Continuous Quality Improvement
David Leach Award
Our multidisciplinary group at University of Washington Medical Center received the ACGME David Leach Award for our coordinated project focusing on enhancing vigilance for post-operative patients through standardized post-operative checklist.

Highest Quality Care

Regardless of where we practice medicine, it is up to us as individual physicians to ensure the highest quality of care that we can deliver to our patients. At each location, the demography and cultural composition of our patients have revealed different approaches to language barriers, self-understanding of disease, and even the perception of pain.

As a physician, I wrote a recent essay that describes the obstacles I believe most significantly impede the adoption of standards of healthcare delivery in these diverse settings.

I have obtained Six Sigma and LEAN certification and patient safety curricula, and published work on outcomes-based research studies and clinical trials on informatics tools in peer-reviewed journals.

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Medical Device Consulting
I also work with a network of interventional pain specialists to evaluate and provide non-opioid treatments for patients with long-standing pain due to accidental injury.


Perioperative Workflow Optimization with Lean management system

  • Workspace organization for perioperative areas, including operating room (OR), pre-operative and post-anesthesia care unit (PACU).
  • Collaborative efforts with sugical services, materials maangement & engineering, and pharmacy
  • JCAHO site visit readiness optimization

Continuous Practice Improvement with Six Sigma DMAIC

  • Best practices (e.g. evidence-based) evaluation and implementation to improve perioperative management of patients.
  • Cataloging and direct comparison of practices in the Los Angeles area
  • Patient safety measures assessment and interventions
  • Billing and Compliance measures (e.g. AQI NACOR, CMMS, MACRA MIPS)
  • Shared mental model implementation
  • Cost-Effectiveness Analyses
  • Secondary Data Use & Data Extraction
  • Research design, statistical methods, and manuscript preparation
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10 Things In The Operating Room I Cannot Do Without.

1.     Hand Hygiene - It is important to protect yourself from infection at all times. Furthermore, one must prevent the spread of germs which could severely affect sicker patients in the hospital.
2 & 3. Oral Airways / Ambu-Bag - It is necessary for the anesthesiologist to ventilate, or assist in exhalation of carbon dioxide from the patient. This is especially important in the beginning and end of surgery, as the lungs go off to sleep or start to work again, respectively.
4. Oxygen canister - Necessary if the anesthesia machine or the hospital oxygen pipeline system fails.
5. Suction canister - Aspiration due to vomiting is not uncommon at the beginning and end of surgery, especially if the patient has not adequately fasted. The anesthesiologist must detect and remove any contents from the mouth before they fall into the lungs.
6. Pulse oximeter - In addition to the blood pressure cuff and EKG, the pulse oximeter allows for a measurement of heart rate, calculated blood oxygen levels, and detection of blood flow at the farthest reaches of the body. And all in one simple instrument applied to the finger!
7. Bougie - A long, thin, flexible tool that allows anesthesiologist a conduit to place a breathing tube, especially in cases where the airway anatomy is more difficult than anticipated.
8. Laryngoscope and breathing tube ( not pictured) - Perhaps the most common tool used by every anesthesiologist to secure the airway and allow for oxygenation and ventilation in elective or emergency circumstances
9. IV start kit - An IV is placed in virtually every patient receiving surgery. It allows for the rapid delivery of important medications and fluid for hydration, and can allow for blood tests to track blood counts, electrolytes and presence of infection.
10. Epinephrine - The ultimate common emergency medication in CPR for cardiac arrest or unstable heart rhythms. A syringe allows the anesthesiologist to titrate smaller doses of medication if necessary.

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