Ralph Gonzales

Summary

Affiliation: University of California
Country: USA

Publications

  1. pmc A cluster randomized trial of decision support strategies for reducing antibiotic use in acute bronchitis
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
    JAMA Intern Med 173:267-73. 2013
  2. ncbi request reprint Antibiotic knowledge and self-care for acute respiratory tract infections in Mexico
    Ralph Gonzales
    University of California, San Francisco, California 94118, EUA
    Salud Publica Mex 54:152-7. 2012
  3. pmc A framework for training health professionals in implementation and dissemination science
    Ralph Gonzales
    Department of Medicine, University of California, San Francisco, School of Medicine, USA
    Acad Med 87:271-8. 2012
  4. ncbi request reprint A 65-year-old woman with acute cough illness and an important engagement
    Ralph Gonzales
    Medicine Grand Rounds of the Beth Israel Deaconess Medical Center, Boston, Mass, USA
    JAMA 289:2701-8. 2003
  5. pmc Drug Resistant Infections in Poor Countries: A shrinking window of opportunity
    Ralph Gonzales
    Clinical and Translational Sciences Institute KL2 Multidisciplinary Career Development Program, University of California, San Francisco, USA
    BMJ 336:948-9. 2008
  6. doi request reprint "Get smart Colorado": impact of a mass media campaign to improve community antibiotic use
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
    Med Care 46:597-605. 2008
  7. ncbi request reprint Antibiotic treatment of acute respiratory infections in acute care settings
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA 94118, USA
    Acad Emerg Med 13:288-94. 2006
  8. ncbi request reprint Impact of reducing antibiotic prescribing for acute bronchitis on patient satisfaction
    R Gonzales
    Division of General Internal Medicine, University of Colorado Health Sciences Center, Denver, Colo, USA
    Eff Clin Pract 4:105-11. 2001
  9. pmc The "minimizing antibiotic resistance in Colorado" project: impact of patient education in improving antibiotic use in private office practices
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA 94118, USA
    Health Serv Res 40:101-16. 2005
  10. doi request reprint Perceived social support among adults seeking care for acute respiratory tract infections in US EDs
    Sara K Levin
    Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
    Am J Emerg Med 27:582-7. 2009

Research Grants

  1. Minimizing Antibiotic Resistance in Colorado (MARC)
    Ralph Gonzales; Fiscal Year: 2004
  2. Improving Antibiotic Use in Acute Care Settings
    Ralph Gonzales; Fiscal Year: 2006

Detail Information

Publications71

  1. pmc A cluster randomized trial of decision support strategies for reducing antibiotic use in acute bronchitis
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
    JAMA Intern Med 173:267-73. 2013
    ..National quality indicators show little change in the overuse of antibiotics for uncomplicated acute bronchitis. We compared the effect of 2 decision support strategies on antibiotic treatment of uncomplicated acute bronchitis...
  2. ncbi request reprint Antibiotic knowledge and self-care for acute respiratory tract infections in Mexico
    Ralph Gonzales
    University of California, San Francisco, California 94118, EUA
    Salud Publica Mex 54:152-7. 2012
    ..To examine knowledge of and self-treatment with antibiotics among medically-insured adults in Mexico...
  3. pmc A framework for training health professionals in implementation and dissemination science
    Ralph Gonzales
    Department of Medicine, University of California, San Francisco, School of Medicine, USA
    Acad Med 87:271-8. 2012
    ..The authors encourage other training programs and institutions to use or adapt the design principles, conceptual framework, and proposed competencies to evaluate their current IDS training needs and to support new program development...
  4. ncbi request reprint A 65-year-old woman with acute cough illness and an important engagement
    Ralph Gonzales
    Medicine Grand Rounds of the Beth Israel Deaconess Medical Center, Boston, Mass, USA
    JAMA 289:2701-8. 2003
  5. pmc Drug Resistant Infections in Poor Countries: A shrinking window of opportunity
    Ralph Gonzales
    Clinical and Translational Sciences Institute KL2 Multidisciplinary Career Development Program, University of California, San Francisco, USA
    BMJ 336:948-9. 2008
  6. doi request reprint "Get smart Colorado": impact of a mass media campaign to improve community antibiotic use
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
    Med Care 46:597-605. 2008
    ..Large-scale strategies are needed to reduce overuse of antibiotics in US communities...
