Noa Segall
Assistant Professor in Anesthesiology
My research interests are in human factors engineering in healthcare, with a focus on human-centered design and evaluation of clinical informatics and processes. Among the studies I am working on or have recently completed are (1) a usability evaluation of a patient health record, (2) analysis of information use in intensive care to support better organization of electronic health data, (3) the standardization of patient handovers from the operating room to the intensive care unit, (4) an examination of anesthesia providers' prospective memory errors in the operating room, and (5) simulation to determine the impact of the number of patients monitored by cardiac telemetry technicians on response time to critical arrhythmias.
Current Appointments & Affiliations
- Assistant Professor in Anesthesiology, Anesthesiology, Clinical Science Departments 2008
Contact Information
- 8 Searle Center Drive, 5012 Trent Semans Center, Durham, NC 27710
- Box 3094 Med Ctr, Durham, NC 27710
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(919) 684-6832
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Human Simulation and Patient Safety Center
- Background
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Education, Training, & Certifications
- Ph.D., North Carolina State University 2006
- Expertise
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Subject Headings
- Arrhythmias, Cardiac
- Checklist
- Computer Simulation
- Continuity of Patient Care
- Electronic Health Records
- Health Information Systems
- Health Records, Personal
- Intensive Care Units
- Medical Errors
- Operating Rooms
- Patient Handoff
- Patient Safety
- Patient Simulation
- Patient Transfer
- Program Evaluation
- Quality Assurance, Health Care
- Quality of Health Care
- Task Performance and Analysis
- Telemedicine
- Telemetry
- User-Computer Interface
- Research
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Selected Grants
- Machine learning and collaborative filtering tools for personalized education in digital breast tomosynthesis awarded by National Institutes of Health 2016 - 2021
- Effect of monitoring system design on response time to cardiac arrhythmias awarded by Agency for Healthcare Research and Quality 2015 - 2021
- Right Place, Right Time: Information Design to Support Decisions in Acute Care awarded by Saint Alphonsus Regional Medical Center 2015 - 2018
- Toward intelligent display of health data: A qualitative study of use patterns awarded by National Institutes of Health 2011 - 2015
- Forgetting to remember: Prospective memory error as an unexplored patient safety risk awarded by Anesthesia Patient Safety Foundation 2013 - 2015
- Workload effects on response time to life-threatening arrhythmias awarded by Agency for Healthcare Research and Quality 2012 - 2014
- Pediatric Acute/Chronic Care Nurse Practitioner Program awarded by Health Resources and Service Administration 2009 - 2013
- IPA-Noa Segall awarded by Veterans Administration Medical Center 2012
- IPA-Noa Segall awarded by Veterans Administration Medical Center 2008 - 2011
- Virtual Health Care Environments versus Traditional Interactive Team Training: Impact on Team Coordination Behavior and Cost Effectiveness awarded by National Institutes of Health 2006 - 2009
- Publications & Artistic Works
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Selected Publications
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Academic Articles
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Reese, T. J., Segall, N., Del Fiol, G., Tonna, J. E., Kawamoto, K., Weir, C., & Wright, M. C. (2020). Iterative heuristic design of temporal graphic displays with clinical domain experts. Journal of Clinical Monitoring and Computing. https://doi.org/10.1007/s10877-020-00571-2Full Text
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Reese, T. J., Del Fiol, G., Tonna, J. E., Kawamoto, K., Segall, N., Weir, C., … Wright, M. C. (2020). Impact of integrated graphical display on expert and novice diagnostic performance in critical care. Journal of the American Medical Informatics Association : Jamia, 27(8), 1287–1292. https://doi.org/10.1093/jamia/ocaa086Full Text
