Patrick S. Romano, M.D., M.P.H.
Patrick S. Romano, M.D., M.P.H.
Phone (916) 734-7237
Dr. Patrick Romano is Professor of Medicine and Pediatrics and Director of the Primary Care Outcomes Research faculty development program at University of California (UC) Davis School of Medicine. He is a graduate of Princeton University, Georgetown University School of Medicine, and the UC 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 UC San Francisco. His research interests include 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. Over the past 20 years, he has written or co-written 120 peer-reviewed papers and provided technical assistance to many agencies involved in measuring or reporting on health care quality, including the California Office of Statewide Health Planning and Development and Office of the Patient Advocate, the US Agency for Healthcare Research and Quality, and the international Organization for Economic Cooperation and Development. He has served on expert panels for the National Quality Forum, The Joint Commission, the National Committee for Quality Assurance, the World Health Organization, and UHC.
Screening mammography beliefs and recommendations: a web-based survey of primary care physicians. Yasmeen S, Romano PS, Tancredi DJ, Saito NH, Rainwater J, Kravitz RL. BMC Health Serv Res. 2012 Feb 6;12(1):32. [Epub ahead of print]
International comparability of patient safety indicators in 15 OECD member countries: a methodological approach of adjustment by secondary diagnoses. Drösler SE, Romano PS, Tancredi DJ, Klazinga NS. Health Serv Res. 2012 Feb;47(1 Pt 1):275-92. doi: 10.1111/j.1475-6773.2011.01290.x. Epub 2011 Jul 15.
The ACGME's 2011 Changes to Resident Duty Hours: Are They an Unfunded Mandate on Teaching Hospitals? Romano PS, Volpp K. J Gen Intern Med. 2012 Feb;27(2):136-8.
Accuracy of Parental Report and Electronic Health Record Documentation as Measures of Diet and Physical Activity Counseling. Shaikh U, Nettiksimmons J, Bell RA, Tancredi D, Romano PS. Acad Pediatr. 2011 Dec 22. [Epub ahead of print]
Assessment of a novel hybrid Delphi and Nominal Groups technique to evaluate quality indicators. Davies S, Romano PS, Schmidt EM, Schultz E, Geppert JJ, McDonald KM. Health Serv Res. 2011 Dec;46(6pt1):2005-18. doi: 10.1111/j.1475-6773.2011.01297.x. Epub 2011 Jul 25.
Impact of public reporting of coronary artery bypass graft surgery performance data on market share, mortality, and patient selection. Romano PS, Marcin JP, Dai JJ, Yang XD, Kravitz RL, Rocke DM, Dharmar M, Li Z. Med Care. 2011 Dec;49(12):1118-25.
Using the Agency for Healthcare Research and Quality Patient Safety Indicators for Targeting Nursing Quality Improvement. Zrelak PA, Utter GH, Sadeghi B, Cuny J, Baron R, Romano PS. J Nurs Care Qual. 2011 Nov 2.
[ICD-10 adaptation of 15 Agency for Healthcare Research and Quality patient safety indicators]. Januel JM, Couris CM, Luthi JC, Halfon P, Trombert-Paviot B, Quan H, Drosler S, Sundararajan V, Pradat E, Touzet S, Wen E, Shepheard J, Webster G, Romano PS, So L, Moskal L, Tournay-Lewis L, Sundaresan L, Kelley E, Klazinga N, Ghali WA, Colin C, Burnand B; International Methodology Consortium for Coded Health Information (IMECCHI). Rev Epidemiol Sante Publique. 2011 Oct;59(5):341-50. Epub 2011 Sep 6. French.
Expanding the uses of AHRQ's prevention quality indicators: validity from the clinician perspective. Davies S, McDonald KM, Schmidt E, Schultz E, Geppert J, Romano PS. Med Care. 2011 Aug;49(8):679-85.
Comorbidities and mammography use interact to explain racial/ethnic disparities in breast cancer stage at diagnosis. Yasmeen S, Xing G, Morris C, Chlebowski RT, Romano PS. Cancer. 2011 Jul 15;117(14):3252-61. doi: 10.1002/cncr.25857. Epub 2011 Jan 18.
Annual report on health care for children and youth in the United States: focus on trends in hospital use and quality. Friedman B, Berdahl T, Simpson LA, McCormick MC, Owens PL, Andrews R, Romano PS. Acad Pediatr. 2011 Jul-Aug;11(4):263-79. Epub 2011 Jun 2.
Positive predictive value of the AHRQ Patient Safety Indicator "Postoperative Sepsis": implications for practice and policy. Cevasco M, Borzecki AM, Chen Q, Zrelak PA, Shin M, Romano PS, Itani KM, Rosen AK. J Am Coll Surg. 2011 Jun;212(6):954-61. Epub 2011 Apr 7.
