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Ryan Padrez, MD

  • Ryan C Padrez

Work and Education

Professional Education

University of California at San Francisco School of Medicine, San Francisco, CA, 05/31/2011

Residency

UCSF Pediatric Department, San Francisco, CA, 6/30/2015

Board Certifications

Pediatrics, American Board of Pediatrics

Services

Pediatrics

All Publications

Keeping Time: Implementing Appointment-based Family-centered Rounds. Pediatric quality & safety Bekmezian, A., Fiore, D. M., Long, M., Monash, B. J., Padrez, R., Rosenbluth, G., Sun, K. I. 2019; 4 (4): e182

Abstract

Background: Family-centered rounds (FCRs) provide many benefits over traditional rounds, including higher patient satisfaction, and shared mental models among staff. These benefits can only be achieved when key members of the care team are present and engaged. We aimed to improve patient engagement and satisfaction with our existing bedside rounds by designing a new FCR process.Methods: We conducted a needs assessment and formed a multidisciplinary FCR committee that identified appointment-based family-centered rounds (aFCRs) as a primary intervention. We designed, implemented, and iteratively refined an aFCR process. We tracked process metrics (rounds attendance by key participants), a balancing metric (time per patient), and outcome metrics (patient satisfaction domains) during the intervention and follow-up periods.Results: After implementing aFCR, 65% of patients reported positive experience with rounds and communication. Rounds duration per patient was similar (9 versus 9.4min). Nurse, subspecialist, and interpreter attendance on rounds was 72%, 60%, and 90%, respectively. We employed a Rounding Coordinator to complete the scheduling and communication required for successful aFCR.Discussion: We successfully improved our rounding processes through the introduction of aFCR with the addition of a rounding coordinator. Our experience demonstrates one method to increase multidisciplinary team member attendance on rounds and patient satisfaction with physician communication in the inpatient setting.

View details for DOI 10.1097/pq9.0000000000000182

View details for PubMedID 31572884

Stepping Out of the Walls of the Clinic: Integrating Health and Education Journal of the San Francisco Marin Medical Society Padrez, R. 2018; 91 (8): 23-24

View details for DOI 10.1016/j.acap.2017.04.006

View details for PubMedID 28428096

Developing the PedsValue Modules - A National Pediatric High Value Care Curriculum. Academic pediatrics Avery, C. S., Beck, J., Padrez, R., LaRue Walker, L., Herrmann, L. E., Woods, S., Schroeder, A. R., Schickedanz, A. 2017

View details for DOI 10.1016/j.jacr.2016.10.006

View details for PubMedID 28017272

R-SCAN: Imaging for Pediatric Minor Head Trauma. Journal of the American College of Radiology Lee, S., Grant, G. A., Fisher, P. G., Imler, D., Padrez, R., Avery, C., Sharp, A. L., Wintermark, M. 2017; 14 (2): 294-297
The impact of moderate-vigorous intensity physical education class immediately prior to standardized testing on student test-taking behaviors MENTAL HEALTH AND PHYSICAL ACTIVITY Thompson, H. R., Duvall, J., Padrez, R., Rosekrans, N., Madsen, K. A. 2016; 11: 712

View details for DOI 10.1586/14737167.7.5.423

View details for PubMedID 20528386

Using Your Voice Effectively: Advocacy as a Resident Journal of the San Francisco Medical Society Padrez, R. 2011; 84 (10)
Better evidence for real healthcare reform. Expert review of pharmacoeconomics & outcomes research Redberg, R., Padrez, R. 2007; 7 (5): 423-426
The Medicare Drug Benefit: Implications for California White, C., Blum, J., Padrez, R. The California Healthcare Foundation. www.chcf.org. 2005 ; Issue Brief
The Medicare Drug Benefit: Implications for Chronic Disease Care White, C., Blum, J., Padrez, R., Gustafsson, L. The California Healthcare Foundation. www.chcf.org. 2005 ; Issue Brief
The Use of Oregon's Evidence-based Reviews for Medicaid Pharmacy Policies: The Experiences in Four States Padrez, R., Carino, T., Blum, J., Mendelson, D. The Kaiser Family Foundation. www.kff.org. 2005
Oregon's Medicaid PDL: Will an Evidence-based Formulary with Voluntary Compliance set a Precedent for Medicaid? Bernasek, C., Mendelson, D., Padrez, R., Harrington, C. The Kaiser Family Foundation. www.kff.org. 2004