Kate Hughes

Interests

Research

Closed loop communication, CPR quality, high performance team dynamics, medical simulation

Teaching

Medical simulation, high performance team dynamics, resident education

Courses

Scholarly Contributions

Chapters

• Hughes, K. (2018). Erysipelas. In Rosen and Barkin’s 5-Minute Emergency Medicine Consult. Philadelphia, PA, USA: Wolters Kluwer.
• Hughes, K. (2018). Erythema Nodosum. In Rosen and Barkin’s 5-Minute Emergency Medicine Consult. Philadelphia, PA, USA: Wolters Kluwer.

Journals/Publications

• Greaves, S. W., Alter, S. M., Ahmed, R. A., Hughes, K. E., Doos, D., Clayton, L. M., Solano, J. J., Echeverri, S., Shih, R. D., & Hughes, P. G. (2023). A Simulation-based PPE orientation training curriculum for novice physicians. Infection prevention in practice, 5(1), 100265.
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  Personal protective equipment (PPE) is effective in preventing coronavirus disease (COVID-19) infection. Resident knowledge of proper use and effective training methods is unknown. We hypothesise that contamination decreases and knowledge increases after a formalised PPE educational session.
• Hughes, K. E., Islam, M. T., Co, B., Lopido, M., McNinch, N. L., Biffar, D., Subbian, V., Son, Y. J., & Mosier, J. M. (2023). Comparison of Force During the Endotracheal Intubation of Commercial Simulation Manikins. Cureus, 15(8), e43808.
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  Background  Medical simulation allows clinicians to safely practice the procedural skill of endotracheal intubation. Applied force to oropharyngeal structures increases the risk of patient harm, and video laryngoscopy (VL) requires less force to obtain a glottic view. It is unknown how much force is required to obtain a glottic view using commercially available simulation manikins and if variability exists. This study compares laryngoscopy force for a modified Cormack-Lehane (CL) grade I view in both normal and difficult airway scenarios between three commercially available simulation manikins. Methods Experienced clinicians (≥2 years experience) were recruited to participate from critical care, emergency medicine, and anesthesia specialties. A C-MAC size 3 VL blade was equipped with five force resistor reading (FSR) sensors (four concave surfaces, one convex), measuring resistance (Ohms) in response to applied pressure (1-100 Newtons). The study occurred in a university simulation lab. Using a randomized sequence, 49 physicians performed intubations on three manikins (Laerdal SimMan 3GPlus, Gaumard Hal S3201, CAE Apollo) in normal and difficult airway scenarios. The outcomes were sensor mean pressure, peak force, and CL grade. Summary statistics were calculated. Generalized estimating equations (GEEs) conducted for both scenarios assessed changes in pressure measured in three manikins while accounting for correlated responses of individuals assigned in random order. Paired t-test assessed for the in-manikin difference between scenarios. STATA/BE v17 (R) was used for analysis; results interpreted at type I error alpha is 0.05.  Results Participants included 49 experienced clinicians. Mean years' experience was 4(±6.6); median prior intubations were 80 (IQR 50-400). Mean individual sensor pressure varied within scenarios depending on manikin (p
• Hughes, K., Hughes, P. G., Plitt, J., Cahir, T. M., Ng, V., Bedrick, E., & Ahmed, R. A. (2018). The blindfolded simulated code training exercise (abstract). Simulation in Healthcare.
• Greaves, S., Ahmed, R., Hughes, K., Doos, D., Clayton, L., Solano, J., Alter, S., Echeverri, S., Shih, R., & Hughes, P. G. (2021). Fluorescent Tracer in Personal Protective Equipment Training in the Era of Coronavirus Disease 2019. N/A.
• Hughes, K., Cahir, T. M., Nordlund, D., Keim, S., & Hughes, P. G. (2022). Fear Not: Utilizing Simulation for Medical Malpractice Education. Journal of Medical Education and Curricular Development, 9. doi:10.1177/23821205221096269
• Rice, A., & Hughes, K. (2019). Evaluation of high performance team dynamics and CPR quality using audiovisual feedback and team-based training. N/A.
• Denq, W., Fox, J. D., Lane, A., Caballero, B., Godfrey, B., Yim, J., Hughes, K. E., Cahir, T. M., & Waterbrook, A. (2021). Impact of Sports Medicine and Orthopedic Surgery Rotations on Musculoskeletal Knowledge in Residency. Cureus, 13(3), e14211.
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  Introduction Musculoskeletal (MSK) complaints and injuries comprise 18.7% of emergency department visits. However, only 61% of emergency physicians (EP) pass a validated written Freedman and Bernstein MSK examination (FB-MSK). Educational interventions such as a primary care sports medicine (PCSM) rotation aid in MSK residency education. This study utilizes a validated MSK examination to evaluate and compare MSK knowledge acquisition following a traditional orthopedic rotation and a PCSM rotation. Methods Forty-nine interns were recruited to participate in this study over two academic years. The FB-MSK was administered to all participants at the start of residency. Participants were divided into two groups based on their residency sites; one group completed a traditional four-week orthopedic surgery rotation and the second group completed a four-week PCSM rotation. Forty-six of the forty-nine participants were administered the FB-MSK after completion of their rotations. Results Individual post-rotation scores significantly improved regardless of rotation (mean difference 2.78, 0.001; 95% CI 2.05-3.52). The orthopedic surgery group significantly improved (mean difference 2.84,
• Hansen, M., Guise, J., Harrod, T., Ogburn, T., Bahr, N., Wang, E., Schoonover, A., Tsao, S., Adams, K., Patel, S., Kornegay, J., Ahmed, R., Hughes, K., Stenson, A., Ng, V., Pare, E., Plitt, J., Mayersak, R., Cooper, D., , Lo, J., et al. (2022). The Effects of Leadership Curricula With and Without Implicit Bias Training on Graduate Medical Education: A Multicenter Randomized Trial. Academic Medicine, 97(5), 696-703. doi:10.1097/ACM.0000000000004573