How valid is the AHRQ Patient Safety Indicator "postoperative respiratory failure"? Borzecki AM, Kaafarani HM, Utter GH, Romano PS, Shin MH, Chen Q, Itani KM, Rosen AK. J Am Coll Surg. 2011 Jun;212(6):935-45. Epub 2011 Apr 7.
The impact of resident duty hour reform on hospital readmission rates among medicare beneficiaries. Press MJ, Silber JH, Rosen AK, Romano PS, Itani KM, Zhu J, Wang Y, Even-Shoshan O, Halenar MJ, Volpp KG. J Gen Intern Med. 2011 Apr;26(4):405-11. Epub 2010 Nov 6.
Positive predictive value of the agency for healthcare research and quality patient safety indicator for central line-related bloodstream infection ("selected infections due to medical care"). Zrelak PA, Sadeghi B, Utter GH, Baron R, Tancredi DJ, Geppert JJ, Romano PS. J Healthc Qual. 2011 Mar-Apr;33(2):29-36. doi: 10.1111/j.1945-1474.2010.00114.x. Epub 2011 Jan 11.
Comorbidities and mammography use interact to explain racial/ethnic disparities in breast cancer stage at diagnosis. Yasmeen S, Xing G, Morris C, Chlebowski RT, Romano PS. Cancer. 2011 Jan 18. doi: 10.1002/cncr.25857. [Epub ahead of print]
Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Utter GH, Borzecki AM, Rosen AK, Zrelak PA, Sadeghi B, Baron R, Cuny J, Kaafarani HM, Geppert JJ, Romano PS. Jt Comm J Qual Patient Saf. 2011 Jan;37(1):20-8.
Residency training at a crossroads: duty-hour standards 2010. Volpp KG, Friedman W, Romano PS, Rosen A, Silber JH. Ann Intern Med. 2010 Dec 21;153(12):826-8. Epub 2010 Oct 18.
Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? Utter GH, Cuny J, Sama P, Silver MR, Zrelak PA, Baron R, Drösler SE, Romano PS. J Am Coll Surg. 2010 Sep;211(3):347-354.e1-29. Epub 2010 Jul 13.
Quality-of-life and surgical treatments for rectal cancer--a longitudinal analysis using the California Cancer Registry. Smith-Gagen J, Cress RD, Drake CM, Romano PS, Yost KJ, Ayanian JZ. Psychooncology. 2010 Aug;19(8):870-8.
Evaluation of the predictive value of ICD-9-CM coded administrative data for venous thromboembolism in the United States. White RH, Garcia M, Sadeghi B, Tancredi DJ, Zrelak P, Cuny J, Sama P, Gammon H, Schmaltz S, Romano PS. Thromb Res. 2010 Jul;126(1):61-7. Epub 2010 Apr 28.
Re: Does aspirin have a role in venous thromboembolism prophylaxis in total knee arthroplasty patients? White RH, Meehan JP, Romano PS. J Arthroplasty. 2010 Jun;25(4):667; author reply 667-8. Epub 2010 Jan 22.
Cases of iatrogenic pneumothorax can be identified from ICD-9-CM coded data. Sadeghi B, Baron R, Zrelak P, Utter GH, Geppert JJ, Tancredi DJ, Romano PS. Am J Med Qual. 2010 May-Jun;25(3):218-24.
Impact of public reporting on access to coronary artery bypass surgery: the California Outcomes Reporting Program. Li Z, Carlisle DM, Marcin JP, Castellanos LR, Romano PS, Young JN, Amsterdam EA. Ann Thorac Surg. 2010 Apr;89(4):1131-8.
Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator. Utter GH, Zrelak PA, Baron R, Tancredi DJ, Sadeghi B, Geppert JJ, Romano PS. Ann Surg. 2009 Dec;250(6):1041-5.
How valid is the ICD-9-CM based AHRQ patient safety indicator for postoperative venous thromboembolism? White RH, Sadeghi B, Tancredi DJ, Zrelak P, Cuny J, Sama P, Utter GH, Geppert JJ, Romano PS. Med Care. 2009 Dec;47(12):1237-43.
Effects of resident duty hour reform on surgical and procedural patient safety indicators among hospitalized Veterans Health Administration and Medicare patients. Rosen AK, Loveland SA, Romano PS, Itani KM, Silber JH, Even-Shoshan OO, Halenar MJ, Teng Y, Zhu J, Volpp KG. Med Care. 2009 Jul;47(7):723-31.
