Milisa Manojlovich, PhD, RN, CCRN


Associate Professor
Department of Systems, Populations and Leadership
Room 4306 400NIB

University of Michigan School of Nursing
400 North Ingalls Building
Ann Arbor, MI 48109-5482

Telephone: (734) 936-3055
Fax: (734) 647-2416

Scholarly Expertise / Activity

Interests:

  • Identify how communication (i.e., shared understanding) develops between physicians and nurses, and link shared understanding to patient safety
  • Develop methods to measure communication
  • Understand how the hospital environment affects nursing practice and patient safety

Dr. Manojlovich is the only nurse scientist in the country to lead a highly productive team seeking to improve patient safety by studying communication between physicians and nurses. This topic is of critical importance because poor interdisciplinary communication is one of the most common contributors to tens of thousands of adverse events for patients every year, including death. She is confronting the problem of poor communication on two fronts – conceptual and methodological - to provide the greatest impact on patient safety. Conceptual and methodological innovations are needed in concert because neither approach alone has been sufficient to solve the problem of poor communication, which has perplexed researchers for over 50 years.

In healthcare, communication is commonly defined as information exchange, borrowing heavily from aviation which focuses on sender-receiver characterizations. But Dr. Manojlovich promotes an alternative view of communication, one focused on developing shared understanding between communicators. To make the greatest impact, Dr. Manojlovich is conducting research on this topic from multiple perspectives, and is currently principal investigator on 3 grants funded by the Agency for Healthcare Research and Quality, as well as a co-investigator on several other studies, listed below.

Current Research Grants and Programs:

  • Videotaping Communication between Physicians and Nurses: A methods study. Agency for Healthcare Research and Quality (1R03HS024760-01). 9/2016 - 8/2017 Role: PI
  • Communication Processes, Technology, and Patient Safety in Ambulatory Oncology Settings. Agency for Healthcare Research and Quality (1R01HS024914-01). 9/2017 - 8/2020 Role: PI Year 1, Co-I years 2 and 3
  • The Effects of Health Information Technology on Healthcare Provider Communication. Agency for Healthcare Research and Quality (1 R01 HS022305-01A1). Sept. 2014-Sept. 2018. Role: PI
  • Enhancing Patient Safety through Cognition & Communication: The "M-Safety Lab". Agency for Healthcare Research and Quality (1P30 HS024385-01. Sept. 2015-Dec. 2019. Role: Co-I
  • Comprehensive Unit-based Safety Program (CUSP) to reduce Central Line-associated Blood Stream Infections (CLABSI) and Catheter-associated Urinary Tract Infections (CAUTI) in Intensive Care Units (ICU) with persistently elevated infection rates. Health Research and Educational Trust (HRET) from the Agency for Healthcare Research and Quality. Sept. 2015-March 2017. Role: Co-I
  • Engaging Partners in Infection Prevention and Control. Health Research and Educational Trust (HRET) from the Centers for Disease Control. Sept. 2015-Aug. 2018. Role: Co-I

Teaching

Dr. Manojlovich’s teaching philosophy is a blend of constructivism and humanism. She uses the principles of adult education to provide structure within which learning can occur. She invites her students to engage in learning along with her and facilitates the exploratory process by creating an environment where students feel safe to express their thoughts and ideas. Dr. Manojlovich uses creative teaching strategies to enhance classroom experiences and includes components of cooperative learning in every class session. She teaches at both undergraduate and graduate levels, in clinical and didactic courses. As a faculty member she believes that, to facilitate the School’s teaching mission, her primary responsibility is to support and advocate for students.

Affiliations / Service

  • Member, American Association of Critical Care Nurses (AACN), 1989-present
  • Member, Sigma Theta Tau International; Rho Chapter, 1989-present
  • Member, Council on Graduate Education for Administration in Nursing, 2003-present
  • Member, International Network for Doctoral Education in Nursing, 2003-present
  • Member, AcademyHealth, 2006-present
  • Senior Member, Nursing Best Practice Research Unit, University of Ottawa, 2012-present
  • Member, Society of Critical Care Medicine, 2015-present
  • Member, American Nurses Association, 2016-present

Notable Awards / Honors

  • Elizabeth Grossman Award, Indiana University, 1985
  • Midwest Nursing Research Society (MNRS) Dissertation Grant, 2003
  • New Investigator Award, Interdisciplinary Research Group on Nursing Issues, AcademyHealth, 2008
  • Rackham Graduate School, University of Michigan, Spring/Summer Research Grants Program, 2012
  • Award for Excellence in Nursing Research: Sigma Theta Tau International – Rho Chapter, 2015