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Wright, M. C., Radcliffe, S., Janzen, S., Edworthy, J., Reese, T. J., & Segall, N. (2020). Organizing Audible Alarm Sounds in the Hospital: A Card-Sorting Study. Ieee Transactions on Human Machine Systems. https://doi.org/10.1109/THMS.2020.3019363Full Text
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Wright, M. C., Borbolla, D., Waller, R. G., Del Fiol, G., Reese, T., Nesbitt, P., & Segall, N. (2019). Critical care information display approaches and design frameworks: A systematic review and meta-analysis. J Biomed Inform X, 3. https://doi.org/10.1016/j.yjbinx.2019.100041Full Text Link to Item
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Waller, R. G., Wright, M. C., Segall, N., Nesbitt, P., Reese, T., Borbolla, D., & Del Fiol, G. (2019). Novel displays of patient information in critical care settings: a systematic review. J Am Med Inform Assoc, 26(5), 479–489. https://doi.org/10.1093/jamia/ocy193Full Text Link to Item
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Barbeito, A., & Segall, N. (2019). Development and usability testing of an audit and feedback tool for anesthesiologists. Jamia Open, 2(1), 29–34. https://doi.org/10.1093/jamiaopen/ooy054Full Text Link to Item
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Segall, N., & Bennett-Guerrero, E. (2017). ICU Rounds: "What We've Got Here Is Failure to Communicate". Crit Care Med, 45(2), 366–367. https://doi.org/10.1097/CCM.0000000000002125Full Text Link to Item
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Chang, B., Kanagaraj, M., Neely, B., Segall, N., & Huang, E. (2017). Triangulating Methodologies from Software, Medicine and Human Factors Industries to Measure Usability and Clinical Efficacy of Medication Data Visualization in an Electronic Health Record System. Amia Jt Summits Transl Sci Proc, 2017, 473–482.Link to Item
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Wright, M. C., Dunbar, S., Macpherson, B. C., Moretti, E. W., Del Fiol, G., Bolte, J., … Segall, N. (2016). Toward Designing Information Display to Support Critical Care. A Qualitative Contextual Evaluation and Visioning Effort. Appl Clin Inform, 7(4), 912–929. https://doi.org/10.4338/ACI-2016-03-RA-0033Full Text Link to Item
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Segall, N., & Bennett-Guerrero, E. (2016). Should Checklists for Central Venous Catheter Insertion Be Used in Training, Credentialing, or Routine Clinical Care? Crit Care Med, 44(10), 1943–1944. https://doi.org/10.1097/CCM.0000000000001935Full Text Link to Item
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Segall, N., Bonifacio, A. S., Barbeito, A., Schroeder, R. A., Perfect, S. R., Wright, M. C., … Mark, J. B. (2016). Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach. Jt Comm J Qual Patient Saf, 42(9), 400–414. https://doi.org/10.1016/s1553-7250(16)42081-7Full Text Link to Item
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Barbeito, A., Bonifacio, A., Holtschneider, M., Segall, N., Schroeder, R., Mark, J., & Durham Veterans Affairs Medical Center Patient Safety Center of Inquiry, . (2015). In situ simulated cardiac arrest exercises to detect system vulnerabilities. Simulation in Healthcare : Journal of the Society for Simulation in Healthcare, 10(3), 154–162. https://doi.org/10.1097/sih.0000000000000087Full Text
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Segall, N., Hobbs, G., Granger, C. B., Anderson, A. E., Bonifacio, A. S., Taekman, J. M., & Wright, M. C. (2015). Patient load effects on response time to critical arrhythmias in cardiac telemetry: a randomized trial. Crit Care Med, 43(5), 1036–1042. https://doi.org/10.1097/CCM.0000000000000923Full Text Link to Item
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Wright, M. C., Segall, N., Hobbs, G., Phillips-Bute, B., Maynard, L., & Taekman, J. M. (2013). Standardized assessment for evaluation of team skills: validity and feasibility. Simul Healthc, 8(5), 292–303. https://doi.org/10.1097/SIH.0b013e318290a022Full Text Link to Item
