Research Teams

Motor Vehicle Injury Prevention 

Off-Road Vehicle Injury Prevention

The major area of focus for our off-road vehicle injury prevention program are deaths and injuries from all-terrain vehicle (ATV) crashes involving children and teens, riding on public roads, riding with passengers, and occupational use. Our research has recently been expanded to include off-road vehicles called side-by-sides (SxSs).

 We conduct epidemiological, community-based educational, and engineering studies to understand risk factors for death and injury and to develop interventions to prevent crashes and injuries that result from use of these off-road vehicles. We also do public policy advocacy and we have developed the only ATV simulator in the U.S. that can study humans on ATVs. Our simulator is used to understand how ATV and rider characteristics contribute to crashes. We work closely with other members of the Iowa ATV Injury Prevention Task Force and with a national coalition advocating against laws allowing ATVs and SxSs on the road.

Research Team Members:

 Charles Jennissen, MD 
 Gerene Denning, PhD 
 Karisa Harland, PhD   
 Salam Rahmatalla, PhD
 Kristel Wetjen, RN 
 Pamela Hoogerwerf 

Relevant Links:

 Consumer Product Safety Commission ATV Safety Information Center
 Consumer Federation of America Off-Highway Vehicle Safety
 University of Iowa Children’s Hospital ATV Safety
 AAA Foundation for Traffic Safety
 NIOSH
 

Roadway Vehicle Injury Prevention

Our motor vehicle crash prevention research focuses on behavioral and psychosocial risks that contribute to roadway crashes and injuries, including mobile telephone and substance use. Motor vehicle related deaths disproportionally affect youth and are a leading cause of occupational-related death among adults. Effective prevention of these crashes requires examination of teen driver interventions and the effects of technology on youth and adult crash characteristics and rates.

Research Team Members:

 Nicholas Mohr, MD, MS
 Karisa Harland, PhD  
 Corinne Peek-Asa, MPH PhD  
 Marizen Ramirez, MPH PhD  
 Daniel McGehee, PhD 

Relevant Links: 

 National Highway Traffic Safety Administration: Teen drivers
 National Highway Traffic Safety Administration: Fatality Analysis Reporting System  
 National Institute for Occupational Health and Safety (NIOSH) : Traumatic Occupational Injuries    

Rural Regionalization and Telemedicine    

Our group focuses on regionalized care in rural areas for trauma, sepsis, and critical illness. We use health services research methods and large administrative claims data sets to understand the role of regionalization and inter-hospital transfer in improving outcomes for rural patients with critical illness.  We also are interested in how telemedicine enables regionalization without inter-hospital transfer, and how this tool can be used to improve quality, efficiency, and cost-effectiveness of health care, especially in rural emergency departments. We are interested in how changes in health insurance influence emergency care in rural areas.

Research Team Members

Nicholas Mohr, MD, MS
Azeemuddin Ahmed, MD, MBA
Brett Faine, PharmD
Karisa Harland, PhD
Dan Shane, PhD
James Torner, PhD
Marcia Ward, PhD
Gregory Bell, MD 
Enrique Leira, MD, MS

Relevant Links:

Rural Telemedicine Research Center

Funding:

Emergency Medicine Foundation
NIH Stroke Net 
Children’s Miracle Network  
Federal Office of Rural Health Policy
 

ED Antimicrobial Stewardship  

Our group focuses on antimicrobial prescribing and implementation in the emergency department. Specifically, we are interested in clinical decision rules that guide antimicrobial prescribing and tools that identify patients at high risk of drug resistant infections.  We have focused on implementation science through tools in electronic medical records, education, and regionalization efforts to develop systems of care across health systems. Our research team has focused on the delivery of pharmaceutical care for patients presenting to rural emergency departments and the potential role of regionalized networks to improve patient outcomes. 

Research Team Members:

Brett Faine, PharmD
Nicholas Mohr, MD, MS
Karisa Harland, PhD
Andrew Nugent, MD
Elizabeth Chrischilles, PhD
Philip Polgreen, MD, MS
Enrique Leira, MD, MS

Early Risk Stratification and Prophylaxis in Critical Illness

Our group focuses on early risk stratification and treatment of patients with critical illness in the emergency department. We study heart rate variability, mechanical ventilation, fluid resuscitation strategies, and clinical factors that predict patients likely to deteriorate either in the ED or after hospital admission. We also study prophylactic therapies to reduce the risk of iatrogenic burden in ED patients who are critically ill. We study low tidal volume ventilation to prevent acute respiratory distress syndrome and antimicrobial medications for the prevention of ventilator-associated pneumonia.

Research Team Members:

Nicholas Mohr, MD, MS
Brett Faine, PharmD
Adam Schlichting, MD
Karisa Harland, MPH, PhD
Kent Choi, MD
Philip Polgreen, MD, MPH 

Funding:

Iowa Injury Prevention Research Center

Interpersonal Violence Prevention and Treatment 

 Our group studies ways for youth and adults to develop healthy interpersonal relationships skills and we examine the effects of interpersonal violence on individuals.  Interpersonal violence is a strong risk factor not only for acute injuries, but also for the development of chronic diseases such as depression and heart disease. We work to develop robust screening programs that can be used in emergency departments and interventions that can be deployed in schools.

Research Team Members:

Audrey Saftlas, MPH, PhD
Corinne Peek-Asa, MPH PhD
Marizen Ramirez, MPH PhD
Karisa Harland, MPH, PhD
Natasha Wheaton, MD

Relevant Links:

Centers for Disease Control and Prevention: Injury Prevention and Control: Division of Violence Prevention 
National Institute of Justice: Intimate Partner and Teen Dating Violence 

Funding:

 Centers for Disease Control and Prevention: Injury Prevention and Control
 Iowa Injury Prevention Research Center  
 Robert Wood Johnson Foundation
 National Institutes of Health