Header Logo

Karen Giuliano PhD, RN, MBA, FAAN

TitleAdjunct Professor
InstitutionUMass Chan – Baystate Regional Campus
DepartmentHealthcare Delivery and Population Sciences at UMass Chan - Baystate
AddressUmass Amherst
240 Thatcher Rd, Lsl S 517
Amherst MA 01003
Phone413-794-6605
vCardDownload vCard

    Collapse Biography 
    Collapse education and training
    Boston College, Chestnut Hill, MA, United StatesBSNursing
    Babson College, Wellesley, MA, United StatesMBA
    University of Rhode Island, Kingston, RI, United StatesMSN
    Boston College, Chestnut Hill, MA, United StatesPHD

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
    Newest   |   Oldest   |   Most Cited   |   Most Discussed   |   Timeline   |   Field Summary   |   Plain Text
    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Nyarko BA, Lee S, Georgadarellis GL, Sup Iv FC, Giuliano KK. Bringing usability testing to the front lines: IV smart pump evaluation with critical care nurses at a national conference. MethodsX. 2026 Dec; 17:104140. PMID: 42751129.
      Citations:    
    2. Armistead LT, Degnan DD, Giuliano KK, Eckel SF. Targeting reduction of intravenous smart pump programming alerts: Insights from real-world use. Am J Health Syst Pharm. 2026 Jul 15. PMID: 42454557.
      Citations:    
    3. Giuliano KK, Vollman KM. The Value of Prevention: Clinical Nurse Specialist-Led Strategies to Reduce Hospital-Acquired Adverse Events. Clin Nurse Spec. 2026 Jul-Aug 01; 40(4):140-144. PMID: 42234784.
      Citations:    
    4. Nyarko BA, Vital CJ, Giuliano KK. Intravenous Smart Pump Alarms in Everyday Hospital Use: A Real-world Descriptive Analysis. Dimens Crit Care Nurs. 2026 Jul-Aug 01; 45(4):197-203. PMID: 42207595.
      Citations:    
    5. O'Hara S, Barr T, Melnyk BM, Delaney C, Giuliano KK, Kelley T, Nadel H, Raderstorf T, Wright L, Ackerman M. A summative content analysis of innovation in the AACN essentials informed by Pillay's innovation competencies. J Prof Nurs. 2026 Jul-Aug; 65:35-42. PMID: 42276647.
      Citations:    
    6. Armistead LT, Giuliano KK, Degnan D, Eckel SF. Exploring the impact of medication type and infusion duration on IV smart pump alarms. Am J Health Syst Pharm. 2026 Mar 10. PMID: 41810511.
      Citations:    
    7. Armistead LT, Giuliano KK, Degnan DD, Eckel SF. Evaluating IV smart pump infusions and alarms in health systems across the United States. Am J Health Syst Pharm. 2026 02 10; 83(4):165-175. PMID: 40971950.
      Citations:    
    8. Nyarko BA, Wuni A, Giuliano KK. Nursing Perspectives on Alarm Fatigue: An Integrative Review. Nurs Health Sci. 2025 Dec; 27(4):e70253. PMID: 41198598.
      Citations:    
    9. Meade K, Blake J, Giuliano KK. A Scoping Review: The Impact of IV Smart Pump Air-in-Line Alarms in Oncology Care. Clin J Oncol Nurs. 2025 Nov 19; 29(6):E167-E177. PMID: 41269721.
      Citations:    
    10. Vital CJ, Schroers G, Fortnam K, Eckel SF, Degnan D, Armistead LT, Giuliano KK. Evaluation of Interruptions During IV Smart Pump Medication Administration in Intensive Care Units. J Patient Saf. 2026 Mar 01; 22(2):115-120. PMID: 41140292.
      Citations:    
    11. Kluberg SA, Chen T, Wang R, Jin R, DelloStritto L, Baker D, Giuliano K, Septimus EJ, Guy JS, Poland RE, Blanchard EJ, Sands KE, Klompas M. Associations between routine oral care and in-hospital mobility with non-ventilator hospital-acquired pneumonia. Infect Control Hosp Epidemiol. 2025 12; 46(12):1181-1189. PMID: 40985932.
