Ronald M Stewart

Summary

Affiliation: University of Texas Health Science Center
Country: USA

Publications

  1. doi request reprint The general surgery workforce shortage is worse when assessed at county level
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA University Hospital, San Antonio, TX, USA Electronic address
    Am J Surg 206:1016-22; discussion 1022-3. 2013
  2. pmc Tort reform is associated with significant increases in Texas physicians relative to the Texas population
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
    J Gastrointest Surg 17:168-77; discussion p177-8. 2013
  3. doi request reprint Tort reform is associated with more medical board complaints and disciplinary actions
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
    J Am Coll Surg 214:567-71; discussion 572-3. 2012
  4. pmc Transparent and open discussion of errors does not increase malpractice risk in trauma patients
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, University Hospital, 78229, USA
    Ann Surg 243:645-9; discussion 649-51. 2006
  5. doi request reprint Malpractice risk and cost are significantly reduced after tort reform
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, and University Hospital, San Antonio, TX 78229, USA
    J Am Coll Surg 212:463-7, 467.e1-42; discussion 467-9. 2011
  6. pmc Trauma surgery malpractice risk: perception versus reality
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio University Hospital, San Antonio Texas 78229, USA
    Ann Surg 241:969-75; discussion 975-7. 2005
  7. ncbi request reprint Injury prevention: why so important?
    Ronald M Stewart
    Department of Surgery, The University of Texas Health Science Center at San Antonio, USA
    J Trauma 62:S47-8. 2007
  8. ncbi request reprint Seven hundred fifty-three consecutive deaths in a level I trauma center: the argument for injury prevention
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, University Health System, San Antonio, Texas 78229 3900, USA
    J Trauma 54:66-70; discussion 70-1. 2003
  9. doi request reprint Claude H. Organ Jr Memorial Lecture. The care of the patient: character, science, and service
    Ronald M Stewart
    Am J Surg 202:632-40. 2011
  10. ncbi request reprint Computed tomography grading systems poorly predict the need for intervention after spleen and liver injuries
    Stephen M Cohn
    Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas 78229, USA
    Am Surg 75:133-9. 2009

