- Internal Medicine
Clinical Assistant Professor, Medicine
Member, Care Transitions Initiative, Stanford ValleyCare (2018 - Present)
Co-Chair, Core Measures Committee, Stanford ValleyCare (2018 - Present)
Physician Assistant Rotation Clerkship Director, Stanford ValleyCare (2018 - Present)
Medical Education: University of Southern California Keck School of Medicine (2014) CA
Residency: Stanford University Internal Medicine Residency (2017) CA
Board Certification: American Board of Internal Medicine, Internal Medicine (2017)
The Wish Project, Stanford ValleyCare (2018)
The Wish Project seeks to enhance care at end-of-life by granting small wishes reflective of the patient.
The Wish Project: Implementation of a Low-Cost End-of-Life Intervention in a Community Setting
ELSEVIER SCIENCE INC. 2022: 895-896
View details for Web of Science ID 000812783700226
How Much Time are Physicians and Nurses Spending Together at the Patient Bedside?
Journal of hospital medicine
2019; 14: E1–E6
BACKGROUND: Bedside rounding involving both nurses and physicians has numerous benefits for patients and staff. However, precise quantitative data on the current extent of physician-nurse (MD-RN) overlap at the patient bedside are lacking.OBJECTIVE: This study aimed to examine the frequency of nurse and physician overlap at the patient beside and what factors affect this frequency.DESIGN: This is a prospective, observational study of time-motion data generated from wearable radio frequency identification (RFID)-based locator technology.SETTING: Single-institution academic hospital.MEASUREMENTS: The length of physician rounds, frequency of rounds that include nurses simultaneously at the bedside, and length of MD-RN overlap were measured and analyzed by ward, day of week, and distance between patient room and nursing station.RESULTS: A total of 739 MD rounding events were captured over 90 consecutive days. Of these events, 267 took place in single-bed patient rooms. The frequency of MD-RN overlap was 30.0%, and there was no statistical difference between the three wards studied. Overall, the average length of all MD rounds was 7.31 ± 0.58 minutes, but rounding involving a bedside nurse lasted longer than rounds with MDs alone (9.56 vs 5.68 minutes, P < .05). There was no difference in either the length of rounds or the frequency of MD-RN overlap between weekdays and weekends. Finally, patient rooms located farther away from the nursing station had a lower likelihood of MD-RN overlap (Pearson's r = -0.67, P < .05).CONCLUSION: RFID-based technology provides precise, automated, and high-throughput time-motion data to capture nurse and physician activity. At our institution, 30.0% of rounds involve a bedside nurse, highlighting a potential barrier to bedside interdisciplinary rounding.
View details for DOI 10.12788/jhm.3204
View details for PubMedID 31112496