Milisa Manojlovich, Ph.D., RN, FAAN

Milisa Manojlovich

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
Milisa Manojlovich is accepting new PhD students.

In the news

Interests

  • Interdisciplinary communication
  • Measurement of communication
  • Patient safety methodologies
  • Health information and communication technology
  • Cancer care delivery

Dr. Manojlovich is the only nurse scientist in the country to lead a highly productive team seeking to advance patient safety by improving 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 and thus a transactional view of communication. Dr. Manojlovich promotes a broader view of communication, one focused on developing shared understanding between communicators and the transformational nature of communication that results when two people – with different perspectives – come to understand one another and learn something new. To make the greatest impact, Dr. Manojlovich is conducting research on this topic from multiple perspectives and is expanding the focus of communication to include other disciplines such as pharmacists as well as patients. She is currently principal investigator on a grant funded by the University of Michigan School of Nursing (Jo Anne Horsley and Janet Gatherer Boyles donor funds), as well as a co-investigator on several other studies, listed below.

Visit her Prevent Harms through Discovery and Innovation (PIVOT) Hub website.

Current Research Grants and Programs

  • Redesigning Systems to Improve Quality for Hospitalized Patients (PI O’Leary). 1R18HS02564. Role: co-I
  • Piloting the use of Video Reflexive Ethnography as an implementation intervention to improve symptom management (PI Manojlovich). School of Nursing donors JoAnne Horsely/Janet Gatherer Boyles.
  • Novel Assessments of Technical and Non-Technical Cardiac Surgery Quality (PI Likosky). R01H146619. Role: co-I
  • Developing a framework to study and improve communication to enhance diagnostic quality in the ED (PI Mahajan). 1R13HS028375. 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
  • Academy of Management, 2005-2013
  • Member, AcademyHealth, 2006-present
  • Senior Member, Nursing Best Practice Research Unit, University of Ottawa, 2012-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
  • Fellow, American Academy of Nursing, 2018

Education

  • Ph.D., 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

  • Crist, K., Lafferty, M., Umberfield, E., Manojlovich, M. (in press). What factors contribute to shared understanding between physicians and nurses in inpatient oncology care? A qualitative exploration. Cancer Nursing.

  • Friese, C.R., Fauer, A.J., Mendelsohn-Victor, K., Wright, N., Griggs, J., Manojlovich, M. (2020). Patient-Reported Toxicity Outcomes Collected from a Diverse Sample of Ambulatory Oncology Practices: Feasibility, Patterns, and Correlates. Health Services Research, published ahead of print, DOI: 10.1111/1475-6773.13574. Best of ARM 2020.

  • O’Leary, K.J., Manojlovich, M., Johnson, J.K., Estrella, R., Hanrahan, K., Leykum, L.K., Smith, G.R., Goldstein, J.D., Williams, M.V. (2020). A multisite study of interprofessional teamwork and collaboration on general medical services. Joint Commission Journal on Quality and Patient Safety, 46, 667-672.

  • Manojlovich, M., Harrod, M., Hofer, T.P., Lafferty, M., McBratnie, M., Krein, S.L. (2020). Factors influencing physician responsiveness to nurse-initiated communication: A qualitative study. BMJ Quality & Safety, Nov 9. doi: 10.1136/bmjqs-2020-011441. [Epub ahead of print] PubMed PMID: 33168635.

  • Manojlovich, M., Harrod, M., Hofer, T., Lafferty, M., McBratnie, M., Krein, S. (2020). Patient care rounds as a conduit for inter-professional communication. The Journal of General Internal Medicine, 35(3), 839-45.

  • Lafferty, M., Fauer, A., Wright, N., Manojlovich, M., Friese, C.R. (2020). Causes and consequences of chemotherapy delays in ambulatory oncology practices: A multi-site qualitative study. Oncology Nursing Forum, 47(4), 417-427.

  • Manojlovich, M., Ameling, J., Forman, J., Judkins, S., Quinn, M., Meddings, J. (2019). Why don’t we talk about catheters? Characterizing contextual barriers to communication between physicians and nurses about catheter use, American Journal of Critical Care, 28(4), 290-298.

  • Umberfield, E., Ghaferi, A., Krein, S.L., Manojlovich, M. (2019). Using incident reports to assess communication failures and patient outcomes. The Joint Commission Journal on Quality and Patient Safety, 45, 406 - 413. doi: doi.org/10.1016/j.jcjq.2019.02.006. PMC6590519.

  • Manojlovich, M., Hofer, T., Krein, S. (2018). A conceptual framework to advance patient safety: Focus on communication. Journal of Patient Safety, Epub ahead of print [31 October 2018]. doi: 10.1097/PTS.0000000000000547. PMID: 30383622.

  • Manojlovich, M., Harrod, M., Hofer, T.P., Heshmati, A., Umberfield, E., Frankel, R., and Krein, S. (2019). A formative evaluation of the video reflexive ethnography method, as applied to the physician/nurse dyad. BMJ Quality & Safety, 28(2), 160 – 166. doi:10.1136/bmjqs-2017-007728. PMCID:PMC6548313

  • Costa, D.K., White, M.R., Ginier, E., Manojlovich, M., Govidan, S., Iwashyna, T.J., Sales, A. (2017). Identifying barriers to delivering the ABCDE bundle to minimize adverse outcomes for mechanically ventilated patients: A systematic review, Chest, 152(2), 304-311.

  • 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. 

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