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Cook, Richard MD


1971 Neil Avenue
Columbus, OH 43210

Email: cook.16@osu.edu

 

Current OSU Appointments

Senior Researcher, Integrated Systems Engineering

Professor - Practice, Anesthesiology

Physician, FGP-Anesthesiology

 

Books

Woods DD, Dekker S, Cook R, Johannesen L, Sarter N. Behind human error. Farnham; Burlington, VT: Ashgate, January 2010.

 

Licenses

1995 - present American Board of Anesthesiology: American Board of Anesthesiology
2016 - present Ohio: State Medical Board of Ohio
2016 - present US DEA: Drug Enforcement Administration
2016 - present Illinois: Illinois Medical Licensing Board
 

Chapters in Books

Patterson ES, Cook RI, Woods DD & Render ML.. "Gaps in resilience." In Human Error in Medicine, 2nd ed.. -. January 0.

Moll van Charante E, Cook RI, Woods DD, Yue Y, Howie MB. "Human-computer interaction in context: physician interaction with automated intravenous controllers in the heart room.." In Analysis, Design and Evaluation of Man-Machine Systems 1992. Edited by Stassen HG. 263-274. London: Pergamon Press, January 1993.

Cook RI, Woods DD.. "Operating at the sharp end: the complexity of human error.." In Human Error in Medicine. Edited by MS Bogner. -. Mahwah: Lawrence Earlbaum, January 1994.

Cook RI, Woods DD, Miller C. "A Tale of Two Stories: Contrasting Views of Patient Safety.." In (Report from a Workshop on Assembling the Scientific Basis for Progress on Patient Safety. -. Chicago: National Patient Safety Foundation, January 1998.

Woods DD, Cook RI.. "Perspectives on human error: hindsight biases and local rationality." In Handbook of Applied Cognition. Edited by RS Durso et al.. 141-171. New York: Wiley, January 1998.

Woods DD, Cook RI.. "From counting failures to anticipating risks: possible futures for patient safety.." In Lessons in Patient Safety. Edited by L Zipperer, S Cushman. 89-97. Chicago: National Patient Safety Foundation, January 2001.

Cook RI, O’Connor M, Render M, Woods D.. "Operating at the sharp end: The human factors of complex technical work and its implication for patient safety." In Surgical Patient Safety: Essential Information for Surgeons in Today's Environment. Edited by BM Manuel & PF Nora. 19-30. Chicago: American College of Surgeons, January 2004.

Woods DD, Cook RI.. "Mistaking error." In The Patient Safety Handbook. 95-108. Sudbury: Jones and Bartlett Publishers, January 2004.

Nemeth C, O'Connor M, Klock PA, Cook R.. "Cognitive artifacts' implications for health care information technology: Revealing how practitioners create and share their understanding of daily work.." In Advances in Patient Safety: From Research to Implementation. Vol. 2.. Edited by K Henricksen, JB Battles, E Marks & DI Lewin. 279-292. Washington DC: Agency for Healthcare Reasearch and Quality, January 2005.

Nemeth C, Nunnally M, O'Connor M, Klock PA, & Cook R.. "Making information technology a team player in safety: The case of infusion devices." In Advances in Patient Safety: from research to implementation. Vol. 1.. Edited by K Henricksen, JB Battles, E Marks & DI Lewin. 313-330. Washington DC: Agency for Healthcare Research and Wuality, January 2005.

Cook RI, O'Connor MF. "Thinking about accidents and systems." In Medication Safety: A Guide for Health Care Facilities. Edited by HR Manasse & KK Thompson. 73-87. Washington DC: American Society of Health-System Pharmacists;, January 2005.

Cook RI. "Being Bumpable: Consequences of Resource Saturation and Near-Saturation for Cognitive Demands on ICU Patients.." In Joint cognitive systems: patterns in cognitive systems engineering. 23-35. Boca Raton: CRC/Taylor & Francis, January 2006.

Cook ERi. "Hobson’s choices: Matching and mismatching in transplantation work processes.." In A death retold: Jesica Santillan, the bungled transplant, and paradoxes of medical citizenship. 46-69. Chapel Hill: University of North Carolina Press, January 2006.