  7. ncbi request reprint Antibiotic treatment of acute respiratory infections in acute care settings
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA 94118, USA
    Acad Emerg Med 13:288-94. 2006
    ..To examine the patterns of antibiotic use for acute respiratory tract infections (ARIs) in acute care settings...
  8. ncbi request reprint Impact of reducing antibiotic prescribing for acute bronchitis on patient satisfaction
    R Gonzales
    Division of General Internal Medicine, University of Colorado Health Sciences Center, Denver, Colo, USA
    Eff Clin Pract 4:105-11. 2001
    ..Using a patient and clinician educational intervention, we successfully reduced antibiotic use for uncomplicated acute bronchitis. The impact of this intervention on patient satisfaction is not known...
  9. pmc The "minimizing antibiotic resistance in Colorado" project: impact of patient education in improving antibiotic use in private office practices
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA 94118, USA
    Health Serv Res 40:101-16. 2005
    ..To assess the marginal impact of patient education on antibiotic prescribing to children with pharyngitis and adults with acute bronchitis in private office practices...
  10. doi request reprint Perceived social support among adults seeking care for acute respiratory tract infections in US EDs
    Sara K Levin
    Department of Medicine, University of California, San Francisco, San Francisco, CA 94118, USA
    Am J Emerg Med 27:582-7. 2009
    ..Social support levels among adults seeking care in the ED for acute respiratory tract infections are similar to general population cohorts, suggesting that social support is not a strong determinant of health care seeking in EDs...
  11. ncbi request reprint Acceptability of a bilingual interactive computerized educational module in a poor, medically underserved patient population
    Bonnie A Leeman-Castillo
    Colorado Prevention Center, Denver, Colorado 80203, USA
    J Health Commun 12:77-94. 2007
    ..5; 95% CI: 1.0, 6.0). We conclude that an interactive computer module was well received among a medically underserved urgent care clinic population. Benefits appear greatest among populations having the least experience with this medium...
  12. doi request reprint ED antibiotic use for acute respiratory illnesses since pneumonia performance measure inception
    Christopher Fee
    Department of Emergency Medicine, University of California San Francisco, San Francisco, CA 94143, USA
    Am J Emerg Med 28:23-31. 2010
    ....
  13. pmc Pediatricians' perspectives on the impact of MRSA in primary care: a qualitative study
    Adam L Hersh
    Division of Pediatric Infectious Diseases, University of California, San Francisco, San Francisco, CA, USA
    BMC Pediatr 9:27. 2009
    ..It is unknown how this epidemic has impacted primary care pediatricians in terms of their practice patterns and barriers they face to providing recommended therapies...
  14. ncbi request reprint Unintended consequences of a quality measure for acute bronchitis
    Serena Roth
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
    Am J Manag Care 18:e217-24. 2012
    ..0)...
  15. pmc Antimicrobial drug prescribing for pneumonia in ambulatory care
    Conan MacDougall
    University of California School of Pharmacy, San Francisco, California, USA
    Emerg Infect Dis 11:380-4. 2005
    ..Clear and consistent guidelines are needed to address the role of fluoroquinolones in treatment of outpatient community-acquired pneumonia...
  16. doi request reprint C-reactive protein testing does not decrease antibiotic use for acute cough illness when compared to a clinical algorithm
    Ralph Gonzales
    Department of Medicine, University of California, San Francisco, San Francisco, California 94118, USA
    J Emerg Med 41:1-7. 2011
    ..01). Conclusions: Point-of-care CRP testing does not seem to provide any additional value beyond a point-of-care clinical decision support for reducing antibiotic use in adults with acute cough illness...
  17. pmc Sociodemographic trends in national ambulatory care visits for hepatitis C virus infection
    Judith I Tsui
    Division of General Internal Medicine, Department of Medicine, Boston University School of Medicine Boston Medical Center, 801 Massachusetts Ave, 2nd Floor, Boston, MA 02118, USA
    Dig Dis Sci 54:2694-8. 2009
    ..86) and patients on Medicaid vs. non-Medicaid (3.49; 1.79-6.80). Our results show that HCV-associated ambulatory care visits are increasing, with a greater proportion of visits occurring among non-white patients and Medicaid recipients...