Collaborators

Detail Information

Publications44

  1. doi request reprint The general surgery workforce shortage is worse when assessed at county level
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA University Hospital, San Antonio, TX, USA Electronic address
    Am J Surg 206:1016-22; discussion 1022-3. 2013
    ..This 11-year study evaluates the Texas general surgery workforce at both the state and local level in 2002 and 2012...
  2. pmc Tort reform is associated with significant increases in Texas physicians relative to the Texas population
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
    J Gastrointest Surg 17:168-77; discussion p177-8. 2013
    ..Texas implemented comprehensive tort reform in 2003. We hypothesized that tort reform was followed by a significant increase of physicians practicing in Texas...
  3. doi request reprint Tort reform is associated with more medical board complaints and disciplinary actions
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
    J Am Coll Surg 214:567-71; discussion 572-3. 2012
    ..We hypothesized that complaints to the Texas Medical Board (TMB) increased after tort reform...
  4. pmc Transparent and open discussion of errors does not increase malpractice risk in trauma patients
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, University Hospital, 78229, USA
    Ann Surg 243:645-9; discussion 649-51. 2006
    ..We set out to determine if there is an increased medical malpractice lawsuit rate when trauma patient cases are presented at an open, multidisciplinary morbidity and mortality conference (M&M)...
  5. doi request reprint Malpractice risk and cost are significantly reduced after tort reform
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, and University Hospital, San Antonio, TX 78229, USA
    J Am Coll Surg 212:463-7, 467.e1-42; discussion 467-9. 2011
    ..We compared malpractice prevalence, incidence, and liability costs before and after comprehensive state tort reform measures were implemented...
  6. pmc Trauma surgery malpractice risk: perception versus reality
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio University Hospital, San Antonio Texas 78229, USA
    Ann Surg 241:969-75; discussion 975-7. 2005
    ..We set out to compare the malpractice lawsuit risk and incidence in trauma surgery, emergency surgery, and elective surgery at a single academic medical center...
  7. ncbi request reprint Injury prevention: why so important?
    Ronald M Stewart
    Department of Surgery, The University of Texas Health Science Center at San Antonio, USA
    J Trauma 62:S47-8. 2007
  8. ncbi request reprint Seven hundred fifty-three consecutive deaths in a level I trauma center: the argument for injury prevention
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, University Health System, San Antonio, Texas 78229 3900, USA
    J Trauma 54:66-70; discussion 70-1. 2003
    ..We hypothesize that further major reduction in injury mortality will be obtained through injury prevention, rather than improvements in therapy...
  9. doi request reprint Claude H. Organ Jr Memorial Lecture. The care of the patient: character, science, and service
    Ronald M Stewart
    Am J Surg 202:632-40. 2011
    ....
  10. ncbi request reprint Computed tomography grading systems poorly predict the need for intervention after spleen and liver injuries
    Stephen M Cohn
    Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, Texas 78229, USA
    Am Surg 75:133-9. 2009
    ..Considerable inconsistency exists in interpretation of abdominal CT scans after trauma, even among experienced clinicians...
  11. doi request reprint Time and degree of glycemic derangement are associated with increased mortality in trauma patients in the setting of tight glycemic control
    Michael G Corneille
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
    Am J Surg 200:832-7; discussion 837-8. 2010
    ..Tight glucose control (TGC) may reduce mortality in critically ill trauma patients. We hypothesize that euglycemia is beneficial, and a measure considering time and degree of hyperglycemia is most associated with mortality...
  12. ncbi request reprint A crisis in the delivery of care to patients with brain injuries in South Texas
    Stephen M Cohn
    Department of Surgery, The University of Texas Health Science Center at San Antonio, Texas 78229, USA
    J Trauma 62:951-62; discussion 962-3. 2007
    ..To determine the opinions of neurosurgeons regarding the care of the injured and to assess the impact of these attitudes on the care of the patients with brain injuries...
  13. doi request reprint Surgical critical care and private practice surgeons: a different world out there!
    Stephen M Cohn
    Department of Surgery, The University of Texas Health Science Center at San Antonio, San Antonio, TX
    J Am Coll Surg 206:419-25. 2008
    ..We hypothesized substantial differences exist in practice patterns and attitudes between SCC surgeons in academic practice (ACs) and in private practice (PVTs)...
  14. doi request reprint Pediatric vascular injuries: acute management and early outcomes
    Michael G Corneille
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
    J Trauma 70:823-8. 2011
