Dr. Romano's clinical and research interests focus on measuring, comparing and improving quality of care; injury epidemiology and prevention; and socioeconomic and cultural differences in access and quality of care.
M.D., Georgetown University School of Medicine, Washington, D.C., 1984
M.P.H., UC Berkeley School of Public Health, Berkeley, California, 1990
A.B., Princeton University, Princeton, New Jersey, 1979
University Hospitals of Cleveland and Cleveland Metropolitan General Hospital, Cleveland, Ohio, 1984-1988
Institute for Health Policy Studies, University of California, San Francisco, San Francisco, California, 1988-1990
American Board of Internal Medicine, 1989
American Board of Pediatrics, 1989
Academy for Health Services Research and Health Policy
American Academy of Pediatrics
American College of Physicians
American Public Health Association
Society of General Internal Medicine
Honors and Awards
UC Davis School of Medicine Dean's Award for Excellence in Research, 2010
UC Davis School of Medicine Dean's Award for Excellence in Mentoring, 2000
Select Recent Publications
Cevasco M, Borzecki AM, Chen Q, Zrelak PA, Shin M, Romano PS, Itani KM, Rosen AK. Positive predictive value of the AHRQ Patient Safety Indicator "Postoperative Sepsis": implications for practice and policy. J Am Coll Surg. 2011 Jun;212(6):954-61. Epub 2011 Apr 7.
Friedman B, Berdahl T, Simpson LA, McCormick MC, Owens PL, Andrews R, Romano PS. Annual report on health care for children and youth in the United States: focus on trends in hospital use and quality. Acad Pediatr. 2011 Jul-Aug;11(4):263-79. Epub 2011 Jun 2.
Shaikh U, Nettiksimmons J, Romano P. Pediatric obesity management in rural clinics in California and the role of telehealth in distance education. J Rural Health. 2011 Summer;27(3):263-9. doi: 10.1111/j.1748-0361.2010.00335.x. Epub 2010 Oct 1.
Press MJ, Silber JH, Rosen AK, Romano PS, Itani KM, Zhu J, Wang Y, Even-Shoshan O, Halenar MJ, Volpp KG. The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries. J Gen Intern Med. 2011 Apr;26(4):405-11. Epub 2010 Nov 6.
Utter GH, Borzecki AM, Rosen AK, Zrelak PA, Sadeghi B, Baron R, Cuny J, Kaafarani HM, Geppert JJ, Romano PS. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Qual Patient Saf. 2011 Jan;37(1):20-8.
Yasmeen S, Xing G, Morris C, Chlebowski RT, Romano PS. Comorbidities and mammography use interact to explain racial/ethnic disparities in breast cancer stage at diagnosis. Cancer. 2011 Jul 15;117(14):3252-61. doi: 10.1002/cncr.25857.
Zrelak PA, Sadeghi B, Utter GH, Baron R, Tancredi DJ, Geppert JJ, Romano PS. Positive predictive value of the Agency for Healthcare Research and Quality Patient Safety Indicator for central line-related bloodstream infection (
White RH, Garcia M, Sadeghi B, Tancredi DJ, Zrelak P, Cuny J, Sama P, Gammon H, Schmaltz S, Romano PS. Evaluation of the predictive value of ICD-9-CM coded administrative data for venous thromboembolism in the United States. Thromb Res. 2010 Jul;126(1):61-7. Epub 2010 Apr 28.
Utter GH, Cuny J, Sama P, Silver MR, Zrelak PA, Baron R, Drösler SE, Romano PS. Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator? J Am Coll Surg. 2010 ep;211(3):347-354.e1-29. Epub 2010 Jul 13.
Li Z, Carlisle DM, Marcin JP, Castellanos LR, Romano PS, Young JN, Amsterdam EA. Impact of public reporting on access to coronary artery bypass surgery: the California Outcomes Reporting Program. Ann Thorac Surg. 2010 Apr;89(4):1131-8.
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.
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 0, Cen L, Wang Y, Halenar MJ, Silber JH. J Gen Intern Med. 2009 May 20. [Epub ahead of print]
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.
Application of patient safety indicators internationally: a pilot study among seven countries. Drosler 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]
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.
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.
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.
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.
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.
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.
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.