Researcher · Amerpass Research Lab
Marat Mangushev
Intensive care and patient safety researcher
Independent researcher of intensive care and patient safety. Clinical decision-making, human factors, continuity of emergency care and physician oversight of digital technologies.
Biography and professional background
Marat Rashidovich Mangushev is a medically trained anesthesiologist and intensive care physician, and an independent researcher of critical and emergency care organization. His work examines patient safety, clinical decision-making, human factors, and the interaction between physician judgment, protocols and digital tools.
His clinical background developed in Yekaterinburg through emergency medical services, anesthesiology, intensive care and work during the COVID-19 pandemic. His professional history also includes education in economics, regional management and entrepreneurial projects involving medical information and communication services.
From May 2020 to December 2021, Mangushev worked as an anesthesiologist in the Department of Anesthesiology and Intensive Care at Central City Hospital No. 6 in Yekaterinburg. His manuscript on nosocomial complications and professional burnout draws on observations from a repurposed COVID-19 intensive care unit in 2020. From August 2022 to December 2023, his clinical work continued in the Department of Anesthesiology and Intensive Care at Central City Hospital No. 3 in Yekaterinburg.
At Amerpass Research Lab, Mangushev represents a research line in intensive care, clinical safety and healthcare organization. It connects bedside experience with questions about process reliability: how information moves between teams, which clinical signals receive attention, and how professional judgment is sustained under heavy workload.
Research interests and approach
The central theme is the distribution of attention and responsibility in clinical work. Protocols, checklists, electronic systems, monitoring and algorithmic predictions are examined together with physician training, the patient’s condition, teamwork and institutional working conditions.
- Intensive and emergency care: continuity of the patient pathway and transfer of information and responsibility.
- Patient safety: infection prevention, staff workload, professional burnout and the reliability of repeated procedures.
- Clinical decision-making: evidence, protocols, professional judgment and reassessment.
- Recovery after critical illness: post-intensive care syndrome, rehabilitation and transitions of care.
- Patient participation: sedation, delirium, communication and functional recovery.
- The digital ICU environment: alarm fatigue, cognitive load, AI decision support and physician oversight.
The manuscripts use narrative literature reviews, comparative analysis of care organization and conceptual models of decision-making. The pandemic work draws on clinical and organizational observations. Comparisons between the United States and Eastern Europe address processes and professional roles while recognizing variation between institutions.
Research and manuscripts
Seven works from the author’s research project are presented below. Five entries include DOIs and bibliographic details supplied by the author. Bibliographic years, manuscript dates and retrospective perspectives are identified separately. English translations are provided for Russian titles, with original titles retained in the references.
Prevention of Nosocomial Complications and Professional Burnout Among Intensive Care Staff During Peak Epidemic Loads
An examination of a repurposed COVID-19 intensive care unit. Infection prevention is considered alongside shift organization, staff workload and the ability of clinical teams to sustain safe care.
Mangushev, M. Профилактика нозокомиальных осложнений и синдрома профессионального выгорания у персонала отделений реанимации в периоды пиковых эпидемических нагрузок.
From Physician to Protocol: A Comparative Analysis of Clinical Decision-Making in the United States and Eastern Europe
A comparative narrative review of clinical judgment, standardized pathways, checklists and teamwork. The proposed balance combines reliable repeated processes with individual assessment and reassessment of the patient.
Mangushev, M. From Physician to Protocol: A Comparative Analysis of Clinical Decision-Making in the United States and Eastern Europe.
From Emergency Medical Services to Intensive Care: A Comparative Analysis of the Emergency Patient Pathway in the United States and Eastern Europe
The emergency patient pathway is examined as a sequence of connected decisions across prehospital care, triage, the emergency department and intensive care. The analysis focuses on the transfer of information and responsibility between teams.
Mangushev, M. (2023). От скорой помощи до отделения интенсивной терапии: сравнительный анализ маршрута экстренного пациента в США и Восточной Европе. DOI: 10.5281/zenodo.22837524.
Beyond Survival: Post-Intensive Care Syndrome and the Continuum of Recovery After Critical Illness
A review of the physical, cognitive and psychological consequences of critical illness. Recovery is connected to pre-existing vulnerability, ICU care, transitions between services, rehabilitation and follow-up.