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  Approximately 8.5 hours spent on project for 2015Approximately 69.25 hours spent on project for 2016Approximately 15.5 hours spent on project for 2017Approximately 5 hours spent on project for 2017Approximately 3.75 hours spent on project for 2020, manuscript reviewApproximately 2.25 hours spent on project for 2021, manuscript reviewSupported by AHRQ R18 Grant 1 R18 HS023457 01
• Shaw, M. R., & Hughes, K. E. (2020). High Risk, Low Volume: Evaluation of a Reusable Cricothyrotomy Model in a Paramedic Difficult Airway Training Course. Air medical journal, 39(5), 380-382.
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  Cricothyrotomy is rarely performed by prehospital providers. Developing this low-frequency, high-acuity skill and maintaining competence is difficult; thus, using a realistic training model is paramount to successful training. The aim of this study was to evaluate a 3-dimensional-printed bleeding cricothyrotomy trainer in increasing paramedic comfort level and procedural competence as defined by completing the procedure unassisted without error.
• Wang, E., Tsao, S., Stenson, A., Scott, N., Schoonover, A., Salva, C., Plitt, J., Patel, S., Pare, E., Ogburn, T., Ng, V., Mayersak, R., Lo, J., Kornegay, J., Jorda, K., Jones, D., Johnson, J., Huynh, T., Hughes, K., , Harrod, T., et al. (2021). The Effects of Leadership Curricula With and Without Implicit Bias Training on Graduate Medical Education: A Multicenter Randomized Trial.. Academic medicine : journal of the Association of American Medical Colleges, Publish Ahead of Print. doi:10.1097/acm.0000000000004573
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  To determine whether a brief leadership curriculum including high-fidelity simulation can improve leadership skills among resident physicians..This was a double-blind randomized controlled trial among obstetrics and gynecology (OB/GYN) and emergency medicine (EM) residents across 5 academic medical centers from different geographic areas of the United States, 2015-2017. Participants were assigned to 1 of 3 study arms: the LEADS (Leadership Education Advanced During Simulation) curriculum, a shortened TeamSTEPPS (Team Strategies and Tools to Enhance Performance and Patient Safety) curriculum, or as active controls (no leadership curriculum). Active controls were recruited from a separate site and not randomized in order to limit any unintentional introduction of materials from the leadership curricula. The LEADS curriculum was developed in partnership with the Council on Resident Education in Obstetrics and Gynecology and Council of Residency Directors in Emergency Medicine as a novel way to provide a leadership toolkit. Both LEADS and the abbreviated TeamSTEPPS were designed as six 10-minute interactive web-based modules.The primary outcome of interest was the leadership performance score from the validated Clinical Teamwork Scale instrument measured during standardized high-fidelity simulation scenarios. Secondary outcomes were 9 key components of leadership from the detailed leadership evaluation measured on 5-point Likert scales. Both outcomes were rated by a blinded clinical video reviewer..One hundred and ten OB/GYN and EM residents participated in this 2-year trial. Participants in both LEADS and TeamSTEPPS had statistically significant improvement in leadership scores from "average" to "good" ranges both immediately and at the 6-month follow-up, while controls remained unchanged in the "average" category throughout the study. There were no differences between the LEADS and TeamSTEPPS curricula with respect to the primary outcome..Residents who participated in a brief structured leadership training intervention had improved leadership skills that were maintained at 6-month follow-up.
• Hughes, K., & Hughes, P. G. (2020). Medical Simulation Fellowships. StatPearls.
• Hughes, P. G., & Hughes, K. (2020). Briefing prior to simulation activity. StatPearls.
• Hughes, P. G., Hughes, K. E., & Ahmed, R. A. (2020). Does my personal protective equipment really work? A simulation-based approach. Medical education, 54(8), 759-760.
• Hughes, P. G., Hughes, K. E., Hughes, M. J., Weaver, L., Falvo, L. E., Bona, A. M., Cooper, D., Hobgood, C., & Ahmed, R. A. (2020). Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum. Journal of visualized experiments : JoVE. doi:10.3791/61646
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  Death notification is an important and challenging aspect of Emergency Medicine. An Emergency Medicine physician must deliver bad news, often sudden and unexpected, to patients and family members without any previous relationship. Unskilled death notification after unexpected events can lead to the development of pathologic grief and posttraumatic stress disorder. It is paramount for Emergency Medicine physicians to be trained in and practice death notification techniques. The GRIEV_ING curriculum provides a conceptual framework for death notification. The curriculum has demonstrated improvement in learners' confidence and competence when delivering bad news. Rapid Cycle Deliberate Practice is a simulation-based medical education technique that uses within the scenario debriefing. This technique uses the concepts of mastery learning and deliberate practice. It allows educators to pause a scenario, provide directed feedback, and then let learners continue the simulation scenario the "right way." The purpose of this scholarly work is to describe how to apply the Rapid Cycle Deliberate Practice debriefing technique to the GRIEV_ING death notification curriculum to more effectively train learners in the delivery of bad news.
• Shaw, M., & Hughes, K. (2020). High-Risk, Low-Volume: Evaluation of a reusable cricothyrotomy model in paramedic difficult airway training course. Air Medical Journal.
• Ahmed, R. A., Hughes, K., Hughes, P. G., Bedrick, E. J., Cahir, T., Ng, V., Plitt, J., Plitt, J., Cahir, T., Ng, V., Hughes, P. G., Bedrick, E. J., Ahmed, R. A., & Hughes, K. (2019). Advanced closed-loop communication training: the blindfolded resuscitation. BMJ Simulation and Technology Enhanced Learning, 6(4), 235-238. doi:10.1136/bmjstel-2019-000498
• Hughes, P. G., Hughes, K. E., & Ahmed, R. A. (2019). Setup and Execution Of the Blindfolded Code Training Exercise. Journal of visualized experiments : JoVE.
