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PSNet: Patient Safety Network

Editorial Team

Patrick Romano, MD, MPH, Co-Editor in Chief

Romano

Dr. Romano, Professor of General Medicine and Pediatrics, is a physician-epidemiologist and health services researcher in the  Divisions of General Medicine and General Pediatrics, the Center for Healthcare Policy and Research, and the Graduate Groups  in Epidemiology, Clinical Research, and Nursing Science and Healthcare Leadership at the University of California, Davis. Dr.  Romano's research and teaching interests focus on developing, testing, and validating health care quality measures, using  outcomes data to improve the quality and effectiveness of health care, and studying the role of physicians and nurses in  optimizing quality and safety across the health care industry. His research has been almost continuously supported by the  Agency for Healthcare Research and Quality (AHRQ) since 1994, with additional support from the Centers for Disease Control & Prevention (CDC), the Centers for Medicare & Medicaid Services (CMS), and several California state agencies, and he has published nearly 200 peer-reviewed papers on a variety of topics related to health care safety and quality. Dr. Romano is an international leader in evaluating and comparing the quality and outcomes of inpatient care, particularly in developing, testing, refining, validating, and adapting measures that can be used to provide a rigorous evidence base for various research and policy purposes. He currently serves as co-editor in chief of Health Services Research and as a member of the National Quality Forum’s Scientific Methods Panel.

Dr. Romano is a graduate of Princeton University, Georgetown University School of Medicine, and the University of California, Berkeley School of Public Health. He completed training in internal medicine and pediatrics at University Hospitals of Cleveland, followed by fellowship training in health services research at University of California, San Francisco.


Deb Bakerjian, PhD, APRN, FAAN, FAANP, FGSA, Co-Editor in Chief

Bakerjian

Dr. Bakerjian is a Clinical Professor and Vice-Chair of the Nursing Science and Health Care Leadership at the Betty Irene Moore  School of Nursing at the University of California, Davis, where she teaches patient safety, quality improvement, and geriatrics to  graduate students. She has been funded by the John A Hartford Foundation, Health Resources and Services Administration,  and Civil Monetary Penalty Funds through the Centers for Medicare and Medicaid. Her research and academic interests focus  on patient safety and quality improvement practices in the post-acute, long-term and ambulatory care environments, workforce  development, and the role of advanced practice nurses and she has published extensively on these topics. Dr. Bakerjian is  currently leading a large effort focused on training nurse practitioner, physician assistant, and medical students in team-based,  primary care for underserved populations, and another on developing and implementing a 12-month primary care nurse  practitioner residency program. She is the Vice Chair of HealthImpact, a California workforce development organization, immediate past-president of the California Association of Long Term Care Medicine and is active in several other state and national organizations focused on patient safety, quality improvement and aging populations.

Dr. Bakerjian earned her master’s degree in Family Health Care Nursing and PhD in Health Policy and Gerontology from the University of California, San Francisco and her Family Nurse Practitioner and Physician Assistant certificates from the University of California, Davis. She was a Claire M. Fagin Postdoctoral Fellow at UCSF and a Gordon & Betty Moore Postdoctoral Fellow at UC Davis.She is a Fellow of the American Academy of Nursing, the American Association of Nurse Practitioners, and the Gerontological Society of America.


Kendall K. Hall, MD, MS, Co-Editor in Chief

Dr. Kendall HallDr. Hall is a Managing Director in the Health Division of IMPAQ International.  She is a board certified emergency physician and a health services researcher with 15 years’ experience in the fields of patient safety and healthcare quality, mostly recently serving as the Project Director for the National Content Developer, the technical assistance provider to the Partnership for Patients’ Hospital Improvement Innovations Networks (CMS), the Principal Investigator for the third iteration of the AHRQ report, Making Health Care Safer, and as a senior technical advisor and subject matter expert for the Strategic Innovations Engine (CMS). Dr. Hall is currently serving as the Project Director for the Patient Safety Measure Development and Support contract for CMS.  Prior to joining IMPAQ, Dr. Hall served as a Medical Officer in the Center for Quality Improvement and Patient Safety in the Agency for Healthcare Research and Quality. While at AHRQ, she developed and managed initiatives to improve patient safety and reduce harm, including their healthcare-associated infections program, as well as research in general patient safety, emergency care, simulation, and human factors engineering.