    ..Although uncommon in children, traumatic vascular injuries have the potential for lifelong disability. We reviewed these injuries, their acute management, and early outcomes at a Level I trauma center...
  15. doi request reprint Impact of low-dose vasopressin on trauma outcome: prospective randomized study
    Stephen M Cohn
    Department of Surgery, University of Texas Health Science Center, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
    World J Surg 35:430-9. 2011
    ..We hypothesized that a resuscitation regimen that limited the total volume of fluid administered would reduce morbidity and mortality rates in critically ill trauma patients...
  16. ncbi request reprint Right ventricular air embolism during radiographic evaluation of a pediatric patient for blunt vehicular trauma
    Scott T McKnight
    School of Medicine, Division of Trauma and Emergency Surgery, University of Texas Health Science Center at San Antonio, TX, USA
    J Trauma 57:890-1. 2004
  17. doi request reprint The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy
    Michael G Corneille
    Department of Surgery, University of Texas, Health Science Center, San Antonio, USA
    Am J Surg 200:363-7. 2010
    ..Laparoscopic surgery in pregnant women has become increasingly more common since the 1990s; however, the safety of laparoscopy in this population has been widely debated, particularly in emergent and urgent situations...
  18. ncbi request reprint Perceptions and attitudes of critical care training and careers among United States surgical residents: who wants to be a surgical intensivist?
    Stephen M Cohn
    Department of Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, USA
    Am Surg 73:433-7. 2007
    ..Theoretical expansion of surgical critical fellowships to include more general or trauma surgery (acute care surgery) increased the level of interest among senior surgical residents...
  19. ncbi request reprint A right renal vein pseudoaneurysm secondary to blunt abdominal trauma: a case report and review of the literature
    Juan C Mejia
    Department of Surgery, University of Texas Health Science Center San Antonio, San Antonio, Texas 78229, USA
    J Trauma 60:1124-8. 2006
  20. ncbi request reprint Case discussion in blood glucose variability
    Charles C Reed
    Surgical Trauma Neurosurgical ICU, University Hospital, San Antonio, TX, USA
    J Neurosci Nurs 43:70-4; quiz 75-6. 2011
    ..If so, these events warrant rapid investigation and treatment of the underlying problem...
  21. doi request reprint Pediatric radiation exposure during the initial evaluation for blunt trauma
    Deborah L Mueller
    Department of Surgery, University of Texas Health Science Center, San Antonio, Texas, USA
    J Trauma 70:724-31. 2011
    ..Our aim was to measure radiation dose received in pediatric blunt trauma patients during initial CT evaluation and to determine whether doses exceed doses historically correlated with an increased risk of thyroid cancer...
  22. doi request reprint Transfusion-related acute lung injury in a rat model of trauma-hemorrhage
    Susannah E Nicholson
    Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
    J Trauma 70:466-71. 2011
    ..Our objective was to develop a trauma-relevant two-event model of TRALI by examining the effect of aged packed red blood cells (PRBC) on lung injury in rats with trauma-hemorrhage...
  23. doi request reprint The multiply injured patient
    Hector A Flores
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    Semin Thorac Cardiovasc Surg 20:64-8. 2008
    ..Patients with multiple penetrating wounds require the surgical team to be expeditious and flexible, and damage control is a helpful strategy in these patients...
  24. doi request reprint Less is more: improved outcomes in surgical patients with conservative fluid administration and central venous catheter monitoring
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    J Am Coll Surg 208:725-35; discussion 735-7. 2009
    ..Because surgical patients may have been fundamentally different from the overall FACTT cohort, we set out to separately analyze the surgery patients in the trial...
  25. ncbi request reprint Pneumoperitoneum after percutaneous endoscopic gastrostomy in patients in the intensive care unit
    Joshua B Alley
    Department of Surgery, University of Texas Health Science Center at San Antonio, University Hospital, San Antonio, Texas 78229 3900, USA
    Am Surg 73:765-7; discussion 768. 2007
    ..PEG-related complications were not associated with postprocedure pneumoperitoneum...
  26. ncbi request reprint Laparoscopic appendectomy is superior to open appendectomy in obese patients
    Michael G Corneille
    Department of Surgery, Division of Trauma and Emergency Surgery, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Dr, San Antonio, TX 78229 3900, USA
    Am J Surg 194:877-80; discussion 880-1. 2007
    ..There are minimal data comparing laparoscopic appendectomy (LA) with open appendectomy (OA) in obese patients...
  27. ncbi request reprint Air gun injuries to the abdominal aorta: report of two cases and review of the literature
    Alejandro Mejia
    Department of Surgery, University of Texas Health Science Center at San Antonio, 78229, USA
    J Trauma 54:1235-8. 2003
  28. doi request reprint A small amount can make a difference: a prospective human study of the paradoxical coagulation characteristics of hemothorax