Did Duty Hour Reform Lead to Better Outcomes Among the Highest Risk Patients? Volpp KG, Rosen AK, Rosenbaum PR, Romano PS, Itani KM, Bellini L, Even-Shoshan O, Cen L, Wang Y, Halenar MJ, Silber JH. J Gen Intern Med. 2009 May 20. [Epub ahead of print]
Application of patient safety indicators internationally: a pilot study among seven countries. Drösler SE, Klazinga NS, Romano PS, Tancredi DJ, Gogorcena Aoiz MA, Hewitt MC, Scobie S, Soop M, Wen E, Quan H, Ghali WA, Mattke S, Kelley E. Int J Qual Health Care. 2009 Apr 24. [Epub ahead of print]
Hospital teaching intensity, patient race, and surgical outcomes. Silber JH, Rosenbaum PR, Romano PS, Rosen AK, Wang Y, Teng Y, Halenar MJ, Even-Shoshan O, Volpp KG. Arch Surg. 2009 Feb;144(2):113-20; discussion 121.
Validity of selected AHRQ patient safety indicators based on VA National Surgical Quality Improvement Program data. Romano PS, Mull HJ, Rivard PE, Zhao S, Henderson WG, Loveland S, Tsilimingras D, Christiansen CL, Rosen AK. Health Services Research. 2009 Feb;44(1):182-204. Epub 2008 Sep 17.
Survival enhancing indications for coronary artery bypass graft surgery in California. Li Z, Kravitz RL, Marcin JP, Romano PS, Rocke DM, Denton TA, Brindis RG, Dai J, Amsterdam EA. BMC Health Services Research. 2008 Dec 16;8(1):257.
Quality of care of children in the emergency department: association with hospital setting and physician training. Dharmar M, Marcin JP, Romano PS, Andrada ER, Overly F, Valente JH, Harvey DJ, Cole SL, Kuppermann N. Journal of Pediatrics. 2008 Dec;153(6):783-9. Epub 2008 Jul 10.
Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. McDonald KM, Davies SM, Haberland CA, Geppert JJ, Ku A, Romano PS. Pediatrics. 2008 Aug;122(2):e416-25.
Quality of Care of Children in the Emergency Department: Association with Hospital Setting and Physician Training. Dharmar M, Marcin JP, Romano PS, Andrada ER, Overly F, Valente JH, Harvey DJ, Cole SL, Kuppermann N. Journal of Pediatrics. 2008 Jul 10.
How often are potential patient safety events present on admission? Houchens RL, Elixhauser A, Romano PS. Joint Commission Journal on Quality and Patient Safety. 2008 Mar;34(3):154-63.
The CABG surgery volume-outcome relationship: temporal trends and selection effects in California, 1998-2004. Marcin JP, Li Z, Kravitz RL, Dai JJ, Rocke DM, Romano PS. Health Services Research. 2008 Feb;43(1 Pt 1):174-92.
Using patient safety indicators to estimate the impact of potential adverse events on outcomes. Rivard PE, Luther SL, Christiansen CL, Shibei Zhao , Loveland S, Elixhauser A, Romano PS, Rosen AK. Medical Care Research and Review. 2008 Feb;65(1):67-87.
Medication Errors Among Acutely Ill and Injured Children Treated in Rural Emergency Departments. Marcin JP, Dharmar M, Cho M, Seifert LL, Cook JL, Cole SL, Nasrollahzadeh F, Romano PS. Ann Emerg Med. 2007 Apr 10; [Epub ahead of print]
Tracking rates of Patient Safety Indicators over time: lessons from the Veterans Administration. Rosen AK, Zhao S, Rivard P, Loveland S, Montez-Rath ME, Elixhauser A, Romano PS. Med Care. 2006 Sep;44(9):850-61
Incidence of cervical cytological abnormalities with aging in the women's health initiative: a randomized controlled trial.
Yasmeen S, Romano PS, Pettinger M, Johnson SR, Hubbell FA, Lane DS, Hendrix SL.
Obstet Gynecol. 2006 Aug;108(2):410-9
Identifying priorities in methodological research using ICD-9-CM and ICD-10 administrative data: report from an international consortium.
De Coster C, Quan H, Finlayson A, Gao M, Halfon P, Humphries KH, Johansen H, Lix LM, Luthi JC, Ma J, Romano PS, Roos L, Sundararajan V, Tu JV, Webster G, Ghali WA.
BMC Health Serv Res. 2006 Jun 15;6:77
Accuracy of obstetric diagnoses and procedures in hospital discharge data.
Yasmeen S, Romano PS, Schembri ME, Keyzer JM, Gilbert WM.
Am J Obstet Gynecol. 2006 Apr;194(4):992-1001
The treatment of hip fractures: variations in care.
Lieberman JR, Romano PS, Mahendra G, Keyzer J, Chilcott M.
Clin Orthop Relat Res. 2006 Jan;442:239-44
California surveillance for pesticide-related illness and injury: coverage, bias, and limitations.
Mehler LN, Schenker MB, Romano PS, Samuels SJ.
J Agromedicine. 2006;11(2):67-79
Lifestyle risk factors predict healthcare costs in an aging cohort.
Leigh JP, Hubert HB, Romano PS.
Am J Prev Med. 2005 Dec;29(5):379-87.