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Bonifacio, A. S., Segall, N., Barbeito, A., Taekman, J., Schroeder, R., & Mark, J. B. (2013). Handovers from the OR to the ICU. Int Anesthesiol Clin, 51(1), 43–61. https://doi.org/10.1097/AIA.0b013e31826f2b0eFull Text Link to Item
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Segall, N., Kaber, D. B., Taekman, J. M., & Wright, M. C. (2013). A Cognitive Modeling Approach to Decision Support Tool Design for Anesthesia Provider Crisis Management. International Journal of Human Computer Interaction, 29(2), 55–66. https://doi.org/10.1080/10447318.2012.681220Full Text Link to Item
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Segall, N., Bonifacio, A. S., Schroeder, R. A., Barbeito, A., Rogers, D., Thornlow, D. K., … Durham VA Patient Safety Center of Inquiry, . (2012). Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg, 115(1), 102–115. https://doi.org/10.1213/ANE.0b013e318253af4bFull Text Link to Item
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Kaber, D. B., Green, R. S., Kim, S. H., & Segall, N. (2011). Assessing usability of human-machine interfaces for Life Science automation using computational cognitive models. International Journal of Human Computer Interaction, 27(6), 481–504. https://doi.org/10.1080/10447318.2011.555295Full Text
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Segall, N., Saville, J. G., L’Engle, P., Carlson, B., Wright, M. C., Schulman, K., & Tcheng, J. E. (2011). Usability evaluation of a personal health record. Amia Annu Symp Proc, 2011, 1233–1242.Link to Item
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Wright, M. C., Segall, N., Mark, J. B., & Taekman, J. M. (2009). Qualitative and task analytic methods to support comprehensible intelligent system design. Isda 2009 9th International Conference on Intelligent Systems Design and Applications, 444–449. https://doi.org/10.1109/ISDA.2009.173Full Text
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Perry, C. M., Sheik-Nainar, M. A., Segall, N., Ma, R., & Kaber, D. B. (2008). Effects of physical workload on cognitive task performance and situation awareness. Theoretical Issues in Ergonomics Science, 9(2), 95–113. https://doi.org/10.1080/14639220600959237Full Text
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Segall, N., Taekman, J. M., Mark, J. B., Hobbs, G., & Wright, M. C. (2007). Coding and visualizing eye tracking data in simulated anesthesia care. Proceedings of the Human Factors and Ergonomics Society, 2, 765–769.
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Segall, N., Wright, M. C., & Taekman, J. M. (2007). Human patient simulation as a research tool in cognitive engineering. Conference Proceedings Ieee International Conference on Systems, Man and Cybernetics, 2256–2260. https://doi.org/10.1109/ICSMC.2007.4413802Full Text
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Kaber, D. B., Perry, C. M., Segall, N., & Sheik-Nainar, M. A. (2007). Workload state classification with automation during simulated air traffic control. International Journal of Aviation Psychology, 17(4), 371–390. https://doi.org/10.1080/10508410701527860Full Text
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Kaber, D. B., Segall, N., Green, R. S., Entzian, K., & Junginger, S. (2006). Erratum: Using multiple cognitive task analysis methods for supervisory control interface design in high-throughput biological screening processes (Cognition, Technology and Work (2006): 10.1007/s10111-006-0029-9). Cognition, Technology and Work, 8(4), 253. https://doi.org/10.1007/s10111-006-0031-2Full Text
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Kaber, D. B., Perry, C. M., Segall, N., McClernon, C. K., & Prinzel, L. J. (2006). Situation awareness implications of adaptive automation for information processing in an air traffic control-related task. International Journal of Industrial Ergonomics, 36(5), 447–462. https://doi.org/10.1016/j.ergon.2006.01.008Full Text