      Citations:    
    12. Giuliano KK, McDaniel P, Baker D. Optimizing Patient Safety: Intravenous Smart Pump Usability in Acute and Critical Care. AACN Adv Crit Care. 2025 09 15; 36(3):230-239. PMID: 40907101.
      Citations:    
    13. Nyarko BA, Giuliano KK. Beyond Monitors: Intravenous Smart Pump Alarm Fatigue As a Safety Concern. AACN Adv Crit Care. 2025 09 15; 36(3):252-257. PMID: 40907102.
      Citations:    
    14. Melnyk BM, O'Hara S, Hsieh AP, Helsabeck NP, Giuliano KK, Vital C. Validity and Reliability of the New Innovation Culture Scale© for Use in Healthcare Settings. J Nurs Adm. 2025 Sep 01; 55(8):436-442. PMID: 40844534.
      Citations:    
    15. Blake JWC, Meade K, Giuliano KK. Intravenous Smart Pumps: A Review of the Safety Implications for the Most Ubiquitous Technology in US Acute Care. Crit Care Nurs Clin North Am. 2025 Jun; 37(2):255-275. PMID: 40382090.
      Citations:    
    16. O'Hara S, Melnyk BM, Hsieh AP, Helsabeck NP, Giuliano KK, Vital C. Innovation, Wellness, and EBP Cultures Are Associated With Less Burnout, Better Mental Health, and Higher Job Satisfaction in Nurses and the Healthcare Workforce. Worldviews Evid Based Nurs. 2025 Apr; 22(2):e70012. PMID: 40237103.
      Citations:    
    17. Benjamin E, Giuliano KK. Work Systems Analysis of Emergency Nurse Patient Flow Management Using the Systems Engineering Initiative for Patient Safety Model: Applying Findings From a Grounded Theory Study. JMIR Hum Factors. 2024 12 10; 11:e60176. PMID: 39656555.
      Citations:    
    18. Davis CR, Beeson T, Porter HM, Giuliano KK. Evaluation of a Novel Mechanical Compression Device. Am J Nurs. 2024 11 01; 124(11):54-60. PMID: 39446517.
      Citations:    
    19. Benjamin E, Giuliano KK. Empowerment Through Academia. Am J Nurs. 2024 02 01; 124(2):61-63. PMID: 38270429.
      Citations:    
    20. Giuliano KK, Mahuren RS, Balyeat J. Data-based program management of system-wide IV smart pump integration. Am J Health Syst Pharm. 2024 01 01; 81(1):e30-e36. PMID: 37804239.
      Citations:    
    21. Baker DL, Giuliano KK, Desmarais M, Worzala C, Cloke A, Zawistowich L. Impact of hospital-acquired pneumonia on the Medicare program. Infect Control Hosp Epidemiol. 2024 03; 45(3):316-321. PMID: 37877198.
      Citations:    
    22. Benjamin E, Giuliano KK. Improving Bruise Detection in Patients with Dark Skin Tone. Am J Nurs. 2023 07 01; 123(7):46-47. PMID: 37345781.
      Citations:    
    23. Giuliano KK, Bilkovski RN, Beard J, Lamminmäki S. Comparative analysis of signal accuracy of three SpO2 monitors during motion and low perfusion conditions. J Clin Monit Comput. 2023 12; 37(6):1451-1461. PMID: 37266709.
      Citations:    
    24. Vollman KM, Correll-Yoder N, Giuliano KK. Early and Progressive Mobility in the ICU: A Balanced Approach to Improve Outcomes for Both Patients and Staff. J Nurs Care Qual. 2024 Jan-Mar 01; 39(1):7-9. PMID: 37267114.