  18. ncbi request reprint Office evaluation and treatment of elderly patients with acute bronchitis
    Michael A Steinman
    Division of Geriatrics, San Francisco VA Medical Center, San Francisco, California, USA
    J Am Geriatr Soc 52:875-9. 2004
    ..To assess the office evaluation of seniors with uncomplicated acute bronchitis and to determine the association between elements of the clinical evaluation and antibiotic prescribing decisions...
  19. ncbi request reprint Decreasing antibiotic use in ambulatory practice: impact of a multidimensional intervention on the treatment of uncomplicated acute bronchitis in adults
    R Gonzales
    Division of General Internal Medicine, Department of Medicine, University of Colorado Health Sciences Center, Denver 80262, USA
    JAMA 281:1512-9. 1999
    ..The emergence and spread of antibiotic-resistant Streptococcus pneumoniae in US communities is due, in part, to the excessive use of antibiotics for acute respiratory tract infections...
  20. doi request reprint A computerized education module improves patient knowledge and attitudes about appropriate antibiotic use for acute respiratory tract infections
    Erika Leemann Price
    Department of Medicine, University of California, San Francisco, CA, USA
    Patient Educ Couns 85:493-8. 2011
    ..Over-use of antibiotics for acute respiratory infections (ARIs) increases antimicrobial resistance, treatment costs, and side effects. Patient desire for antibiotics contributes to over-use...
  21. ncbi request reprint Physician practice patterns: chest x-ray ordering for the evaluation of acute cough illness in adults
    Eva Aagaard
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, USA
    Med Decis Making 26:599-605. 2006
    ..The authors examine which clinical factors contribute to the clinician suspicion of pneumonia, as well as the relationship between clinical factors, clinician suspicion of pneumonia, and ordering chest X-rays (CXR)...
  22. ncbi request reprint Declining antibiotic prescriptions for upper respiratory infections, 1993-2004
    Stefan G Vanderweil
    Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA, USA
    Acad Emerg Med 14:366-9. 2007
    ..To examine antibiotic prescribing trends for U.S. emergency department (ED) visits with upper respiratory tract infections (URIs) between 1993 and 2004...
  23. ncbi request reprint Fluoroquinolone prescribing in the United States: 1995 to 2002
    Jeffrey A Linder
    Division of General Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02120, USA
    Am J Med 118:259-68. 2005
    ..To measure changes in the rate and type of fluoroquinolones prescribed in the United States from 1995 to 2002...
  24. ncbi request reprint Management of acute bronchitis in healthy adults
    Eva Aagaard
    Department of Medicine, University of California, San Francisco, 3333 California Street, Box 1211, San Francisco, CA 94118, USA
    Infect Dis Clin North Am 18:919-37; x. 2004
    ..Acute bronchitis episodes represent a significant portion of these illnesses. This article focuses on acute bronchitis in otherwise healthy individuals...
  25. pmc Trends and characteristics of US emergency department visits, 1997-2007
    Ning Tang
    Division of General Internal Medicine, University of California, San Francisco, 400 Parnassus Ave, Box 0320, San Francisco, CA 94143, USA
    JAMA 304:664-70. 2010
    ..The potential effects of increasing numbers of uninsured and underinsured persons on US emergency departments (EDs) is a concern for the health care safety net...
  26. ncbi request reprint The impact of demographic characteristics on nonresponse in an ambulatory patient satisfaction survey
    Christy K Boscardin
    Department of Medicine, Office of Medical Education, University of Caloifornia, San Francisco, USA
    Jt Comm J Qual Patient Saf 39:123-8. 2013
    ..The demographic profiles of respondents and nonrespondents to a patient satisfaction survey in the ambulatory care setting were compared to explore the impact ofnonresponse bias...
  27. ncbi request reprint Performance characteristics of clinical diagnosis, a clinical decision rule, and a rapid influenza test in the detection of influenza infection in a community sample of adults
    John Stein
    Division of Emergency Medicine, University of California, San Francisco, CA 94143, USA
    Ann Emerg Med 46:412-9. 2005
    ..The accurate diagnosis of influenza remains a diagnostic dilemma. We examine the performance of various strategies for diagnosing influenza infection in an unselected sample of adults during influenza season...