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Kaber, D. B., Segall, N., Green, R. S., Entzian, K., & Junginger, S. (2006). Using multiple cognitive task analysis methods for supervisory control interface design in high-throughput biological screening processes. Cognition, Technology and Work, 8(4), 237–252. https://doi.org/10.1007/s10111-006-0029-9Full Text
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McClernon, C. K., Kaber, D. B., Perry, C. M., & Segall, N. (2006). Towards a sensitive measure of situation awareness in adaptively automated systems. Proceedings of the Human Factors and Ergonomics Society, 275–279. https://doi.org/10.1177/154193120605000314Full Text
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Segall, N., Green, R. S., & Kaber, D. B. (2006). User, robot and automation evaluations in high-throughput biological screening processes. Hri 2006: Proceedings of the 2006 Acm Conference on Human Robot Interaction, 2006, 274–281. https://doi.org/10.1145/1121241.1121288Full Text
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Segall, N., Doolen, T. L., & Porter, J. D. (2005). A usability comparison of PDA-based quizzes and paper-and-pencil quizzes. Computers and Education, 45(4), 417–432. https://doi.org/10.1016/j.compedu.2004.05.004Full Text
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Conference Papers
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Reese, T. J., Kawamoto, K., Fiol, G. D., Weir, C., Tonna, J., Segall, N., … Wright, M. C. (2017). Approaching the Design of an Information Display to Support Critical Care. In Proceedings 2017 Ieee International Conference on Healthcare Informatics, Ichi 2017 (pp. 439–443). https://doi.org/10.1109/ICHI.2017.64Full Text
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Segall, N., Borbolla, D., Fiol, G. D., Waller, R., Reese, T., Nesbitt, P., & Wright, M. C. (2017). Trend Displays to Support Critical Care: A Systematic Review. In Proceedings 2017 Ieee International Conference on Healthcare Informatics, Ichi 2017 (pp. 305–313). https://doi.org/10.1109/ICHI.2017.85Full Text
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Waller, R., Segall, N., Borbolla, D., Nesbitt, P., Reese, T., Del Fiol, G., & Wright, M. (2016). 1148: GRAPHICAL DISPLAY OF PATIENT INFORMATION IMPROVES OUTCOMES IN CRITICAL CARE: A SYSTEMATIC REVIEW. In Crit Care Med (Vol. 44, p. 363). United States. https://doi.org/10.1097/01.ccm.0000509823.64356.39Full Text Link to Item
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Waller, R., Segall, N., Borbolla, D., Nesbitt, P., Reese, T., Del Fiol, G., & Wright, M. (2016). GRAPHICAL DISPLAY OF PATIENT INFORMATION IMPROVES OUTCOMES IN CRITICAL CARE: A SYSTEMATIC REVIEW. In Critical Care Medicine (Vol. 44). Honolulu, HI: LIPPINCOTT WILLIAMS & WILKINS.Link to Item
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Wright, M., Waller, R., Nesbitt, P., Segall, N., Borbolla, D., Reese, T., & Del Fiol, G. (2016). 1152: DISPLAY FEATURES THAT IMPROVE INTERPRETATION OF CRITICAL CARE INFORMATION: A SYSTEMATIC REVIEW. In Crit Care Med (Vol. 44, p. 364). United States. https://doi.org/10.1097/01.ccm.0000509827.61677.0dFull Text Link to Item
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Wright, M., Waller, R., Nesbitt, P., Segall, N., Borbolla, D., Reese, T., & Del Fiol, G. (2016). DISPLAY FEATURES THAT IMPROVE INTERPRETATION OF CRITICAL CARE INFORMATION: A SYSTEMATIC REVIEW. In Critical Care Medicine (Vol. 44). Honolulu, HI: LIPPINCOTT WILLIAMS & WILKINS.Link to Item
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Segall, N., Wright, M. C., Taekman, J. M., & IEEE. (2007). Human patient simulation as a research tool in cognitive engineering. In 2007 Ieee International Conference on Systems, Man and Cybernetics, Vols 1 8 (pp. 1345–1349).Link to Item
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Segall, N., & Kaber, D. B. (2006). Design of a cognitive model-based decision support tool for anesthesiology crisis management. In Proceedings of the Human Factors and Ergonomics Society (pp. 1175–1179). https://doi.org/10.1177/154193120605001113Full Text
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