Dr. P. Daniel Patterson is a nationally registered paramedic and Fellow of the Academy of EMS (FAEMS). He studies safety in emergency care settings with special emphasis on safety culture, fatigue, shift work, sleep health, teamwork, medical errors and adverse events, and clinician injury in the prehospital EMS setting. Collaborations have led to creation of reliable and valid safety measurement tools and establishing base rate data for key indicators of EMS safety. He has led multi-disciplinary teams in evidence reviews and experimental studies testing novel interventions to improve safety. His research is informed by immersion in the EMS setting as a paramedic clinician.
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Education & Training
- MS, Epidemiology, University of Pittsburgh, 2012
- Multi-disciplinary Clinical Research Scholars Program (CRSP-K12 NIH training program: Grant# 05 KL2 RR024154-04), 2009-2014
- Fellowship, Patient Safety Leadership by AHA & SAEM, 2008
- Post-Doc, AHRQ-T-32 Health Services Research Training Program, University of North Carolina at Chapel Hill, Cecil G. Sheps Center, 2004-2006
- PhD, Health Services Policy and Management, University of South Carolina, 2004
- MPH, Health Administration, University of South Carolina, 2001
- BS, Health Promotions, Appalachian State University, 2000
Representative Publications
- Patterson PD, Martin SE, Brassil BN, Hsiao WH, Weaver MD, Okerman TS, Seitz SN, Patterson CG, Robinson K. The emergency medical services sleep health study: A cluster-randomized trial. Sleep Health. 2022 Nov 10;S2352-7218(22)00181-4. doi: 10.1016/j.sleh.2022.09.013. PMID-36372657.
- Patterson PD, Liszka MK, Mcilvaine QS, Nong L, Weaver MD, Turner RL, Platt TE, Opitz SE, Guyette FX, Martin-Gill C, Weiss LS, Buysse DJ, Callaway CW. Does the evidence support brief (≤30-mins), moderate (31-60-mins), or long duration naps (61+ mins) on the night shift? A systematic review. Sleep Med Rev. 2021 May 19;59:101509. doi: 10.1016/j.smrv.2021.101509. Epub ahead of print. PMID: 34116386.
- Patterson PD, Mountz KA, Agostinelli MG, Weaver MD, Yu YC, Herbert BM, Markosyan MA, Hopkins DR, Alameida AC, Maloney Iii JA, Martin SE, Brassil BN, Martin-Gill C, Guyette FX, Callaway CW, Buysse DJ. Ambulatory blood pressure monitoring among emergency medical services night shift workers. Occup Environ Med. 2020 Aug 26:oemed-2020-106459. doi: 10.1136/oemed-2020-106459. Epub ahead of print. PMID: 32847989.
- Patterson PD, Weaver MD, Guyette FX, Martin-Gill C. Should public safety shift workers be allowed to nap while on duty? [published online ahead of print, 2020 Aug 6]. Am J Ind Med. 2020. PMID-32761915
- Patterson PD, Mountz KA, Budd CT, et al. Impact of shift work on blood pressure among emergency medical services clinicians and related shift workers: A systematic review and meta-analysis. Sleep Health. 2020;6(3):387-398. PMID-32354630.
- Patterson PD, Ghen JD, Antoon SF, Martin-Gill C, Guyette FX, Weiss PM, Turner RL, Buysse DJ. Does evidence support "banking/extending sleep" by shift workers to mitigate fatigue, and/or to improve health, safety, or performance? A systematic review. Sleep Health. 2019 Apr 25. pii: S2352-7218(19)30059-2. doi: 10.1016/j.sleh.2019.03.001. [Epub ahead of print] PubMed PMID: 31031179.
- Patterson PD, Higgins JS, Van Dongen HPA, Buysse DJ, Thackery RW, Kupas DF, Becker DS, Dean BE, Lindbeck GH, Guyette FX, Penner JH, Violanti JM, Lang ES, Martin-Gill C. Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehosp Emerg Care. 2018 Feb 15;22(sup1):89-101 PMID: 29324069.