Eleanor Fitall, MPH, Associate Editor

Eleanor FitallEleanor Fitall is a Research Associate in the Health Division of IMPAQ International. She has extensive experience in the fields of patient safety and healthcare quality, most recently supporting CMS in implementing the Partnership for Patients (PfP) initiative to reduce all-cause patient harm and hospital readmissions. Prior to joining IMPAQ, Ms. Fitall served as a Senior Manager at Avalere Health where she supported the design and implementation of improvement projects designed to test quality measures and process improvement tools in patient safety topic areas. Ms. Fitall earned her MPH from Johns Hopkins University with a concentration in quality, patient safety, and outcomes research. 

 

 


Patricia Poole, PharmD, BCPS, AAHIVP, Associate Editor

PooleDr. Poole is a Pharmacist Specialist at UC Davis Health, Department of Pharmacy, Ambulatory Care Division. She holds academic appointments as Health Sciences Associate Clinical Professor, Department of Internal Medicine, Division of Infectious Diseases, UC Davis as well as Associate Clinical Professor, School of Pharmacy, Department of Clinical Pharmacy, UC San Francisco. Her clinical practice is in the specialized pharmacotherapy of people living with HIV/AIDS, viral hepatitis, and cystic fibrosis. Dr. Poole is Board Certified as a Pharmacotherapy Specialist with Added Qualifications in Infectious Diseases through the American College of Clinical Pharmacists and is also a Certified HIV Pharmacist through the American Academy of HIV Medicine. She manages the UC Davis Pharmacy Residency training programs, collaborating with other training sites across the University of California Health System to conduct clinical research in pharmacotherapy, and also serves on the California Society of Health System Pharmacists Opioid Task Force.

Dr. Poole earned her Doctor of Pharmacy, summa cum laude, at the University of the Pacific School of Pharmacy and completed a post-graduate pharmacy residency at the UC Davis Medical Center.


Jacqueline C. Stocking, PhD, MBA, MSN, RN, NEA-BC, Associate Editor

stockingJDr. Stocking is an Assistant Adjunct Professor in the Division of Pulmonary and Critical Care Medicine and the Quality and Safety Nurse Analyst for the Department of Internal Medicine at the University of California, Davis. Her research lies at the intersection of patient safety and health care policy, with a focus on postoperative respiratory failure. Dr. Stocking has more than 25 years of experience as a critical care clinician and in teaching and leading interprofessional healthcare teams in a variety of high-stakes settings. She holds numerous clinical and quality improvement certifications, including Lean for Healthcare and Six Sigma.

Dr. Stocking earned her bachelor’s degree in biology, master’s degrees in business and in nursing, and PhD in Nursing Science and Healthcare Leadership from University of California, Davis.


Ulfat Shaikh, MD, MPH, MS, FAAP, Associate Editor

Shaikh

Dr. Shaikh is the Clinical Quality Officer of the Medicine Practice Management Group, a Professor of Pediatrics and a practicing pediatrician at the University of California Davis School of Medicine. The focus of Dr. Shaikh’s work is on designing, implementing and evaluating health systems improvement methods across a broad range of health care settings to improve health care delivery and outcomes. She served as Clinical Quality Officer at the California Department of Health Care Services from 2012-2015. At UC Davis, she has led over 500 clinicians in quality improvement and patient safety initiatives across multiple departments, linking initiatives to trainee education and managing improvement teams through a learning health system model.

Dr. Shaikh completed her medical education at Goa Medical College, India and pediatric residency at Albert Einstein College of Medicine, New York. She earned an MPH from the University of Medicine and Dentistry of New Jersey and a master’s degree in Clinical Research from the University of California Davis. She trained in quality improvement at the Institute for Healthcare Improvement, Intermountain Healthcare, and Johns Hopkins Medicine.


