- Global Health and Surgery
- Cardiac, Anesthesia and Surgical Outcomes
- Global Health Workforce Issues
- Intensive Care Unit Cognitive Disorders
- Family and Patient Care in Intensive Care Units
- Global Maternal and Child Health
- Health Systems, Economic Evaluations, Quality of Life
- Airway Management and Intubation Techniques
- Geriatric Care and Nursing Homes
- Respiratory Support and Mechanisms
- Anesthesia and Sedative Agents
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Anesthesia and Neurotoxicity Research
- COVID-19 diagnosis using AI
- Machine Learning in Healthcare
- Cardiac Arrest and Resuscitation
- Optical Imaging and Spectroscopy Techniques
- Surgical Simulation and Training
- Skin Protection and Aging
- Simulation-Based Education in Healthcare
- Diversity and Career in Medicine
- Older Adults Driving Studies
- Antibiotic Use and Resistance
- Cardiovascular Conditions and Treatments
University of California, San Francisco
2018-2025
Riverside Methodist Hospital
2025
OhioHealth
2025
San Francisco General Hospital
2023
National Health Laboratory Service
2015-2019
Johannesburg Hospital
2015-2019
University of the Witwatersrand
2019
Busitema University
2018
Makerere University
2018
Uganda Management Institute
2018
BACKGROUND: There is a large global deficit of anesthesia providers. In 2016, the World Federation Societies Anaesthesiologists (WFSA) conducted survey to count number providers worldwide. Much work has taken place since then strengthen health workforce. This study updates METHODS: Between 2021 and 2023, an electronic was sent national professional societies physician (PAPs), nurse anesthetists, other nonphysician (NPAPs). Data included trainees, proportion females, limited intensive care...
Fingertip pulse oximeters are widely available, inexpensive, and commonly used to make clinical decisions in many settings. Device performance is largely unregulated poorly characterised, especially people with dark skin pigmentation.
A core component of delivering care head and neck diseases is an adequate workforce. The World Health Organization report, Multi-Country Assessment National Capacity to Provide Hearing Care, captured primary workforce estimates from 68 member states in 2012, noting that response rates were a limitation updated more comprehensive data are needed.
Some pulse oximeters perform worse in people with darker skin, and this may be due to inadequate diversity of skin pigment device development study cohorts. Guidance is needed accurately equitably characterize ensure research We tested multiple methods for characterizing assess comparability impact on cohort diversity. Assess reliability common measurement methodsCompare findings from different anatomical sitesDemonstrate that cannot assumed US National Institutes Health (NIH) race...
"Sociology of interprofessional healthcare practice: Critical reflections and concrete solutions." Journal Interprofessional Care, 26(5), p. 429
BACKGROUND: In Africa, most countries have fewer than 1 physician anesthesiologist (PA) per 100,000 population. Nonphysician anesthesia providers (NPAPs) play a large role in the workforce of many low- and middle-income (LMICs), but little information has been systematically collected to describe existing human resources for care models. An understanding PA NPAP training pathways roles is needed inform planning, especially critically underresourced countries. METHODS: Between 2016 2018, we...
Transportation access is a social determinant of health that hinders chronic care engagement for vulnerable populations. Few studies have examined how transportation interventions impact healthcare outcomes when implemented independently other tailored (i.e., multicomponent outreach programs). Data further limited rideshare initiatives. We conducted retrospective, descriptive analysis rideshare-based program pre- and post-operative patients as part quality improvement (QI) initiative at San...
Simulation is relatively new in many low-income countries. We describe the challenges encountered, solutions deployed, and costs incurred while establishing two simulation centers Uganda. The we experienced included equipment costs, difficulty procurement, lack of context-appropriate curricula, unreliable power, limited local teaching capacity, coordination among user groups. Solutions deployed improvisation equipment, customization low-cost software, creation context-specific administrative...
One aim of publicly-funded health care systems is to provide equitable access irrespective ability pay. At the same time, differences in socioeconomic status (SES) are associated with outcomes and care, including waiting times for surgery. In public where both high- low-SES patients use resources, may be adversely impacted surgical times. The purpose this study was determine whether a system can across status.Patient-level records were obtained from comprehensive provincially-administered...
Background. Infection is a common complication for patients in intensive care units (ICUs), and increasing antimicrobial resistance (AMR) major concern. It therefore crucial to monitor AMR patterns order support clinical decision-making stewardship strategies. Clinical microbiologists should provide annual cumulative antibiogram reports, which can be used guide initial empirical therapy the management of infections. Objectives. To analyse antibiograms Charlotte Maxeke Johannesburg Academic...
BACKGROUND: International standards for safe anesthetic care have been developed by the World Federation of Societies Anaesthesiologists (WFSA) and Health Organization (WHO). Whether these are met is unknown in many nations, including Guatemala, a country with universal health coverage. We aimed to establish an overview anesthesia capacity public surgical hospitals Guatemala help guide sector development. METHODS: In partnership Guatemalan Ministry Public Social Assistance (MSPAS), national...
One of the biggest barriers to accessing safe surgical and anesthetic care is lack trained providers. Uganda has one largest deficits in anesthesia providers world, though they are increasing number, remain concentrated capital city. Salary an oft-cited barrier rural job choice, yet size sources provider incomes unclear, so potential income loss from taking a unknown. Additionally, while salary augmentation common policy proposal increase uptake, relative importance non-monetary factors...
Background: Fingertip pulse oximeters are widely available, inexpensive, and commonly used to make clinical decisions in many settings. Device performance is largely unregulated poorly characterized, especially people with dark skin pigmentation. Methods: Eleven popular fingertip were evaluated using the US Food Drug Administration Guidance (2013) International Organization for Standardization Standards (2017) 34 healthy humans diverse pigmentation SaO2 plateaus between 70% 100%. Skin was...