  28. ncbi request reprint Appropriate antibiotic use: variation in knowledge and awareness by Hispanic ethnicity and language
    Kitty K Corbett
    Department of Anthropology, University of Colorado, Denver, CO 80217 3364, USA
    Prev Med 40:162-9. 2005
    ....
  29. pmc Preferences for self-management support: findings from a survey of diabetes patients in safety-net health systems
    Urmimala Sarkar
    Department of Medicine, Division of General Internal Medicine, University of California, San Francisco, United States
    Patient Educ Couns 70:102-10. 2008
    ..We explored the possible role of a perceived communication need in influencing interest in self-management support...
  30. ncbi request reprint Antibiotic treatment of acute respiratory tract infections in the elderly: effect of a multidimensional educational intervention
    Ralph Gonzales
    Division of General Internal Medicine, Department of Medicine, University of California at San Francisco, San Francisco, California 94118, USA
    J Am Geriatr Soc 52:39-45. 2004
    ..To measure and improve antibiotic use for acute respiratory tract infections (ARIs) in the elderly...
  31. ncbi request reprint Effectiveness of ceftriaxone plus doxycycline in the treatment of patients hospitalized with community-acquired pneumonia
    Scott A Flanders
    Department of Medicine, University of Michigan, Ann Arbor, Michigan 48109, USA
    J Hosp Med 1:7-12. 2006
    ..Limited data exist on the effectiveness of ceftriaxone plus doxycycline in the treatment of patients hospitalized with community-acquired pneumonia (CAP)...
  32. doi request reprint Interventions to reduce unnecessary antibiotic prescribing: a systematic review and quantitative analysis
    Sumant R Ranji
    Department of Medicine, University of California San Francisco, California 94143 0131, USA
    Med Care 46:847-62. 2008
    ....
  33. pmc Variation in outpatient antibiotic prescribing in the United States
    Michael A Steinman
    San Francisco VA Medical Ctr, 4150 Clement St, Box 181 G, San Francisco, CA 94121, USA
    Am J Manag Care 15:861-8. 2009
    ..To evaluate variation in outpatient antibiotic utilization among US commercial health plans and the implications of this variation for cost and quality...
  34. pmc National trends in visit rates and antibiotic prescribing for children with acute sinusitis
    Daniel J Shapiro
    Division of General Pediatrics, School of Medicine, University of California, San Francisco, California, USA
    Pediatrics 127:28-34. 2011
    ..Our objective was to determine whether similar trends occurred for children with acute sinusitis...
  35. ncbi request reprint Factors associated with longer ED lengths of stay
    Rebekah L Gardner
    Department of Medicine, University of California at San Francisco, San Francisco, CA 94143, USA
    Am J Emerg Med 25:643-50. 2007
    ..The aim of the study was to identify and quantify patient, physician, hospital, and system factors that are associated with a longer ED length of stay...
  36. doi request reprint Trends in opioid prescribing by race/ethnicity for patients seeking care in US emergency departments
    Mark J Pletcher
    Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA 94107, USA
    JAMA 299:70-8. 2008
    ....
  37. pmc Computer-assisted provision of emergency contraception a randomized controlled trial
    Eleanor Bimla Schwarz
    Center for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    J Gen Intern Med 23:794-9. 2008
    ..Emergency contraception (EC) can prevent unintended pregnancy. However, many women continue to lack information needed to use EC effectively and clinician time to counsel women about EC is limited...
  38. doi request reprint A randomized trial of computer kiosk-expedited management of cystitis in the emergency department
    JOHN C STEIN
    Department of Emergency Medicine, University of California, San Francisco, USA
    Acad Emerg Med 18:1053-9. 2011
    ..The objective was to assess the efficiency and safety of an interactive computer kiosk module for the management of uncomplicated urinary tract infections (UTI) in emergency departments (EDs)...
  39. doi request reprint National trends in ambulatory visits and antibiotic prescribing for skin and soft-tissue infections
    Adam L Hersh
    Department of Pediatrics, University of California, San Francisco, 3333 California St, San Francisco, CA 94143 0936, USA
    Arch Intern Med 168:1585-91. 2008
    ..It is unknown whether this development has affected the national rate of visits to primary care practices and emergency departments (EDs) and whether changes in antibiotic prescribing have occurred...