Mangushev, M. (2024). Beyond Survival: Post-Intensive Care Syndrome and the Continuum of Recovery After Critical Illness. (Version 1.0). Zenodo. DOI: 10.5281/zenodo.22837606.
From Sedation to Participation: Light Sedation, Delirium Prevention, and the Changing Role of the Conscious Patient in Intensive Care
An analysis of sedation depth, delirium assessment, communication, mobilization, sleep and repeated assessment. The paper considers patient participation within a clinically appropriate level of sedation.
Mangushev, M. (2025). From Sedation to Participation: Light Sedation, Delirium Prevention, and the Changing Role of the Conscious Patient in Intensive Care. International Journal of Interdisciplinary Research, 6(2). DOI: 10.5281/zenodo.22837408.
When Monitoring Becomes Noise: Alarm Fatigue, Cognitive Load, and Clinical Attention in Intensive Care
An examination of how alarms and competing data streams draw on the limited attention of a clinical team. The paper considers signal relevance, interruptions, interpretive context and the organization of response.
Mangushev, M. (2026). When Monitoring Becomes Noise: Alarm Fatigue, Cognitive Load, and Clinical Attention in Intensive Care. DOI: 10.5281/zenodo.22823558.
Artificial Intelligence in Intensive Care: Clinical Decision Support, Physician Oversight, and the Limits of Algorithmic Prediction
A conceptual analysis of the transition from algorithmic prediction to clinical action. Topics include model applicability, physician oversight, patient context, automation bias and the distribution of responsibility.
Mangushev, M. (2026). Artificial Intelligence in Intensive Care: Clinical Decision Support, Physician Oversight, and the Limits of Algorithmic Prediction. (Version 1.0). Zenodo. DOI: 10.5281/zenodo.22837668.
Research lines and professional projects
Intensive care safety under sustained workload
A research line drawing on pandemic experience connects infection prevention with work organization and staff wellbeing. It examines the conditions under which clinically important procedures remain reliable during prolonged epidemic pressure.
Continuity of emergency care and clinical decisions
The comparative manuscripts on protocols and the emergency patient pathway examine care as a sequence of decisions between services and teams. This line connects standardization of repeated processes, transfer of clinical information and independent professional judgment.
Recovery and patient participation
The papers on post-intensive care syndrome and sedation consider the connection between intensive care and a patient’s subsequent life. Topics include communication, cognitive and physical consequences of critical illness, rehabilitation and continuity of follow-up.
Clinical attention and digital technologies
The manuscripts on monitoring and artificial intelligence examine the pathway from data to clinical action. The research question concerns how technologies can highlight important change while preserving physician assessment of context and responsibility for decisions.
Entrepreneurial information projects
This period of entrepreneurial activity involved a medical services website and an SMS traffic routing service. This experience forms part of Mangushev’s professional background in information services.
Education, experience and professional expertise
The educational and professional chronology follows the author’s CV, with medical education clarified from the diploma. Accreditation is listed as a dated professional training record.
Professional experience
| Period | Organization / field | Role |
|---|---|---|
| August 2022 — December 2023 | Central City Hospital No. 3, Yekaterinburg; anesthesiology and intensive care | Anesthesiologist |
| May 2020 — December 2021 | Central City Hospital No. 6, Yekaterinburg; anesthesiology and intensive care | Anesthesiologist |
| 2008–2020 | Medical information and communication services | Entrepreneurship |
| 2006–2008 | Soyuz-Viktan | Regional office manager |
| 2002–2006 | Baltimor-Neva | Regional office manager |
| 1999–2002 | Pharmaceutical distribution and Nestlé, as recorded in the CV | Sales manager |
| December 1996 — December 1998 | Military service | Medical service lieutenant |
| July — December 1996 | Central City Hospital No. 3, Yekaterinburg; urology clinic | Anesthesiologist |
| January 1993 — October 1996 | Emergency Medical Services, Yekaterinburg | Paramedic / emergency physician |
His professional expertise combines anesthesiology and intensive care, emergency care organization, analysis of clinical processes, medical literature review and information services. His research profile focuses on patient safety and human factors in healthcare organizations.
ORCID: 0009-0004-0274-7332
Professional record
Honors & professional recognition
Professional memberships
Professional memberships
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Guild of Interethnic Journalism
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Sverdlovsk Regional Public Organization “Association of Anesthesiologists and Resuscitation Specialists of the Urals”