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  Miscommunication is the most common cause of preventable patient harm in medicine. Currently, there is limited knowledge of innovative techniques to improve resident physician communication and leadership strategies in high-acuity situations. The blindfolded code training exercise removes visual stimuli from the team leader, forcing the team leader to effectively utilize closed-loop communication. The simple act of blindfolding the team leader creates a learning environment where the leader must utilize a conceptual framework and critical thinking strategies to organize the team and manage the resuscitation. An advantage to this teaching technique is that it does not require any special simulation equipment, making it a low-cost approach. The blindfolded code training exercise can be applied to the management of any critically ill patient where the primary objective is to focus on developing communication skills in acute resuscitations. The purpose of the description of the blindfolded code training exercise is to provide guidance on how to perform this innovative teaching technique to force effective closed-loop communication.
• Hughes, P. G., Hughes, P. G., Hughes, K. E., & Hughes, K. E. (2019). Briefing Prior to Simulation Activity. StatPearls.
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  Medical simulation is an effective strategy for teaching high risk, low-frequency procedural skills, developing teamwork, refining communication skills, improving crisis resource management strategies, and exposing latent patient safety threats.[1][2][3][4] As simulation training continues to expand and become increasingly common throughout healthcare education, educators have established best practices.[5] This approach ensures the simulation experience is consistent and provides the most benefit to the learners. One such guideline published by the International Association for Clinical Simulation and Learning (INACSL) states simulation best practice includes having defined goals and objectives, a sufficient pre-brief, an established case scenario, and adequate debriefing.[6] Conducting a briefing before the simulation training has become a foundational part of the simulation experience. Prior to use in simulation, the importance of pre-briefings has been demonstrated in aviation, aerospace, and surgery.[7][8][9] Scholars found briefing before cardiac surgery decreases disruptions and improves team communication.[8][9][10] In the simulation, the pre-briefing serves to set the tone for the upcoming learning experience. The briefing in advance of the simulation activity consists of several key components. These include reviewing the session's goals and objectives, establishing a fiction contract with learners, providing logistic details about the session and pledging to respect the learners.[6][11] These components attempt to create a psychologically safe environment for the learners to feel comfortable, both making and learning from mistakes. If there is no establishment of psychological safety, learners will not be able to optimize their experience in the simulation lab.[11][12][13]
• Panchal, A., Keim, S., Ewy, G., Kern, K., Hughes, K. E., & Beskind, D. (2019). Development of a Medical Student Cardiopulmonary Resuscitation Elective to Promote Education and Community Outreach. Cureus, 11(4), e4507.
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   One of the barriers to improving cardiac arrest survival is the low rate of cardiopulmonary resuscitation (CPR) provision. Identifying this as a public health issue, many medical students often assist in training the community in CPR. However, these experiences are often short and are not associated with structured resuscitation education, limiting the student's and the community's learning. In this assessment, we identified a need and developed a curriculum, including defined goals and objectives, for an undergraduate medical education (UME) elective in CPR.
• Ahmed, R., Hughes, K., & Hughes, P. (2018). The blindfolded code training exercise. The clinical teacher, 15(2), 120-125. doi:10.1111/tct.12639
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  Communication errors are the leading cause of preventable patient harm in medicine. There is little description in the literature of advanced techniques to teach crisis resource management (CRM) communication strategies, or how to improve real-time ineffective behaviour or habits that may persist despite appropriate behaviour and leadership witnessed in the simulation lab.
• Hughes, K. E., Biffar, D., Ahanonu, E. O., Cahir, T. M., Hamilton, A., & Sakles, J. C. (2018). Evaluation of an Innovative Bleeding Cricothyrotomy Model. Cureus, 10(9), e3327. doi:10.7759/cureus.3327
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  Objectives Emergency medicine (EM) residents are required to perform a cricothyrotomy during training as per the Accreditation Council for Graduate Medical Education (ACGME) guidelines. Cricothyrotomy is a rare procedure, comprising 0.45% of emergency department airway management procedures. Procedural competence in utilizing a realistic trainer is of utmost importance. We have developed a cricothyrotomy trainer using a fused deposition modeling (FDM) three-dimensional (3D) printer and innovative bleeding tissue to enhance fidelity. We aim to evaluate the trainer's realism. Methods Implementation occurred during a difficult airway educational lab for EM residents in April 2018. Participants completed anonymous written surveys after performing a cricothyrotomy on the trainer. The survey evaluated the realism of the trainer and compared it to other available models by utilizing five-point visual analog scales (VAS). The participants rated their comfort level in performing the procedure pre- and post-educational lab on a five-point VAS. Demographic data included postgraduate year, prior clinical cricothyrotomy experience as a primary operator versus as an assistant, and previous trainer experience. The survey included open-response suggestions for trainer improvement.  Results Forty-three EM residents completed the survey (82.7%, 43/52). The mean realism rating of the trainer was 3.81 (95% CI = 3.54-4.1). The participants reported previous training on cadaver (62.8%, 27/43), porcine (46.5%, 20/43), and manikin (67.4%, 29/43) models prior to using this trainer. The bleeding cricothyrotomy trainer was rated higher than other models (4.45, 95% CI = 4.28-4.63). Participants noted improved comfort with performing the cricothyrotomy after the educational lab (average improvement of 1.23±0.75). Participants specifically commented on the realism of the bleeding and skin texture; however, they also recommended a reduction in the size of the cricothyroid membrane space.  Conclusion The innovative bleeding cricothyrotomy trainer has greater fidelity and reported superiority when compared to other commonly used nonbleeding models. This trainer provides a more advanced platform to teach an infrequent yet critical procedural skill to emergency medicine residents.