  40. pmc Adverse drug events in U.S. adult ambulatory medical care
    Urmimala Sarkar
    Department of Medicine, UCSF Center for Vulnerable Populations, San Francisco General Hospital Medical Services, Division of General Internal Medicine, University of California, San Francisco UCSF, Box 1364, 1001 Potrero, Bldg 10, 3rd Floor, San Francisco, CA 94143 1364, USA
    Health Serv Res 46:1517-33. 2011
    ..To estimate the incidence of adverse drug events (ADEs) associated with health care visits among U.S. adults across all ambulatory settings...
  41. doi request reprint Benefit or burden? A sociotechnical analysis of diagnostic computer kiosks in four California hospital emergency departments
    Sara L Ackerman
    University of California, San Francisco, United States
    Soc Sci Med 75:2378-85. 2012
    ..The design and deployment of new IT projects in complex medical settings would benefit from empirically informed understandings of, and responses to, the contingent properties of human-technology relations...
  42. ncbi request reprint Knowledge of and perceived access to emergency contraception at two urgent care clinics in California
    Eleanor Bimla Schwarz
    Center for Research on Health Care, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Contraception 75:209-13. 2007
    ..California allowed women access to emergency contraception (EC) without a physicians' prescription in 2002...
  43. ncbi request reprint Contraceptive counseling of diabetic women of reproductive age
    Eleanor Bimla Schwarz
    Department of Medicine, Division of General Internal Medicine, Center for Research on Health Care, University of Pittsburgh, Pennsylvania 15213, USA
    Obstet Gynecol 107:1070-4. 2006
    ..To evaluate the impact of diabetes on provision of contraceptive counseling...
  44. ncbi request reprint Unintended consequences of a quality improvement program designed to improve treatment of alcohol withdrawal in hospitalized patients
    Mark J Pletcher
    Department of Epidemiology and Biostatistics, University of California San Francisco, USA
    Jt Comm J Qual Patient Saf 31:148-57. 2005
    ..New guidelines, accompanied by an educational campaign, introduced standardized monitoring of withdrawal severity while emphasizing prophylactic fixed-schedule benzodiazepine (BDZ) treatment of at-risk patients...
  45. ncbi request reprint Changing use of antibiotics in community-based outpatient practice, 1991-1999
    Michael A Steinman
    Division of Geriatrics, San Francisco Veterans Affairs Medical Center and University of California, San Francisco 94121, USA
    Ann Intern Med 138:525-33. 2003
    ..Judicious use of antibiotics can slow the spread of antimicrobial resistance. However, overall patterns of antibiotic use among ambulatory patients are not well understood...
  46. ncbi request reprint Improving antibiotic selection: a systematic review and quantitative analysis of quality improvement strategies
    Michael A Steinman
    Division of Geriatrics, San Francisco VA Medical Center Department of Medicine, University of California San Francisco, 4150 Clement Street, San Francisco, CA 94121, USA
    Med Care 44:617-28. 2006
    ..We sought to assess which interventions are most effective at improving the prescribing of recommended antibiotics for acute outpatient infections...
  47. ncbi request reprint Predictors of broad-spectrum antibiotic prescribing for acute respiratory tract infections in adult primary care
    Michael A Steinman
    Division of Geriatrics, San Francisco VA Medical Center, 4150 Clement St, Box 181 G, San Francisco, CA 94121, USA
    JAMA 289:719-25. 2003
    ..Broad-spectrum antibiotics are commonly prescribed, but little is known about the physicians who prescribe and the patients who take these agents...
  48. ncbi request reprint Need for emergency contraception in urgent care settings
    Eleanor Bimla Schwarz
    Division of General Internal Medicine, Department of Medicine, Center for Research on Health Care, University of Pittsburgh, PA 15213, USA
    Contraception 75:285-8. 2007
    ..Emergency contraceptive (EC) pills are safe and effective in preventing pregnancy up to 5 days after unprotected sex...
