1033-48.
  • 2015 -- Zuzul, M. A. and Tanabe, P. and Blok, R. and Snyder, K. Improving preoperative cardiac assessment efficiency by using the American College of Cardiology/American Heart Association Guidelines: A quality improvement project Clinical Scholars Review. October, 2015 8(2); 164-171.
  • 2017 -- PubMed # : 28334590 -- Tanabe, P. and Freiermuth, C. E. and Cline, D. M. and Silva, S. A Prospective Emergency Department Quality Improvement Project to Improve the Treatment of Vaso-Occlusive Crisis in Sickle Cell Disease: Lessons Learned. Jt Comm J Qual Patient Saf. 43(3); 116-126.
  • 2017 -- PubMed # : 27482992 -- Freiermuth, C. E. and Silva, S. and Cline, D. M. and Tanabe, P. Shift in Emergency Department Provider Attitudes Toward Patients With Sickle Cell Disease. Adv Emerg Nurs J. 38(3); 199-212.
  • 2016 -- PubMed # : 26596876 -- Williams, H. and Tanabe, P. Sickle Cell Disease: A Review of Nonpharmacological Approaches for Pain. J Pain Symptom Manage. 51(2); 163-77. PMC4733641
Grant Funding (Selected)
  • Disseminating NIH Evidence Based Sickle Cell Recommendations in North Carolina
    Agency for Healthcare Research and Quality
    R18 RHS024501A
    09/2016 to 08/2020
    In 2014, the National Heart, Lung, and Blood Institute published evidence based guidelines for the treatment of sickle cell disease. In this project the team will disseminate a toolbox of decision support tools based upon the recommendations to primary care physicians and ED providers in North Carolina. A new model of care will be implemented that supports co-management between primary care and SCD specialists, with care coordination to include the ED.
  • Eliminating Suffering for Sickle Cell Disease Patients
    Centers for Medicaid and Medicare Services, awarded to Georgia Medical Care Foundation, an Alliant Company
    Special Innovation Project
    09/2016 to 08/2018
    Role: Consultant
    The purpose of this project is to conduct a national learning collaborative with emergency departments across the United States. The goal is for participating centers to improve emergency department care for individuals with sickle cell disease.
  • Improving SCD Care using Web-based Guidelines, Nurse Care Managers and Peer Mentors in Primary Care and Emergency Departments in Central North Carolina
    SNIH- NHLBI
    U01HL133964
    08/2016 to 06/2022
    Role: Co-PI
    Sickle cell disease is a complex medial illness associated with many acute and chronic complications which would benefit from co-management between primary care physicians, sickle cell experts, and emergency departments. We will provide web based decision aids to providers, nurse care managers and patient/peer coaches to improve outcomes for individuals with sickle cell disease. We aim to improve patient outcomes as well as shift healthcare use from emergency departments and specialty care only, to primary and specialty care. We will also conduct a community needs assessment and participate in the NHLBI registry associated with the project.
  • A Mindfulness-based Intervention For Pain Catastrophizing In Sickle Cell Disease
    National Institutes of Health
    1F31-NR014954-01
    09/2014 to 08/2017
    This project will be the first randomized controlled trial (RCT) of mindfulness-based stress reduction to reduce pain catastrophizing, and improve quality of life for sickle cell disease patients with chronic pain.
  • Comparing Acute Pain Management Protocols for Patients with Sickle Cell Disease
    National Institutes of Health
    1R34-HL121224-01A1
    09/2014 to 06/2016
  • Using Web-Based Technology to Improve Knowledge of Sickle Cell Disease for Emergency Department Providers
    Duke University SON CONCEPT Office CATALYST Award
    06/2014 to 05/2015
    Role: PI
    Project Goal: We will to conduct a formal evaluation of the website, and develop four new learning modules. As we build new modules, we will significantly increase the interactivity and use of technology to engage the learner.
  • Improving Healthcare for Individuals and Families Living with Sickle Cell Disease
    National Institutes of Health
    1R13-MD008817-01
    04/2014 to 03/2015
    Role: PI
  • Improving the management of persons with sickle cell disease in the emergency department setting
    North Carolina Community of Care Network, Inc.
    02/2014 to 02/2015
  • 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.
  • Region 4 Heritable Disorders - Hemoglobinopathies
    Michigan Public Health Institute
    2129-K-38821-115-504200
    07/2011 to 05/2012
  • 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.
  • Institutional National Research Service Award
    Agency for Healthcare Research and Quality
    T32 HS000078
    07/2008 to 06/2013
    Role: Assistant Director
    Project Goal: This is an institutional training grant that supports a health services research
  • 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.
  • 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.
  • 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.
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