Education

  • PhD, University of Michigan, Ann Arbor, MI
  • MS, Rush University, Chicago, IL
  • ADN, Indiana University, Gary, IN
  • BEd, University of Windsor, Windsor Ontario, Canada
  • BA, Queen’s University, Kingston Ontario, Canada

Publication Highlights

  • Manojlovich, M., Ratz, D., Miller, M., Krein, S. (2017). Use of daily interruption of sedation and early mobility in U.S. hospitals. Journal of Nursing Care Quality, 32(1), 71-76.
  • Holmgren, A.J., Pfeifer, E., Manojlovich, M., Adler-Milstein, J. (2016). A novel national survey examining the relationship of hospital characteristics and Health IT adoption to nurse-physician communication. Applied Clinical Informatics, 7(4), 1182-1201.
  • Manojlovich, M., Lee, S., & Lauseng, D. (2016). A systematic review of the unintended consequences of clinical interventions to reduce adverse outcomes. Journal of Patient Safety, 12 (4), 173-179. PMID: 24522217
  • Costa, D.K., Yang, J.J., & Manojlovich, M. (2016). The critical care nurse work environment, physician staffing, and risk for ventilator-associated pneumonia. American Journal of Infection Control, 44, 1181-1183.
  • Manojlovich, M., Saint, S., Meddings, J., Ratz, D., Havey, R., Bickmann, J., Couture, C., Fowler, K., Krein, S. (2015). Indwelling Urinary Catheter Insertion Practices in the ED: An observational study. Infection Control & Hospital Epidemiology, 37(1), 117-119. DOI: 10.1017/ice.2015.238.
  • Manojlovich, M., Adler-Milstein, J., Harrod, M., Sales, A., Hofer, T.P., Saint, S., Krein, S.L. (2015). The Effect of Health Information Technology on Health Care Provider Communication: A Mixed-Method Protocol. Journal of Medical Internet Research: Research Protocols, 4(2):e72. URL: http://www.researchprotocols.org/2015/2/e72/ doi:10.2196/resprot.4463.
  • Manojlovich, M., Squires, J., Davies, B., Graham, I. (2015). Hiding in plain sight: Communication theory in implementation science. Implementation Science, 10:58. DOI: 10.1186/s13012-015-0244-y.
  • Costa, D.K., Dammeyer, J., White, M., Galinato, J., Hyzy, R., Manojlovich, M., Sales, A.E. (2015). Interprofessional interactions about ABCDE in the ICU: Pilot development of an observational rating tool. BMC Research Notes.
  • Harrod, M., Manojlovich, M., Kowalski, C., Saint, S., Krein, S. (2014). Unique factors rural Veterans Affairs hospitals face when implementing healthcare-associated infection prevention initiatives. Journal of Rural Health, 30, 17 – 26 PMID: 24383481 .
  • Manojlovich, M., Harrod, M., Holtz, B., Hofer, T., Kuhn, L., & Krein, S.L. (2014). The use of multiple qualitative methods to characterize communication events between physicians and nurses. Health Communication, Published online: doi.org/10.1080/10410236.2013.835894 PMID: 24483246
  • Manojlovich, M., Chase, V.J., Mack, M., Conroy, M.K., Belanger, K., Zawol, D., Corr, K.M., Fowler, K.E., Viglianti, E. (2014). Using A3 thinking to improve the STAT medication process. Journal of Hospital Medicine, 9(8):540-544 PMID: 24916107.
  • Manojlovich, M., Kerr, M., Davies, B., Squires, J., Mallick, R., Lemire Rodger, G. (2014). Achieving a climate for patient safety by focusing on relationships. International Journal for Quality in Health Care, 26(6), 579-584. doi: 10.1093/intqhc/mzu068. [Editor’s choice]. PMID: 25061085.
  • Manojlovich, M. (2013). Reframing Communication with Physicians as Sensemaking: Moving the Conversation Along. Journal of Nursing Care Quality, 28(4), 295 – 303 PMID: 23475081.
  • Friese, C. R. & Manojlovich, M. (2012). Nurse-physician relationships in ambulatory oncology settings. Journal of Nursing Scholarship, 44(3), 258 - 265. PMCID: 3432717