      Citations:    
    25. Gabele D, Mendez S, Giuliano KK. Early and progressive mobility in a community hospital: A new interdisciplinary safe patient handling and mobility model. Nurs Manage. 2023 03 01; 54(3):22-27. PMID: 36795081.
      Citations:    
    26. Landsman K, Giuliano KK. Nurse-Engineer Partnerships in Academia. Am J Nurs. 2023 03 01; 123(3):44-46. PMID: 36815819.
      Citations:    
    27. Penoyer D, Giuliano K, Middleton A. Comparison of Three Reconstitution Devices: A Simulated Time and Use Study. Int J Pharm Compd. 2023 Mar-Apr; 27(2):169-174. PMID: 37000141.
      Citations:    
    28. Giuliano KK, Landsman K. A Nurse Innovator Paves the Way for Other Nurses. Am J Nurs. 2022 12 01; 122(12):59-61. PMID: 36384801.
      Citations:    
    29. Giuliano KK, Blake JWC, Bittner NP, Gamez V, Butterfield R. Intravenous Smart Pumps at the Point of Care: A Descriptive, Observational Study. J Patient Saf. 2022 09 01; 18(6):553-558. PMID: 35948318.
      Citations:    
    30. Baker D, Giuliano KK, Thakkar-Samtani M, Scannapieco FA, Glick M, Restrepo MI, Heaton LJ, Frantsve-Hawley J. The association between accessing dental services and nonventilator hospital-acquired pneumonia among 2019 Medicaid beneficiaries. Infect Control Hosp Epidemiol. 2023 Jun; 44(6):959-961. PMID: 35815618.
      Citations:    
    31. Giuliano KK, Landsman K. Collaborative Nurse-Engineer Product Innovation. Am J Nurs. 2022 07 01; 122(7):59-61. PMID: 35736606.
      Citations:    
    32. Giuliano KK, Baker D, Thakkar-Samtani M, Glick M, Restrepo MI, Scannapieco FA, Heaton LJ, Frantsve-Hawley J. Incidence, mortality, and cost trends in nonventilator hospital-acquired pneumonia in medicaid beneficiaries, 2015-2019. Am J Infect Control. 2023 Feb; 51(2):227-230. PMID: 35732253.
      Citations:    
    33. Blake JWC, Fiske SM, Giuliano KK. A qualitative analysis of intravenous smart pump usability. Nurs Open. 2022 07; 9(4):2171-2178. PMID: 35591755.
      Citations:    
    34. Giuliano KK, Sup FC, Benjamin E, Krishnamurty S. INNOVATE: Preparing Nurses to Be Health Care Innovation Leaders. Nurs Adm Q. 2022 Jul-Sep 01; 46(3):255-265. PMID: 35639532.
      Citations:    
    35. Scannapieco FA, Giuliano KK, Baker D. Oral health status and the etiology and prevention of nonventilator hospital-associated pneumonia. Periodontol 2000. 2022 06; 89(1):51-58. PMID: 35244952.
      Citations:    
    36. Giuliano KK, Landsman K. Health Care Innovation: Embracing the Nurse-Engineer Partnership. Am J Nurs. 2022 03 01; 122(3):55-56. PMID: 35200191.
      Citations:    
    37. Giuliano KK, Blake JWC, Butterfield R. Reprint from AJN: Secondary Medication Administration and IV Smart Pump Setup: What every nurse needs to know. J Infus Nurs. 2022 Mar-Apr 01; 45(2):104-108. PMID: 35272307.
      Citations:    
    38. Baker DL, Giuliano KK. Prevention practices for nonventilator hospital-acquired pneumonia: A survey of the Society for Healthcare Epidemiology of America (SHEA) Research Network (SRN). Infect Control Hosp Epidemiol. 2022 03; 43(3):379-380. PMID: 34602099.
      Citations:    
    39. Giuliano KK, Blake JWC, Butterfield R. Secondary Medication Administration and IV Smart Pump Setup. Am J Nurs. 2021 08 01; 121(8):46-50. PMID: 34819473.