• Hughes, K. E., Hughes, P. G., & Hughes, M. J. (2018). Sleep and Lifestyle Habits of Osteopathic Emergency Medicine Residents During Training. The Journal of the American Osteopathic Association, 118(8), e45-e50.
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  Duty hours were enacted in 2003 with the intent to improve patient safety and resident well-being. However, limited data exist regarding improvements in residents' well-being since the implementation of these restrictions.
• Stein, P. D., Matta, F., Hughes, K. E., & Hughes, M. J. (2018). CT Pulmonary Angiography in Young Women. Clinical and applied thrombosis/hemostasis, 24(3), 423-428. doi:10.1177/1076029617707038
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  The purpose was to determine whether young women in the emergency department who received computed tomographic (CT) pulmonary angiograms were evaluated to receive lower dose imaging or no imaging, recognizing that the risks of radiation are particularly high in young women. This was a retrospective cohort investigation of women aged 18 to 29 years seen for suspected acute pulmonary embolism in emergency departments of 5 regional hospitals from May 1, 2015 to April 30, 2016. Computed tomographic (CT) pulmonary angiograms were obtained in 379 young women. Pulmonary embolism was diagnosed by CT angiography in 2.1%. A Wells probability score could be calculated in 11.9%. D-dimer was obtained in 46.2% and a chest radiograph was obtained in 41.7%. Among patients with a normal chest radiograph, 3.9% had a lung scan. Venous ultrasound of the lower extremities was obtained in 1.8%. Each had an elevated D-dimer. Among the young women who received CT angiograms, 53 were pregnant. In 17.0% of pregnant women, a Wells clinical probability score could be calculated from the medical record. D-dimer in pregnant women was obtained in 30.2%, chest radiograph in 22.6%, lung scan in 11.3%, and venous ultrasound of the lower extremities in none. In conclusion, young women and pregnant women often received CT pulmonary angiograms for suspected acute pulmonary embolism without an objective clinical assessment, measurement of D-dimer, lung scintiscan, or venous ultrasound, which may have eliminated the need for CT pulmonary angiography in many instances.
• Derani, T., Sachdeva, G., Long, D., Hughes, K. E., Kumar, S., Chang, H. T., Razak, A., & Chaudhry, S. A. (2016). Septic Thromboembolic Stroke via Atrial-Esophageal Fistula as a Delayed Complication of Cardiac Ablation. Neurology, 86.
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  Objective: To report a rare presentation of septic thromboembolic stroke as a delayed complication of cardiac ablation. Background: Cardiac ablation (CA) for atrial fibrillation (AF) is indicated when medical management fails. Atrial esophageal (A-E) fistula is a rare but potentially fatal complication of the procedure. While known to cause pneumomediastinitis, GI bleed or cerebral air embolism, rarely a delayed septic thromboembolic stroke may be the initial presentation. Case Report: A 75-year-old male was admitted following acute onset of left-sided deficits. Neurologic assessment confirmed severe hemiparesis, hemiparesthesias, and hemianopia. A STAT computed tomography (CT) brain scan showed a right occipitoparietal watershed infarct (FIGURE 1). Relevant history included a CA procedure 41 days prior to presentation. In the post-operative period, CT chest with contrast was ordered due to complaint of dysphagia, which was negative for pneumomediastinum or intra-atrial air. Shortly after admission the patient became febrile and stuporous requiring intubation and broad-spectrum antibiotics. Blood cultures revealed gram-positive cocci in chains. Brain MRI showed bihemispheric non-hemorrhagic infarcts with associated gyral enhancement on post-contrast images (FIGURE 2). Transthoracic echocardiogram was negative for vegetations or intra-atrial shunt but transesophageal echocardiogram was suggestive of thrombus. Repeat brain MRI showed new bilateral extensive strokes (FIGURE 3) and decision by family was to withdraw care. Autopsy revealed a left atrio-esophageal fistula with associated intra-atrial fibrinopurulent necrosis of atrial myocardial fibers associated with suppurative inflammation, and subacute inflammation within the intervening periesophageal adventitium, with bacteria and fungal hyphae, along with features consistent with cerebral thromboembolic infarcts. (FIGURES 4, 5). Conclusions: In the perioperative period following CA, diagnostic testing to rule out the often fatal complication of an A-E fistula may be non-revealing. A high index of suspicion should nonetheless be maintained that an occult A-E fistula is a cause of delayed presentation of septic cerebral thromboembolism. 
• Hughes, K. E., Seguin, C., Felton, B., Hughes, M. J., & Castle, D. (2016). Acute Aortic Dissection Presenting as Bilateral Lower Extremity Paralysis: A Case Report. The Journal of emergency medicine, 51(4), 450-453.
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  First described by Morgagni in 1761, aortic dissection (AD) is an acute life-threatening and time-sensitive disease process with an increasing mortality approaching 1% for every 1-hour delay in diagnosis within the first 48 hours. Despite continued surgical advancement, overall in-hospital mortality remains significant (27.4%).