- Martin-Gill C, Higgins JS, Van Dongen HPA, Buysse DJ, Thackery RW, Kupas DF, Becker DS, Dean BE, Lindbeck GH, Guyette FX, Penner JH, Violanti JM, Lang ES, Patterson PD. Proposed Performance Measures and Strategies for Implementation of the Fatigue Risk Managment Guidelines for Emergency Medical Services. Prehosp Emerg Care. 2018 Feb 15;22(sup1):102-109. PMID: 29324060.
- Patterson PD, Higgins JS, Weiss PM, Lang E, Martin-Gill C. Systematic Review Methodology for the Fatigue in Emergency Medical Services Project. Prehosp Emerg Care. 2018 Feb 15;22(sup1):9-16. PMID: 29324053.
- Patterson PD, Higgins JS, Lang ES, Runyon MS, Barger LK, Studnek JR, Moore CG, Robinson K, Gainor D, Infinger A, Weiss PM, Sequeira DJ, Martin-Gill C. Evidency-Based Guidelines for Fatigue Risk Management in EMS: Formulating Research Questions and Selecting Outcomes. Prehosp Emerg Care. 2017 Mar-Apr;21(2):149-156. PMID: 27858581.
- Patterson PD, Weaver MD, Hostler D, Guyette FX, Callaway CW, Yealy DM. The shift length, fatigue, and safety conundrum in EMS. Prehospital Emergency Care. 2012 Oct-Dec;16(4):572-6. PMID: 22823487.
- Machi MS, Staum M, Callaway CW, Moore C, Jeong K, Suyama J, Patterson PD, Hostler D. The relationship between shift work, sleep, and cognition in career emergency physicians. Acad Emerg Med. 2012 Jan;19(1):85-91. PMID:22221346
- Patterson PD, Weaver MD, Weaver SJ, Rosen MA, Todorova G, Weingart LR, Krackhardt D, Lave JR, Arnold RM, Yealy DM, Salas E. Measuring teamwork and conflict among emergency medical technician personnel. Prehosp Emerg Care. 2012 Jan;16(1):98-108. PMID:22128909.
- Patterson PD, Weaver MD, Frank R, Warner C, Martin-Gill C, Guyette FX, Fairbanks RJ, Hubble M, Songer T, Kelsey S, Hostler D. Association between poor sleep, fatigue, and safety outcomes in emergency medical services providers. Prehospital Emergency Care. 2012; 16(1):86-97. PMID: 22023164
- Patterson PD, Weaver MD, Abebe K, Martin-Gill C, Roth RN, Suyama J, Guyette FX, Rittenberger JC, Krackhardt D, Arnold R, Yealy DM, Lave J. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2012 Mar-Apr;27(2):139-46. PMID: 21816967.
- Patterson PD, Arnold RM, Abebe K, Lave JR, Krackhardt D, Carr M, Weaver MD, Yealy DM. Variation in emergency medical technician partner familiarity. Health Serv Res. 2011 Aug;46(4):1319-31. PMID: 21306367. PMCID: PMC3112292. NIHMSID: NIHMS274902.
Research Interests
Research interests focus on the health and safety of emergency clinicians, public safety responders, and their patients.
Project Websites:
1: The Sleep and Teamwork in EMS Study (SaFTiE) www.saftie.pitt.edu
2: The EMS Sleep Health Study www.emssleephealth.pitt.edu
3: The EMS Shift Work Project www.emsshiftwork.org
4: The EMS Evidence-Based Practice Center (EMS-EPC)
5: The EMS Agency Research Network (EMSARN) www.EMSARN.org
Research Grants
Title: Developing Fatigue Risk Management Guidelines for Emergency Medical Services
Project Period: 4/1/2016 – 7/31/2021
Sponsor: National Association of State EMS Officials (NASEMSO)
US Department of Transportation, National Highway Traffic Safety Administration (NHTSA)
Grant Number: DTNH2215C00029
Role: PI
Title: Real-time intervention to reduce fatigue among Emergency Medical Services workers
Project Period: 8/1/2019 - 7/31/2023
Sponsor: National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC)
Grant Number: 1 R01 OH011502 01A1
Role: PI
Title: Impact of intra-shift naps during night shifts on blood pressure and heart rate variability among EMS clinicians.
Project Period: 1/1/2020 - 12/31/2022
Sponsor: The ZOLL Foundation
Grant Number: n/a
Role: Co-I