      Citations:    
    40. Blake JWC, Butterfield R, Giuliano KK. Authors' Response. AACN Adv Crit Care. 2021 06 15; 32(2):153-155. PMID: 33740815.
      Citations:    
    41. Munro SC, Baker D, Giuliano KK, Sullivan SC, Haber J, Jones BE, Crist MB, Nelson RE, Carey E, Lounsbury O, Lucatorto M, Miller R, Pauley B, Klompas M. Nonventilator hospital-acquired pneumonia: A call to action. Infect Control Hosp Epidemiol. 2021 08; 42(8):991-996. PMID: 34103108.
      Citations:    
    42. Giuliano KK, Penoyer D, Middleton A, Baker D. Original Research: Oral Care as Prevention for Nonventilator Hospital-Acquired Pneumonia: A Four-Unit Cluster Randomized Study. Am J Nurs. 2021 06 01; 121(6):24-33. PMID: 33993136.
      Citations:    
    43. Giuliano KK, Penoyer D, Mahuren RS, Bennett M. Intravenous Smart Pumps During Actual Clinical Use: A Descriptive Comparison of Primary and Secondary Infusion Practices. J Infus Nurs. 2021 May-Jun 01; 44(3):128-136. PMID: 33756507.
      Citations:    
    44. Labropoulos N, Giuliano KK, Tafur AJ, Caprini JA. Comparison of a nonpneumatic device to four currently available intermittent pneumatic compression devices on common femoral blood flow dynamics. J Vasc Surg Venous Lymphat Disord. 2021 09; 9(5):1241-1247. PMID: 33540132.
      Citations:    
    45. Giuliano KK, Blake JWC. Nurse and Pharmacist Knowledge of Intravenous Smart Pump System Setup Requirements. Biomed Instrum Technol. 2021 Jan 01; 55(1):51-58. PMID: 33751021.
      Citations:    
    46. Blake JWC, Giuliano KK. Flow Accuracy of IV Smart Pumps Outside of Patient Rooms During COVID-19. AACN Adv Crit Care. 2020 12 15; 31(4):357-363. PMID: 32841321.
      Citations:    
    47. Golden SL, Blake JWC, Giuliano KK. Parental decision-making: infant engagement with smartphones. Infant Behav Dev. 2020 11; 61:101497. PMID: 33120210.
      Citations:    
    48. Giuliano KK. Challenging Precedent: Critical Care Nursing and Medical Product Innovation. Am J Crit Care. 2020 07 01; 29(4):253-261. PMID: 32607567.
      Citations:    
    49. Quinn B, Giuliano KK, Baker D. Non-ventilator health care-associated pneumonia (NV-HAP): Best practices for prevention of NV-HAP. Am J Infect Control. 2020 05; 48(5S):A23-A27. PMID: 32331561.
      Citations:    
    50. Giuliano KK, Baker D. Sepsis in the Context of Nonventilator Hospital-Acquired Pneumonia. Am J Crit Care. 2020 01 01; 29(1):9-14. PMID: 31968079.
      Citations:    
    51. Giuliano KK, Pozzar R, Hatch C. Thromboprophylaxis After Hospitalization for Joint Replacement Surgery. J Healthc Qual. 2019 Nov/Dec; 41(6):384-391. PMID: 31082932.
      Citations:    
    52. Baker D, Quinn B, Ewan V, Giuliano KK. Sustaining Quality Improvement: Long-Term Reduction of Nonventilator Hospital-Acquired Pneumonia. J Nurs Care Qual. 2019 Jul/Sep; 34(3):223-229. PMID: 30198950.
      Citations:    
    53. Marwitz KK, Giuliano KK, Su WT, Degnan D, Zink RJ, DeLaurentis P. High-alert medication administration and intravenous smart pumps: A descriptive analysis of clinical practice. Res Social Adm Pharm. 2019 07; 15(7):889-894. PMID: 30827935.