  49. ncbi request reprint Hepatitis C and hospital outcomes in patients admitted with alcohol-related problems
    Judith I Tsui
    Division of General Medicine, General Internal Medicine Section 111A1, San Francisco Veteran Administration Medical Center, University of California, 4150 Clement Street, San Francisco, CA 94121, USA
    J Hepatol 44:262-6. 2006
    ..We examined the impact of HCV infection on hospital mortality and length of stay among hospitalized patients with alcohol abuse problems...
  50. ncbi request reprint Performance of a bedside C-reactive protein test in the diagnosis of community-acquired pneumonia in adults with acute cough
    Scott A Flanders
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco 94118, USA
    Am J Med 116:529-35. 2004
    ..To evaluate the performance of a rapid, bedside whole blood C-reactive protein test as a diagnostic test for pneumonia in adults...
  51. ncbi request reprint Epidemiology of pediatric injury-related primary care office visits in the United States
    Simon J Hambidge
    Department of Community Health, Denver Health and Hospital Authority, Denver, Colorado, USA
    Pediatrics 109:559-65. 2002
    ....
  52. ncbi request reprint Public expectations and attitudes for annual physical examinations and testing
    Sylvia K Oboler
    Denver Veterans Affairs Medical Center, 11B Ambulatory Care, Denver, CO 80220, USA
    Ann Intern Med 136:652-9. 2002
    ..Recent guidelines for adult prevention do not recommend a comprehensive annual physical examination, but current public expectations in light of this change are unknown...
  53. ncbi request reprint Obesity-associated hypoventilation in hospitalized patients: prevalence, effects, and outcome
    Sogol Nowbar
    University of Colorado Health Sciences Center, Denver, Colorado, USA
    Am J Med 116:1-7. 2004
    ..Severe obesity is associated with hypoventilation, a disorder that may adversely affect morbidity and mortality. We sought to determine the prevalence and effects of obesity-associated hypoventilation in hospitalized patients...
  54. pmc Differential use of diagnostic ultrasound in u.s. Emergency departments by time of day
    JOHN C STEIN
    University of California, San Francisco
    West J Emerg Med 12:90-5. 2011
    ..Survey data over the last several decades suggests that emergency department (ED) access to diagnostic ultrasound performed by the radiology department is unreliable, particularly outside of regular business hours...
  55. pmc An interactive computer kiosk module for the treatment of recurrent uncomplicated cystitis in women
    Eva M Aagaard
    Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA, USA
    J Gen Intern Med 21:1156-9. 2006
    ..To validate and implement a computer module for the management of uncomplicated urinary tract infections (UTI)...
  56. ncbi request reprint Uncomplicated alcohol intoxication in the emergency department: an analysis of the National Hospital Ambulatory Medical Care Survey
    Mark J Pletcher
    Division of Clinical Epidemiology, Department of Epidemiology and Biostatistics, University of California, San Francisco, USA
    Am J Med 117:863-7. 2004
  57. ncbi request reprint Cluster-randomized trial to improve antibiotic use for adults with acute respiratory infections treated in emergency departments
    Joshua P Metlay
    Center for Health Equity Research and Promotion, VA Medical Center, Philadelphia, PA, USA
    Ann Emerg Med 50:221-30. 2007
    ..We evaluate the effectiveness of an educational program in hospital emergency departments (EDs) targeting reduction in antibiotic overuse for acute respiratory tract infections...
  58. ncbi request reprint Prescription of teratogenic medications in United States ambulatory practices
    Eleanor Bimla Schwarz
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, PA 15213, USA
    Am J Med 118:1240-9. 2005
    ..In addition, we evaluated rates of contraceptive counseling to explore awareness of the risks associated with teratogenic medication use...
  59. ncbi request reprint Impact of hospital formularies on fluoroquinolone prescribing in emergency departments
    Sherrie L Aspinall
    Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, and Unviersity of Pittsburgh School of Pharmacy, Pittsburgh, PA 15240, USA
    Am J Manag Care 13:241-8. 2007
    ..To examine factors associated with fluoroquinolone prescribing among adults receiving antibiotics for acute respiratory tract infections (ARIs) in emergency departments...
