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School of Public Health
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Pamela H. Mitchell

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I am most interested in the interaction of organizational features of care delivery systems and the clinical research involving patient care outcomes. This research and teaching interest thus involves the management of clinical care systems to promote optimal health.
Adjunct Professor, Health Services
Professor, Biobehavioral Nursing and Health Informatics (primary appt.)


PhD   University of Washington, 1991   (Health Systems Ecology)
MS   University of California (San Francisco), 1965   (Nursing)
BS   University of Washington, 1962   (Nursing)

Contact Info


School of Nursing
University of Washington
Seattle, WA 98195-7266

campus box:   357266
voice:   206-616-9447
fax:   206-543-4771


Pamela Mitchell's research investigates care delivery system organizational feature as they influence patient outcomes in both acute and primary care. Her clinical research involves fundamental physiologic factors influencing the responses of critically ill patients to ordinary nursing care activities and psychosocial and physiologic response to chronic cardiocerebrovascular illness. Dr. Mitchell coordinates the MN/MHA program and teaches a variety of topics in care systems management.

Organizational factors influencing patient outcome
Health Sciences Partnerships in Interprofessional Clinical Education

The Health Sciences Partnerships in Interprofessional Clinical Education (HSPICE) is dedicated to creating an atmosphere of openness and commitment to interprofessional practice for the next century. Partially supported by theUniversity Initiatives Fund, the project is building on the excellence of the individual Academic Health Science Center schools and Information School by providing educational opportunities for students in these schools to learn means of interdisciplinary practice in order to be prepared to take their places in the current and future healthcare systems.

Improving CPP Management: Information Feedback & Nursing

Maintaining a threshold level of cerebral perfusion pressure (CPP)is an important factor in preventing secondary brain injury. However,due to the way clinical monitoring displays are arranged, short episodes of decreased CPP are sometimes missed in the course of routine therapeutic activities. Refining the visual display available may improve the nurse’s ability to visualize and manage CPP and thus improve patient outcome. Special computers interfaced with clinical monitoring equipment are placed in 3 ICUs. Outcomes will be compared at discharge, three and six months for those with and without the interface.

Biobehavioral Nursing Research Training Program

The goal of this program is to increase the cadre of nurse scientists skilled in biobehavioral theory and methodology. The University of Washington is unique in having a cadre of nurse scientists whose work exemplifies biobehavioral nursing research and is focused on indicators fundamental to preventive interventions. Fellows are encouraged to work with interdisciplinary teams of scientists across the Health Sciences