      Citations:    
    54. Giuliano KK, Su WT, Degnan DD, Fitzgerald K, Zink RJ, DeLaurentis P. Intravenous Smart Pump Drug Library Compliance: A Descriptive Study of 44 Hospitals. J Patient Saf. 2018 12; 14(4):e76-e82. PMID: 28574959.
      Citations:    
    55. Giuliano KK. Nonventilator hospital-acquired pneumonia: Epidemiology to support prevention strategies. Am J Infect Control. 2018 07; 46(7):847-848. PMID: 29661623.
      Citations:    
    56. Giuliano KK. Nonventilator hospital-acquired pneumonia: Where do we go from here? Am J Infect Control. 2018 06; 46(6):729-730. PMID: 29655668.
      Citations:    
    57. Giuliano KK. Intravenous Smart Pumps: Usability Issues, Intravenous Medication Administration Error, and Patient Safety. Crit Care Nurs Clin North Am. 2018 Jun; 30(2):215-224. PMID: 29724440.
      Citations:    
    58. Gray M, Giuliano KK. Incontinence-Associated Dermatitis, Characteristics and Relationship to Pressure Injury: A Multisite Epidemiologic Analysis. J Wound Ostomy Continence Nurs. 2018 Jan/Feb; 45(1):63-67. PMID: 29300291.
      Citations:    
    59. Giuliano KK. IV Smart Pumps and Error-Prone Programming Tasks: Comparison of Four Devices. Biomed Instrum Technol. 2018 01; 52(s2):17-27. PMID: 29775384.
      Citations:    
    60. Giuliano KK, Baker D, Quinn B. The epidemiology of nonventilator hospital-acquired pneumonia in the United States. Am J Infect Control. 2018 Mar; 46(3):322-327. PMID: 29050905.
      Citations:    
    61. Campoe KR, Giuliano KK. Impact of Frequent Interruption on Nurses' Patient-Controlled Analgesia Programming Performance. Hum Factors. 2017 12; 59(8):1204-1213. PMID: 28925730.
      Citations:    
    62. Giuliano KK, Ruppel H. Are smart pumps smart enough? Nursing. 2017 03; 47(3):64-66. PMID: 28225403.
      Citations:    
    63. Giuliano KK. Improving Patient Safety through the Use of Nursing Surveillance. Biomed Instrum Technol. 2017 02; 51(s2):34-43. PMID: 28296456.
      Citations:    
    64. Giuliano KK, Niemi C. The urgent need for innovation in I.V. infusion devices. Nursing. 2016 Apr; 46(4):66-8. PMID: 27008058.
      Citations:    
    65. Giuliano KK, Danesh V, Funk M. The Relationship Between Nurse Staffing and 30-Day Readmission for Adults With Heart Failure. J Nurs Adm. 2016 Jan; 46(1):25-9. PMID: 26579974.
      Citations:    
    66. Giuliano KK, Niemi C. The urgent need for innovation in I.V. smart pumps. Nurs Manage. 2015 Mar; 46(3):17-9. PMID: 25692639.
      Citations:    
    67. Giuliano KK. IV Smart Pumps: The Impact of a Simplified User Interface on Clinical Use. Biomed Instrum Technol. 2015; Suppl:13-21. PMID: 26444045.
      Citations:    
    68. Giuliano KK, Jahrsdoerfer M, Case J, Drew T, Raber G. The role of clinical decision support tools to reduce blood pressure variability in critically ill patients receiving vasopressor support. Comput Inform Nurs. 2012 Apr; 30(4):204-9. PMID: 22228216.
      Citations:    
    69. Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012 Apr; 32(2):e9-18. PMID: 22467622.
      Citations: 15     Fields:    Translation:Humans
    70. Giuliano KK, Lecardo M, Staul L. Impact of protocol watch on compliance with the surviving sepsis campaign. Am J Crit Care. 2011 Jul; 20(4):313-21. PMID: 21724635.
      Citations:    
    71. Smith LW, Giuliano KK. Rapid response teams: improve patient safety and patient outcomes. AACN Adv Crit Care. 2010 Apr-Jun; 21(2):126-9. PMID: 20431439.
