A5005160350- Patient Safety and Medication Errors
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Telemedicine and Telehealth Implementation
- Mental Health and Patient Involvement
- Patient-Provider Communication in Healthcare
- Healthcare Systems and Technology
- Medical Malpractice and Liability Issues
- Emergency and Acute Care Studies
- COVID-19 and healthcare impacts
- Social Media in Health Education
- Pharmaceutical Practices and Patient Outcomes
- Empathy and Medical Education
- Adolescent Sexual and Reproductive Health
- Sexual Assault and Victimization Studies
- COVID-19 Digital Contact Tracing
- Vaccine Coverage and Hesitancy
- Misinformation and Its Impacts
- Interprofessional Education and Collaboration
- Chronic Disease Management Strategies
- Nonmelanoma Skin Cancer Studies
- Clinical Reasoning and Diagnostic Skills
- Healthcare Policy and Management
- Electronic Health Records Systems
- Workplace Violence and Bullying
San Francisco General Hospital
2018-2025
University of California, San Francisco
2016-2025
Chandigarh University
2024
Saras Environment Consultant
2024
Center for Excellence in Education
2016-2023
University of Zimbabwe-University of California San Francisco
2021
Altera (United States)
2020
Institute of Medical Sciences
2019
All India Institute of Medical Sciences Bhopal
2015
All India Institute of Medical Sciences Raipur
2015
Patients and caregivers play a central role in health care safety the hospital, ambulatory setting, community. Despite this, interventions to promote patient engagement are still underexplored. We conducted an overview of review articles on examine current state evidence. Of 2,795 references we evaluated, 52 met our full-text inclusion criteria for synthesis 2018. identified robust evidence supporting patients’ self-management anticoagulation medications mixed-quality medication chronic...
In the wake of racial injustices laid bare in 2020, on top centuries systemic racism, it is clear we need actionable strategies to fundamentally restructure health care systems achieve racial/ethnic equity. This paper outlines pillars a equity framework from Institute for Healthcare Improvement, overlaying concrete example telemedicine Telemedicine particularly relevant and important topic, given growing evidence disparities uptake by racial/ethnic, linguistic, socioeconomic groups United...
<h3>Context and Objective:</h3> Patient advisory councils (PACs) are a strategy for primary care clinics to engage patients in practice improvement. However, there is scant research on how PACs function. This study aimed understand organized identify common challenges perceived benefits of high-functioning PACs. <h3>Setting Population:</h3> Key informants identified 8 California with Leaders from each the nominated 1 clinic staff member PAC patient be interviewed. <h3>Study Design:</h3>...
<h3>PURPOSE</h3> Health coaching is effective for chronic disease self-management in the primary care safety-net setting, but little known about persistence of its benefits. We conducted an observational study evaluating maintenance improved cardiovascular risk factors following a health intervention. <h3>METHODS</h3> performed naturalistic follow-up to Coaching Primary Care Study, 12-month randomized controlled trial (RCT) comparing usual patients with uncontrolled diabetes, hypertension,...
Patient engagement is a fundamental strategy for achieving patient centred care and receiving increasing attention in primary reform efforts such as the patient-centred medical home related models. Much of prior published theory evidence supporting has focused on improving individual care. less understood about engaging patients partners practice improvement at clinic or level. We review historical policy context growing interest USA UK level, highlight findings from systematic reviews...
The COVID-19 pandemic prompted safety-net health care systems to rapidly implement telemedicine services with little prior experience, causing disparities in access virtual visits. While much attention has been given patient barriers, less is known regarding system-level factors influencing telephone versus video-visit adoption. As remains a preferred service for patients and providers, reimbursement parity will not continue audio visits, must evaluate how support higher-quality video visit...
Objectives/Goals: This project provides a framework for collaborative design of health technology intervention. We aim to provide guidance those seeking incorporate community-informed insights into their intervention development, particularly within the context large randomized controlled trial. Methods/Study Population: As part patient engagement arm Championing Hypertension Remote Monitoring Equity and Dissemination study, we designed patient-facing components home hypertension monitoring...
Objective. The COVID-19 pandemic prompted unprecedented expansion of telemedicine services. We sought to describe clinician experiences providing publiclyinsured, lowincome patients during COVID-19. Methods. Online survey ambulatory clinicians in an urban safetynet hospital system, conducted May 28, 2020–July 14, 2020. Results. Among 311 participants (response rate 48.3%), 34.7% (n=108/311) practiced primary/urgent care, 37.0% (n=115/311) medical specialty, and 7.7% (n=24/311) surgical...
<h3>Introduction:</h3> Emerging policy consensus advocates that patient-centered care should include an active, practice-level patient role, but it is unknown how commonly these roles are implemented. We sought to understand current prevalence and predictors of engagement in US primary settings. <h3>Methods:</h3> assessed by using 2016 American Board Family Medicine Certification Examination registration data, restricted ambulatory site respondents randomly selected for a medical home (PCMH)...
Abstract Objective Despite three decades of effort, ensuring inpatient safety remains elusive. Patients and family members are a potential source observations, but systems gathering these limited. Our goal was to test system gather observations from hospitalized patients their via real‐time mobile health tool. Methods We developed mobile‐responsive website for reporting observations. piloted the tool during June 2017–April 2018 on medical–surgical unit children's hospital. Participants were...
The social media site Twitter has 145 million daily active users worldwide and become a popular forum for to communicate their health care concerns experiences as patients. In the fall of 2018, hashtag titled #DoctorsAreDickheads emerged, with almost 40,000 posts calling attention experiences.This study aims identify common conditions conceptual themes represented within phenomenon this viral hashtag.We analyzed random sample 5.67% (500/8818) available tweets qualitative analysis between...
The aim of the study was to analyze diverse patients' experiences throughout medication use process inform development overarching interventions that support safe in community settings.Using a qualitative observational approach, we conducted approximately 18 hours direct observation across multiple settings for sample vulnerable, high-risk patients. Observers recorded detailed field notes during observations. To enrich findings, also six semistructured interviews with safety experts...
Safety-net health care systems, serving vulnerable populations, see longer delays to timely colonoscopy after a positive fecal occult blood test (FOBT), which may contribute existing disparities. We sought identify root causes of delay FOBT result in the primary safety net.