Presentations

• Beskind, D. L., Hughes, K., Stilson, B., Cagno, C. K., & Wilson, E. (2024). Learning Outcomes of Simulation-Based Education in Preclinical Curriculum: A Pilot Study. International Meeting on Simulation in Healthcare. San Diego, CA: Society of Simulation in Healthcare.
• Denq, W., Knapp, J., & Hughes, K. (2023). Annual Sim Olympics. American Medical Society for Sports Medicine Annual Meeting. Phoenix, AZ, USA: American Medical Society for Sports Medicine.
• Hughes, K. (2023). Research in Emergency Medicine: Academic Careers. American College of Osteopathic Emergency Physicians Spring Seminar. Phoenix, AZ, USA: American College of Osteopathic Emergency Physicians.
• Hughes, K., Co, B., Mosier, J., Son, Y., Subbian, V., & Islam, M. T. (2023). Comparison of Force Used During Endotracheal Intubation of Simulation Manikins. Society for Academic Emergency Medicine Annual Meeting. Austin, TX, USA: Society for Academic Emergency Medicine.
• Hughes, P. G., Hughes, K. E., Hughes, M. J., Falvo, L., Bona, A., Doos, D., Moore, M., Cooper, D., & Ahmed, R. A. (2022, January). Does my personal protective equipment really work? A simulation-based approach. International Meeting on Simulation in Healthcare. Los Angeles, CA: Society for Simulation in Healthcare.
• Greaves, S., Ahmed, R., Hughes, K., Doos, D., Clayton, L., Solano, J., Alter, S., Echeverri, S., Shih, R., & Hughes, P. G. (2021, August). Utilization of Fluorescent Tracer in Personal Protective Equipment Training in the Era of Coronavirus Disease 2019. The Gathering of Healthcare Simulation Technology Specialists (SimGHOSTS). Fort Wayne, IN.
• Greaves, S., Ahmed, R., Hughes, K., Doos, D., Clayton, L., Solano, J., Alter, S., Echeverri, S., Shih, R., & Hughes, P. G. (2021, May). Fluorescent Tracer in Personal Protective Equipment Training in the Era of Coronavirus Disease 2019. Society for Academic Emergency Medicine. Virtual Meeting: SAEM.
• Hughes, K., Hughes, P. G., Cahir, T., & Nordlund, D. (2021, May). Fear Not: Utilizing Simulation for Medical Malpractice Education. Society for Academic Emergency Medicine. Virtual.
• Hughes, K., Nordlund, D., Plitt, J., Hughes, M., & Hughes, P. (2021, January). Medical Malpractice Education: Creating a Successful Interprofessional Legal Simulation. International Meeting on Simulation in Healthcare. Virtual Meeting: Society for Simulation in Healthcare.
• Jain, S., Mosier, J., Hughes, K., Subbian, V., & Son, Y. (2021, May). Integrated Performance Modeling of Airway Management Procedure using Mixed Reality Simulation. The Institute of Industrial and Systems Engineers (IISE) Annual Conference & Expo. Virtual.
• Ahmed, R., Bedrick, E., Ng, V., Plitt, J., Cahir, T., Hughes, P., & Hughes, K. (2019, January). The Blindfolded Simulated Code Exercise. International Meeting for Simulation in Healthcare. San Antonio, TX: Society for Simulation in Healthcare.
• Hughes, K., Hughes, P. G., & Ahmed, R. A. (2019, January). The blindfolded simulated code training exercise: work-in-progress. International Meeting on Simulation in Healthcare. San Antonio, TX.
• Hughes, K., Hughes, P. G., & Ahmed, R. A. (2019, October). Crisis resource management training: the blindfold code exercise. American College of Emergency Physicians Scientific Assembly. Denver, CO.
• Cahir, T., Ahanonu, E., Biffar, D., Hamilton, A. J., Hughes, K., & Sakles, J. C. (2018, May). Evaluation of an Innovative Bleeding Cricothyrotomy Model. American College of Emergency Medicine Research Forum. San Diego, CA: American College of Emergency Medicine.