Cook RI, Woods DD. "Distancing through differencing: An obstacle to Organizational learning following accidents.." In Resilience engineering: concepts and precepts. 329-338. Aldershot, England; Burlington, VT: Ashgate, January 2006.

Cook RI, Nemeth C. "Taking things in stride: Cognitive features of two resilient performances.." In Resilience engineering: concepts and precepts. 205-221. Aldershot, England; Burlington, VT: Ashgate, January 2006.

Cook RI, Nemeth C. "Taking things in stride: Cognitive features of two resilient performances.." In Resilience engineering: concepts and precepts. 205-221. Aldershot, England; Burlington, VT: Ashgate, January 2006.

Woods DD, Cooks RI. "Incidents – markers of resilience or brittleness?." In Resilience engineering: concepts and precepts. 69-76. Aldershot, England; Burlington, VT: Ashgate, January 2006.

Nemeth CP, O’Connor M, Nunnally M & Cook RI. "RePresenting reality: The human factors of healthcare information.." In The Handbook of Human Factors and Ergonomics in Healthcare and Patient Safety.. Edited by P Carayon. 439-455. Mahwah: Lawrence Erlbaum Associates, January 2007.

Woods DD, Patterson ES & Cook RI. "Behind human error: taming complexity to improve patient safety." In Handbook of Human Factors and Ergonomics in Health Care and Patient Safety. Edited by P Carayon. -. Mahwah: Lawrence Erlbaum Associates, January 2007.

Nemeth CP, Kowalsky J, Brandwijk M, Kahana M, Klock, PA, Cook RI.. "Between shifts: Healthcare Communication in the PICU." In Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Edited by CP Nemeth. 135-153. Ashgate: Aldershot, January 2008.

Cook RI, Nemeth CP, Dekker S.. "What went wrong at the Beatson Oncology Centre." In Resilience Engineering Perspective, Volume 1: Remaining Sensitive to the Possibility of Failure. Edited by E Hollnagel, CP Nemeth, S Dekker. -. Ashgate: Aldershot, January 2008.

Cook RI. "How Complex Systems Fail." In Web Operations: Keeping the Data On Time.. Edited by J Allspaw & J Robbins. 107-116. Sebastopol: O'Reilly Media, January 2010.

Cook RI. "Utvärdering av tkniken påverkan på patientsäkerheen. [Assessing the Impact of Technology on Patient Safety.]." In Patiensakerhet: Teori ock praktik. [Safety: theory and practice].. 215-231. Stockholm: Liber, January 2013.

Cook RI. "Systemperspektivet på säkerhet. [A systems view of safety].." In Patiensakerhet: Teori ock praktik. [Safety: theory and practice].. 142-147. Stockholm: Liber, January 2013.

 

Degrees

1975 B.A., Lawrence University

1986 M.D., University Of Cincinnati

 

Edited Books

Woods DD, Johannesen L, Cook RI, Sarter N.. "Behind Human Error: Cognitive Systems, Computers and Hindsight." Edited by Crew-Systems Ergonomic Information and Analysis Center,. Dayton: Wright-Patterson Air Force Base, January 1994.

 

Editorial Activities

1996 Sources of Power: How People Make Decisions
1998 Image and Logic: A Material Culture of Microphysics
1999 Textbook of Regional Anesthesia and Acute Pain Management
2013 - 2014 Patient Safety
 

Honors

1999 - present Peter Kiewit Memorial Award Lectureship. Eisenhower Medical Center and The Annenberg Foundation.
2001 - present McGovern Medal for Medical Writing. American Medical Writers Association.
 

Journal Articles

Wears RL, Cook RI. "Getting Better at being worse (Editorial)." Ann Emerg Med. (January 0.): -.

Cook RI. "Letters of recommendation. (Editorial)." N Engl J Med. Vol. 309, (January 1983.): 736-.

Cook RI, Woods DD, McDonald JS. "On attributing critical incidents to factors in the environment (Editorial)." Anesthesiology. Vol. 71, no. 5. (January 1989.): 808-.

Cook RI. "Learning theories and medical lectures: Add little to little and there will be a big pile (Editorial)." JAMA. Vol. 262, (January 1989.): 1472-.