Reshma Gupta, MD, MSHPM, Consulting Editor

Gupta

Dr. Gupta is the Medical Director for Value and Population Health at the University of California Davis and a practicing internal medicine physician. Until recently she served as the Medical Director of Value and Quality Improvement for UCLA Health’s Office of Population Health and Accountable Care and the Olive View-UCLA Medical Center. Dr. Gupta’s work is focused on defining and improving—via innovation, policy, education and implementation—the culture of delivering high quality care at lower cost, for health systems and patient populations. Dr. Gupta also serves as an advisor on various value transformation initiatives beyond the University of California system, including as a Director of Costs of Care, Inc., a global NGO working to curate provider insights to provide high value care, and as an expert adviser with the Center for Medicare and Medicaid Innovation on testing new models of value-promoting payment reform. She has published extensively and speaks nationally on topics related to educating clinicians and implementing programs to improve healthcare value, affordability, and population health.

Dr. Gupta grew up in rural Wisconsin, earned her MD at University of California, San Francisco, completed her residency at the University of Washington Seattle, and earned her master’s degree in Health Policy and Management at UCLA while a Robert Wood Johnson Clinical Scholar.


David K. Barnes, MD, FACEP, Consulting Editor

BarnesDDr. Barnes is Health Sciences Clinical Professor in the Department of Emergency Medicine at the UC Davis School of Medicine. He is the Emergency Medicine Residency Program Director and an attending physician in the UC Davis Medical Center’s Emergency Department, inland northern California’s only level-1 trauma center. Dr. Barnes’ academic interests include education, quality and safety, resuscitation, and simulation. He chairs the Society for Academic Emergency Medicine’s Education Committee, leads the Emergency Medicine residency program’s quality and safety curriculum, and mentors residents and students conducting quality improvement projects.

Dr. Barnes is the physician lead for a bold initiative to bring AHRQ's TeamSTEPPS program to all physicians, nurses, and staff in the Department of Emergency Medicine. Dr. Barnes earned his Doctor of Medicine degree from the Oregon Health & Sciences University in Portland, OR and completed his residency training in Emergency Medicine at UC Davis Medical Center.


Garth H. Utter, MD MSc, Consulting Editor

Utter

Dr. Garth Utter is a Professor in the Department of Surgery at the University of California, Davis. He joined the U.C. Davis faculty in 2005 and has remained clinically active as a trauma and acute care surgeon and surgical intensivist. Dr. Utter has research interests in a variety of clinical and health services topics. He has helped evaluate and refine the function of several of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators through AHRQ and Centers for Medicare & Medicaid Services-funded contracts. He also has focused on the application of the International Classification of Diseases, 10th Revision, Clinical Modification and Procedure Coding System in surgical outcomes research. He has an interest in single-center randomized trials, of which he has completed five on such topics as motivational interviewing as a means to reduce injury risk, chest tube management, and type of fluid resuscitation for acutely injured patients.

Dr. Utter completed his medical education at the University of California, San Francisco, residency in general surgery at the University of California, Davis, and fellowship in trauma and surgical critical care at the University of Washington/Harborview Medical Center. During fellowship, Dr. Utter earned a Master of Science degree in Epidemiology.


Joanne Natale, MD, PhD, Consulting Editor

NataleJDr. Natale is a Professor of Pediatric Critical Care and is the Chief of Staff of UC Davis Health, Vice Chair for Quality and Safety, Dept of Pediatrics UCD SOM, and Director of Quality and Safety, UC Davis Children’s Hospital. Dr. Natale’s research interests include patient safety, health equity, and patient safety processes. Dr. Natale’s academic interests includes interprofessional education focusing on patient safety, family engagement in safety, communication related to clinical errors, relationship between health care provider well-being and patient safety. She is also a graduate faculty in the Betty Irene Moore School of Nursing where she serves on the Graduate Group and co-teaches a course in patient safety to an interprofessional group of students.