      Citations:    
    72. Giuliano KK, Johannessen A, Hernandez C. Simulation evaluation of an enhanced bedside monitor display for patients with sepsis. AACN Adv Crit Care. 2010 Jan-Mar; 21(1):24-33. PMID: 20118701.
      Citations:    
    73. Polanowicz M, Giuliano KK. Emerging role of clinical decision support in the care of the critically ill. AACN Adv Crit Care. 2009 Oct-Dec; 20(4):319-21. PMID: 19893368.
      Citations:    
    74. Bixby M, Giuliano KK. Bladder pressure monitoring. AACN Adv Crit Care. 2008 Oct-Dec; 19(4):349-53. PMID: 18981736.
      Citations:    
    75. Giuliano KK. Basic strategies for reviewing medical device research. AACN Adv Crit Care. 2008 Jul-Sep; 19(3):258-60. PMID: 18670198.
      Citations:    
    76. Giuliano KK, Polanowicz M. Interpretation and use of statistics in nursing research. AACN Adv Crit Care. 2008 Apr-Jun; 19(2):211-22. PMID: 18560290.
      Citations:    
    77. Giuliano KK. Physiological monitoring for critically ill patients: testing a predictive model for the early detection of sepsis. Am J Crit Care. 2007 Mar; 16(2):122-30; quiz 131. PMID: 17322011.
      Citations:    
    78. Clark AP, Giuliano K, Chen HM. Pulse oximetry revisited: "but his O(2) sat was normal!". Clin Nurse Spec. 2006 Nov-Dec; 20(6):268-72. PMID: 17149014.
      Citations:    
    79. Giuliano KK. Continuous physiologic monitoring and the identification of sepsis: what is the evidence supporting current clinical practice? AACN Adv Crit Care. 2006 Apr-Jun; 17(2):215-23. PMID: 16767023.
      Citations:    
    80. Wood RY, Giuliano KK, Bignell CU, Pritham WW. Assessing cognitive ability in research: use of MMSE with minority populations and elderly adults with low education levels. J Gerontol Nurs. 2006 04; 32(4):45-54. PMID: 16615712.
      Citations:    
    81. Giuliano KK, Liu LM. Knowledge of pulse oximetry among critical care nurses. Dimens Crit Care Nurs. 2006 Jan-Feb; 25(1):44-9. PMID: 16501373.
      Citations:    
    82. Jahrsdoerfer M, Giuliano K, Stephens D. Clinical usefulness of the EASI 12-lead continuous electrocardiographic monitoring system. Crit Care Nurse. 2005 Oct; 25(5):28-30, 32-7; quiz 38. PMID: 16183750.
      Citations:    
    83. Giuliano KK, Kleinpell R. The use of common continuous monitoring parameters: a quality indicator for critically ill patients with sepsis. AACN Clin Issues. 2005 Apr-Jun; 16(2):140-8. PMID: 15876881.
      Citations:    
    84. Giuliano KK, Higgins TL. New-generation pulse oximetry in the care of critically ill patients. Am J Crit Care. 2005 Jan; 14(1):26-37; quiz 38-9. PMID: 15608106.
      Citations: 8     Fields:    Translation:Humans
    85. Giuliano KK, Scott SS, Brown V, Olson M. Backrest angle and cardiac output measurement in critically ill patients. Nurs Res. 2003 Jul-Aug; 52(4):242-8. PMID: 12867781.
      Citations:    
    86. Richards NM, Giuliano KK. Transfusion practices in critical care. Am J Nurs. 2002 May; Suppl:16-22. PMID: 12006869.
      Citations:    
    Giuliano's Networks
    Click the
    Explore
    buttons for more information and interactive visualizations!
    Concepts (263)
    Explore
    _
    Co-Authors (1)
    Explore
    _
    Similar People (60)
    Explore
    _
    Same Department Expand Description
    Explore
    _