• Hughes, K., Biffar, D., Ahanonu, E., Cahir, T., Hamilton, A., & Sakles, J. (2018, October 2018). Evaluation of an Innovative Bleeding Cricothyrotomy Model. American College of Emergency Physicians Scientific Assembly. San Diego, CA.
• Hughes, K., Biffar, D., Ahanonu, E., Cahir, T., Hamilton, A., & Sakles, J. (2018, October 2018). Evaluation of an Innovative Bleeding Cricothyrotomy Model. American College of Osteopathic Emergency Physicians Scientific Assembly. Chicago, IL: West JEM.
• Hughes, P., Hughes, K., & Ahmed, R. (2018, February 2018). I can literally do this blindfolded: The blindfolded code training simulation exercise. Western Regional Society of Academic Emergency Medicine conference. Albuquerque, NM.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2018, February 2018). CT Pulmonary Angiography in Young Women. Western Regional Society of Academic Emergency Medicine annual meeting. Albuquerque, NM.
• Ahmed, R., Hughes, K., & Hughes, P. (2017, July 2017). I can literally do this blindfolded: The blindfolded code training simulation exercise. Neurologic Disorders Conference. San Francisco, CA.
• Ahmed, R., Hughes, K., & Hughes, P. (2017, May 2017). I can literally do this blindfolded: The blindfolded code training simulation exercise. Society of Academic Emergency Medicine Education Summit. Orlando, FL.
• Hughes, P., Hughes, K., & Ahmed, R. (2017, November 2017). I can literally do this blindfolded: The blindfolded code training simulation exercise. American College of Osteopathic Emergency Physicians Scientific Assembly. Denver, CO.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2017, April 2017). CT Pulmonary Angiography in Young Women. EMRAM Research Forum. East Lansing, MI.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2017, April 2017). CT Pulmonary Angiography in Young Women. Mid-Michigan Regional Research Day. East Lansing, MI.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2017, May 2017). CT Pulmonary Angiography in Young Women. Society of Academic Emergency Medicine. Orlando, FL.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2017, November 2017). CT Pulmonary Angiography in Young Women. American College of Osteopathic Emergency Physicians Scientific Assembly. Denver, CO.
• Hughes, K. (2016, November 2016). The Case of the Woman who fell on ice and had hip pain: Clinical Pathological Case Competition. American College of Osteopathic Emergency Physicians Scientific Assembly. San Francisco, CA.
• Hughes, K., Hughes, P. G., & Hughes, M. J. (2015, April 2015). Emergency Medicine residents and their unhealthy sleep and lifestyle habits. EMRAM Research Forum. East Lansing, MI.
• Hughes, K., Hughes, P. G., & Hughes, M. J. (2015, October 2015). Emergency Medicine residents and their unhealthy sleep and lifestyle habits. American College of Osteopathic Emergency Physicians Scientific Assembly. Orlando, FL.
• Imberg, K., Hughes, K., & Hughes, M. J. (2015, October 2015). End of Life: Knowledge of end of life issues, and wishes of the young old and the very old regarding their death. American College of Osteopathic Emergency Physicians Scientific Assembly. Orlando, FL.
• Hughes, M. J., Tanner, P., Wright, R., Hughes, K., Gasworth, L., Peklo, D., & Gill, J. (2009, May 2009). Charges and Radiation Exposure Associated With Whole Body (PAN) Computed Tomography (CT) Imaging in Low Risk Blunt Trauma Patients. SAEM. New Orleans, LA.
• Hughes, M. J., Tanner, P., Wright, R., Hughes, K., Gasworth, L., Peklo, A., & Gill, J. (2008, April 2008). Is Whole Body Computed Tomography (CT) Imaging ‘Cost Effective’ in Terms of Dollars and Radiation Exposure in Evaluating Low Risk Blunt Trauma Patients?. Michigan College of Emergency Physicians EMRA-M Research Forum. East Lansing, MI.