Dr. Natale earned an MD from Michigan State University and PhD in physiology from University of Michigan. She completed residency training in pediatrics at Albert Einstein School of Medicine and completed her fellowship training in pediatric critical care medicine from Johns Hopkins. She also completed a UC Health Fellow, UC Center for Healthcare policy and Innovation and is also UC Davis/ UC Irvine Physician Health and Wellbeing Fellow. Dr. Natale is board certified in pediatrics and pediatric critical care medicine.


Christina Slee, MPH, CPHQ, CSSBB, FNAHQ, FACHE, Consulting Editor

SleeCChristina Slee is the director of Quality and Safety at the UC Davis Medical Center. Her work focuses on patient safety, quality outcomes, clinical pathway development, and communication about hospital safety culture. She has more than 20 years of experience in managing large multi-site clinical trials exploring communication interventions to improve patient outcomes in cancer pain control and depression screening and treatment. She has also conducted comparative effectiveness research, exploring the use of tamoxifen for breast cancer chemoprevention and surveillance strategies for women who have been treated for cervical intraepithelial neoplasia, in efforts to improve clinical guidelines.

Ms. Slee earned an MPH in Public Health Policy and Administration, with a concentration in Maternal and Child Health, from the University of Michigan. She is a fellow of both the National Association of Healthcare Quality and the American College of Healthcare Executives.


Glen L. Xiong, MD, Consulting Editor

XiongGlen Dr. Xiong is a Health Sciences Associate Clinical Professor in the Department of Psychiatry and Behavioral Sciences at UC Davis. He has previously served as Medical Director of Inpatient Psychiatry and Skilled Nursing Facilities and as Associate Director of the Education Core of the UC Davis Alzheimer’s Disease Center (ADC). His academic research focuses on psychiatric medication safety, dementia care, and preventive medicine in people with serious mental illness. He has published over 100 journal articles and book chapters in these areas and recently co-edited the 2nd edition of Primary Care Psychiatry. In his clinical practice, Dr. Xiong sees patients at the UC Davis ADC; he also conducts rounds with students and residents as part of their geriatrics and geropsychiatry rotation in skilled nursing facilities. He is currently conducting research into use of telepsychiatry in skilled nursing facilities, supported by NIH and AHRQ.

Dr. Xiong earned his MD from UC Davis and completed his post-graduate residency training, in both psychiatry and internal medicine, at Duke University Medical Center. He is board-certified by the American Board of Neurology and Psychiatry, the American Board of Internal Medicine, and the American Medical Directors Association of Post-Acute and Long-Term Care Medicine.


Meghan Weyrich, MPH, Project Director/Managing Editor

weyrichMMeghan Weyrich is a health policy research associate with the University of California, Davis Center for Healthcare Policy and Research. She has extensive experience managing research projects of varying scales and complexities, particularly in the areas of patient safety and evidence-based practice. She currently supports work involving the Agency for Healthcare Research and Quality (AHRQ) and Centers for Medicare and Medicaid (CMS) and their respective quality indicator and patient safety programs. Ms. Weyrich works with the Kaiser Permanente Evidence-based Practice Center (EPC) to produce systematic evidence reviews for AHRQ that are used by the U.S. Preventive Services Task Force to update their clinical preventive service recommendations in primary care. She is also a contributor to the California Health Benefits Review Program (CHBRP), providing medical effectiveness analyses of proposed California legislation impacting health insurance benefit mandates. Ms. Weyrich earned her MPH from Boston University.


Belinda Martineau, PhD, Development Editor

Belinda Martineau Belinda Martineau is a science writer/editor with the Center for Healthcare Policy and Research at the University of California, Davis. She has authored two books and dozens of articles for scientific and lay audiences, and has been helping natural, social and medical scientists write papers, theses and grants for more than 20 years. Dr. Martineau received her bachelor’s degree in biology from Harvard University and her PhD in genetics from UC Berkeley; she was a postdoctoral fellow in the Department of Molecular Genetics and Cell Biology at the University of Chicago.