  60. ncbi request reprint Characterization of viral agents causing acute respiratory infection in a San Francisco University Medical Center Clinic during the influenza season
    Janice K Louie
    Viral and Rickettsial Disease Laboratory, California Department of Health Services, Richmond, CA 94804, USA
    Clin Infect Dis 41:822-8. 2005
    ..With use of polymerase chain reaction (PCR) and a centrifugation-enhanced viral culture method, we characterized the viruses causing acute respiratory infection in adults during an influenza season...
  61. ncbi request reprint Balancing acts: deciding for or against antibiotics in acute respiratory infections
    Anne Marie Hart
    University of Wyoming, Fay W Whitney School of Nursing, Laramie, WY 82071, USA
    J Fam Pract 55:320-5. 2006
    ..The purpose of our study was to describe this decision-making process...
  62. ncbi request reprint Vital-sign abnormalities as predictors of pneumonia in adults with acute cough illness
    Brendon R Nolt
    The Center for Health Equity Research and Promotion, VA Medical Center and the University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
    Am J Emerg Med 25:631-6. 2007
    ..This study examines the strength of the association between vital-sign abnormalities, advanced age, and the diagnosis of community-acquired pneumonia (CAP) in the evaluation of adults with acute cough illness...
  63. pmc Optimizing antibiotic prescribing for acute respiratory tract infections in an urban urgent care clinic
    Robert H Harris
    Denver Health and Hospital Authority, University of Colorado Health Sciences Center and University of Colorado at Denver, USA
    J Gen Intern Med 18:326-34. 2003
    ..To decrease unnecessary antibiotic use for acute respiratory tract infections in adults in a point-of-service health care setting...
  64. pmc Public beliefs on antibiotics and respiratory tract infections: an internet-based questionnaire study
    Jochen W L Cals
    School of Primary Care and Public Health CAPHRI, Department of General Practice, Maastricht University, Maastricht, The Netherlands
    Br J Gen Pract 57:942-7. 2007
    ..Although public knowledge, beliefs, and experiences of antibiotics contribute to these expectations, little is known about these public views...
  65. pmc Antibiotic prescribing: can we make it easier?
    Scott Flanders
    J Gen Intern Med 17:160-1. 2002
  66. ncbi request reprint Assessing the suitability of intervention sites for quality improvement studies in emergency departments
    Joshua P Metlay
    Center for Health Equity Research and Promotion, VA Medical Center and University of Pennsylvania School of Medicine, Philadelphia, USA
    Acad Emerg Med 12:667-70. 2005
    ....
  67. ncbi request reprint Clinical problem-solving. Nothing to cough at--a 73-year-old man presented to the emergency department with a 4-day history of nonproductive cough that worsened at night
    Paul B Cornia
    Primary and Specialty Medical Care Service, Veterans Affairs Puget Sound Health Care System, and the Department of Medicine, University of Washington School of Medicine, Seattle, WA 98108 1597, USA
    N Engl J Med 357:1432-7. 2007
  68. ncbi request reprint Strategies to diagnose and treat group A streptococcal pharyngitis
    Ralph Gonzales
    JAMA 292:167; author reply 167-8. 2004
  69. pmc Trainees, teams, and timely performance feedback
    Ralph Gonzales
    J Gen Intern Med 22:1218-9. 2007
  70. doi request reprint Nothing to cough at
    Perrianne Lurie
    N Engl J Med 358:857; author reply 857. 2008
  71. ncbi request reprint Modest serum creatinine elevation affects adverse outcome after general surgery
    MAUREEN M O'BRIEN
    Division of Cardiac Research, Denver Veterans Affairs Medical Center, Colorado, USA
    Kidney Int 62:585-92. 2002
    ..5 to 3.0 mg/dL) has been recently shown to be independently associated with morbidity and mortality after cardiac surgery. It is important to know if this association can be applied more broadly to general surgery cases...

Research Grants8

  1. Minimizing Antibiotic Resistance in Colorado (MARC)
    Ralph Gonzales; Fiscal Year: 2004
    ..pneumoniae infections in and outside the intervention communities. Specific Aim IIIC: Conduct a net-cost analysis of the different levels of community education. ..
  2. Improving Antibiotic Use in Acute Care Settings
    Ralph Gonzales; Fiscal Year: 2006
    ..Specific Aim 2: To evaluate the impact of a rapid diagnostic test for c-reactive protein on antibiotic use for adults with acute cough illness when added to a multidimensional intervention. ..