Poster Presentations

• Ahmed, R. A., Hughes, K., Hughes, P. G., Bedrick, E. J., Cahir, T., Ng, V., Plitt, J., Plitt, J., Cahir, T., Ng, V., Hughes, P. G., Bedrick, E. J., Ahmed, R. A., & Hughes, K. (2020, January). Crisis resource management training: the blindfold code exercise. International Meeting on Simulation in Healthcare. San Diego, CA.
• Hughes, K., & Sakles, J. C. (2019, January). Evaluation of a Bleeding Cricothyrotomy Trainer. International Meeting for Simulation in Healthcare. San Antonio, TX.
• Stein, P. D., Matta, F., Hughes, K., & Hughes, M. J. (2019, April). CT Pulmonary Angiography in Young Women. University of Arizona Medical Education Research Day. Tucson, AZ.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2017, May 2017). CT Pulmonary Angiography in Young Women. MSUCOM Statewide Campus System Scholarly Activity Competition. East Lansing, MI.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2017, November 2017). CT Pulmonary Angiography in Young Women. American College of Osteopathic Emergency Physicians Scientific Assembly. Denver, CO.
• Stein, P., Matta, F., Hughes, K., & Hughes, M. J. (2017, September 2017). CT Pulmonary Angiography in Young Women. Midwest SAEM. Grand Rapids, MI.
• Derani, T., Chaudhry, S., Sachdeva, G., Long, D., Hughes, K., Kumar, S., Chang, H., & Razak, A. (2016, February 2016). Septic Thromboembolic Stroke via Atrial-Esophageal Fistula as a Delayed Complication of Cardiac Ablation. American Academy of Neurology annual meeting. Vancouver, BC, Canada.
• Hughes, K., Hughes, P. G., & Hughes, M. J. (2015, April 2015). Emergency Medicine residents and their unhealthy sleep and lifestyle habits. Mid-Michigan Research Day. East Lansing, MI.
• Hughes, K., Hughes, P. G., & Hughes, M. J. (2015, May 2015). Emergency Medicine residents and their unhealthy sleep and lifestyle habits. Society of Academic Emergency Medicine. San Diego, CA.
• Hughes, K., Seguin, C., Felton, B., Castle, D., & Hughes, M. J. (2014, March 2014). Aortic dissection presenting as bilateral lower extremity paralysis. Mid-Michigan Regional Research Day. East Lansing, MI.
• Hughes, K., Schussler, S., Dado, D., Rodriguez, K., Arnold, R., Zickmund, S., Kraemer, K., Rubio, D., & Chang, J. (2009, November 2009). Screening for past alcohol drinking behavior among pregnant women. American Public Health Association Annual Meeting. Philadelphia, PA.
• Hughes, M. J., Hughes, M. J., Wright, R., Wright, R., Tanner, P., Tanner, P., Hughes, K., Hughes, K., Gasworth, L., Gasworth, L., Peklo, A., Peklo, A., Gill, J., & Gill, J. (2008, April 2008). Is Whole Body Computed Tomography (CT) Imaging Necessary to Identify ‘Clinically Significant’ Injuries in Low Risk Blunt Trauma Patients?. Lansing GMEI Citywide Research Day. East Lansing, MI.
• Hughes, M. J., Wright, R., Tanner, P., Hughes, K., Gasworth, L., Peklo, A., & Gill, J. (2008, April 2008). Is Whole Body Computed Tomography (CT) Imaging Necessary to Identify ‘Clinically Significant’ Injuries in Low Risk Blunt Trauma Patients?. Michigan College of Emergency Physicians EMRA-M Research Forum. East Lansing, MI.
• Hughes, M. J., Wright, R., Tanner, P., Hughes, K., Gasworth, L., Peklo, A., & Gill, J. (2008, October 2008). Is Whole Body Computed Tomography (CT) Imaging Necessary to Identify ‘Clinically Significant’ Injuries in Low Risk Blunt Trauma Patients?. American College of Emergency Physicians Scientific Assembly. Chicago, IL.