Cook RI, McDonald JS, Nunziata E. "All subjects of a study should provide informed consent (Editorial)." Anesthesiology. Vol. 72, no. 3. (January 1990.): 578-.

Woods DD, Cook RI. "Effects of outcome on physicians' judgment of appropriateness of care. (Editorial)." JAMA. Vol. 72, no. 3. (January 1991.): 578-.

Cook RI, Woods DD.. "Blood pressure monitoring (Editorial)." J Clinical Monitoring. Vol. 8, no. 1. (January 1992.): 95-.

Faure EA, Cook RI, Miles D.. "Air embolism during anesthesia for shoulder arthroscopy (Editorial)." Anesthesiology. Vol. 89, no. 3. (January 1998.): 805-6.

Aronson S, Cook R. "Vigilance-A main component of clinical quality (Editorial)." Anesthesiology. Vol. 88, no. 4. (January 1998.): 1122-3.

Cook RI. "Syringe pump assemblies and the natural history of clinical technology.(Editorial)." Can J Anaesth. Vol. 47, no. 10. (January 2000.): 929-35.

Cook RI. "Combating medical errors (Editorial)." Lancet. Vol. 356, no. 9224. (January 2000.): 167-.

Cook RI. "The end of the beginning – complexity and craftsmanship and the era of sustained work on patient safety. (Editorial)." Joint Comm J Qual Improvement. Vol. 27, (January 2001.): 507-8.

Cook RI. "Safety technology: solutions or experiments? (Editorial)." Nursing Economics. Vol. 20, (January 2002.): 80-83.

O’Connor MF, Nunnally M, Cook RI. "Deriving the most benefit from bar coded medication administration. Letter to the Editor (Editorial)." IEEE Transactions on Systems, Man, and Cybernetics Par A: Systems and Humans.Anesthesia Patient Safety Foundation Newsletter. Vol. 19, no. 3. (January 2004.): 24-.

Nemeth CP, Cook RI, Woods DD. "The messy details: insights from the study of technical work in healthcare (Editorial)." IEEE Transactions on Systems, Man, and Cybernetics Par A: Systems and Humans.. Vol. 34, no. 6. (January 2004.): 689-.

Patterson,E,S; Cook,R,I; Woods,D,D; Render,M,L. "Examining the complexity behind a medication error: Generic patterns in communication." IEEE TRANSACTIONS ON SYSTEMS MAN AND CYBERNETICS PART A-SYSTEMS AND HUMANS. Vol. 34, no. 6. (November 2004.): 749-756.

 

Presentations

"Operating at the Sharp End." Presented at Pediatric Grand Rounds. University of Chicago, . (January 1997)

"Operating at the Sharp End." Presented at Medical Grand Rounds. University of Chicago, . (January 1997)

"Complex System Failures and Patient Safety." Presented at Pediatric Grand Rounds, Cincinnati Children’s Hospital Medical Center, . (January 2000)

 

Technical Reports

Cook RI, McDonald JS, Smalhout R., "Human error in the operating room: identifying cognitive lockup". Columbus: Cognitive Systems Engineering Laboratory, The Ohio State University. (1989) [Peer-Review] (Published)

Cook RI, Woods DD, McDonald JS, "Human performance in anesthesia: a corpus of cases". Anesthesia Patient Safety Foundation. (1991) [Peer-Review] (Published)

Yue L, Woods DD and Cook RI., "Reducing the Potential for Error Through Device Design: Infusion Controllers in Cardiac Surgery". Columbus: Cognitive Systems Engineering Laboratory, The Ohio State University. (1992) [Peer-Review] (Published)

Woods DD, Cook RI, Sarter N., "Clumsy automation, practitioner tailoring and system failures". Columbus: Cognitive Systems Engineering Laboratory Report, Ohio State University. (1992) [Peer-Review] (Published)

Cook RI, "Being bumpable: The complexity of ICU operation and their consequences". Chicago: Cognitive Technologies Laboratory, University of Chicago. (1996) [Peer-Review] (Published)

Cook RI, "How Complex Systems Fail". (1998) [Peer-Review] (Published)