Creative Productions

• Hughes, P., Hughes, K., & Ahmed, R. (2020. COVID Restaurant Simulation: This is how sharing dinner table items can make you sick. CNNCNN.
  More info

  5/19/20: Anderson Cooper 360 (8pm show)5/19/20: Don Lemon (10 pm show)5/20/20: Anderson Cooper 360 (12 am show, re-air of 8pm show)5/20/20: CNN Newsroom with Poppy Harlow (9am hour)5/20/20: CNN Newsroom (2pm hour)NBC WPTV West Palm Beach: https://www.wptv.com/news/region-s-palm-beach-county/boca-raton/fau-study-finds-improper-use-of-ppe-can-spread-coronavirusABC WFTS Tampa Bay: https://www.abcactionnews.com/news/coronavirus/fau-study-finds-improper-use-of-ppe-can-spread-coronavirusFox WFLX: https://www.wflx.com/2020/05/12/fau-study-finds-improper-use-ppe-can-spread-coronavirus/Optics.org: https://optics.org/news/11/5/14MSN: https://www.msn.com/en-ph/health/medical/handling-ppe-the-wrong-way-could-harm-hospital-staff/ar-BB142rll?srcref=rssMedical Daily: https://www.medicaldaily.com/handling-ppe-wrong-way-could-spread-virus-health-care-workers-452909?utm_source=Public&utm_medium=Feed&utm_campaign=DistributionPhotonics Media:https://www.photonics.com/Articles/Technique_Reveals_Contagion_Spread_from_Improper/a65770Infosurhoy: https://infosurhoy.com/health/uv-light-exposes-contagion-spread-from-improper-personal-protective-equipment-use/7th space Family Portal:http://7thspace.com/headlines/1183120/ultraviolet_light_exposes_contagion_spread_from_improper_ppe_use.htmlDentistry Today: https://www.dentistrytoday.com/news/industrynews/item/6400-training-demonstrates-how-improper-ppe-use-leads-to-covid-19-exposureFutura Sciences: https://www.futura-sciences.com/sante/actualites/coronavirus-contamination-cette-experience-montre-il-important-bien-utiliser-masques-gants-visieres-80932/#xtor%3DRSS-8Tech Pale: https://techpale.com/uv-light-exposes-contagion-spread-from-improper-personal-protective-equipment-use/AZo Optics: https://www.azooptics.com/News.aspx?newsID=24949SciTech Daily: https://scitechdaily.com/uv-light-exposes-contagion-spread-from-improper-personal-protective-equipment-use/Healthcare Finance: https://www.healthcarefinancenews.com/news/ultraviolet-light-exposes-contagion-spread-improper-ppe-use-treating-covid-19-patientsThe Medical News: https://www.news-medical.net/news/20200506/Study-proposes-novel-training-technique-to-reinforce-significance-of-proper-PPE-use.aspxSpektrum.de: https://www.spektrum.de/alias/bilder-der-woche/wie-gut-schutzkleidung-wirklich-schuetzt/1732646Medical Xpress: https://medicalxpress.com/news/2020-05-ultraviolet-exposes-contagion-improper-ppe.htmlScience Daily: https://www.sciencedaily.com/releases/2020/05/200506091547.htmNews Wise: https://www.newswise.com/coronavirus/ultraviolet-light-exposes-contagion-spread-from-improper-ppe-use/?article_id=731113Sciencenewsnet.in: https://sciencenewsnet.in/ultraviolet-light-exposes-contagion-spread-from-improper-ppe-use/EurekAlert!: https://www.eurekalert.org/pub_releases/2020-05/fau-ule050520.phpBioengineer.org: https://bioengineer.org/ultraviolet-light-exposes-contagion-spread-from-improper-ppe-use/

Others

• Ahmed, R., Hughes, K., & Hughes, P. (2017, May). The blindfolded code training exercise. Academic Emergency Medicine.
• Hughes, K., Hughes, P. G., & Hughes, M. J. (2015, May). Emergency Medicine Residents and their Unhealthy Sleep and Lifestyle Habits. Academic Emergency Medicine.
• Hughes, M. J., Tanner, P., Wright, R., Hughes, K., Gasworth, L., Peklo, D., & Gill, J. (2009, April). Charges and Radiation Exposure Associated With Whole Body (PAN) Computed Tomography (CT) Imaging in Low Risk Blunt Trauma Patients. Academic Emergency Medicine.
• Hughes, M. J., Wright, R., Tanner, P., Hughes, K., Gasworth, L., Peklo, A., & Gill, J. (2008, October). Is Whole Body Computed Tomography (CT) Imaging Necessary to Identify ‘Clinically Significant’ Injuries in Low Risk Blunt Trauma Patients?. Annals of Emergency Medicine.