    W Zachary Smith
    Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center, 7703 Floyd Curl Drive, Mail Code 7840, San Antonio, TX 78229, USA Electronic address
    Am J Surg 206:904-9; discussion 909-10. 2013
    ..The evacuated hemothorax has been poorly described because it varies with time, it has been found to be incoagulable, and its potential effect on the coagulation cascade during autotransfusion is largely unknown...
  29. ncbi request reprint A regional medical operations center improves disaster response and inter-hospital trauma transfers
    Eric E Epley
    The Southwest Texas Regional Advisory Council for Trauma, San Antonio, TX, USA
    Am J Surg 192:853-9. 2006
    ..Delays in both inter-hospital trauma transfers and disaster response are common. We hypothesized patient flow could be improved by formal adoption of systems that improve cooperation and communication...
  30. doi request reprint Emergency department thoracotomy
    Juan C Mejia
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    Semin Thorac Cardiovasc Surg 20:13-8. 2008
    ..In this brief review, we summarize the available literature, technical concerns and indications for the procedure. We aim to provide suitable information for individual readers to refine their approach to EDT...
  31. ncbi request reprint Intensive insulin protocol improves glucose control and is associated with a reduction in intensive care unit mortality
    Charles C Reed
    Surgical Trauma Intensive Care Unit, University Health System, San Antonio, TX 78229, USA
    J Am Coll Surg 204:1048-54; discussion 1054-5. 2007
    ..We hypothesized that, by use of a protocol, tight glucose control could be achieved in the surgical trauma intensive care unit (STICU), and that improved glucose control would be beneficial...
  32. ncbi request reprint A large single-center experience with treatment of patients with crotalid envenomations: outcomes with and evolution of antivenin therapy
    Michael G Corneille
    Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX 78229 3900, USA
    Am J Surg 192:848-52. 2006
    ..Allergic reactions are fewer with ovine Fab antivenin (FabAV). This study describes the management of crotalid envenomations in patients treated with FabAV or ACP, and without antivenin...
  33. doi request reprint Performance on brief practice examination identifies residents at risk for poor ABSITE and ABS qualifying examination performance
    Michael G Corneille
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
    J Surg Educ 68:246-9. 2011
    ..We hypothesize that a brief practice exam administered 1-3 times each academic year can identify residents at risk of poor ABSITE performance and also identify early in the chief resident year those at risk for poor QE performance...
  34. ncbi request reprint Current issues in trauma
    Timothy C Fabian
    Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA
    Curr Probl Surg 39:1160-244. 2002
  35. doi request reprint Common complications following thoracic trauma: their prevention and treatment
    Ronald M Stewart
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    Semin Thorac Cardiovasc Surg 20:69-71. 2008
    ..The authors review these complications and describe a plan to reduce these complications...
  36. doi request reprint Surgeons' performance during critical situations: competence, confidence, and composure
    Katie Wiggins-Dohlvik
    Department of Surgery, The University of Texas, Health Science Center at San Antonio, San Antonio, TX 78229, USA
    Am J Surg 198:817-23. 2009
    ..Little is known about surgeons' performance during critical situations. We hypothesized that there are methods and techniques used by surgeons that facilitate performance during critical situations...
  37. doi request reprint Significant variations in mortality occur at similarly designated trauma centers
    Shahid Shafi
    Department of Surgery, Division of Burns, Trauma, and Surgical Critical Care, University of Texas Southwestern Medical School, Dallas, TX 75390 9158, USA
    Arch Surg 144:64-8. 2009
    ..Mortality rates vary across designated trauma centers (TC), even after controlling for injury severity...
  38. doi request reprint Upper airway injury and its management
    Michael G Corneille
    Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
    Semin Thorac Cardiovasc Surg 20:8-12. 2008
    ..Associated injuries are common and must be addressed concomitantly. Postoperative complications are frequent, requiring perioperative vigilance and long-term follow-up to ensure best outcome...
  39. pmc Improving outcomes following penetrating colon wounds: application of a clinical pathway
    Preston R Miller
    Department of Surgery, The University of Tennessee Health Science Center, Memphis, 38163, USA
    Ann Surg 235:775-81. 2002
    ..Based on these outcomes, a clinical pathway for management of destructive colon wounds was developed. The results of the implementation of this pathway are the focus of this report...
  40. ncbi request reprint Blunt avulsion of the right inferior pulmonary vein
    Raymond Fang
    Department of Surgery, Wilford Hall Medcial Center, Lackland Air Force Base, San Antonio, TX, USA
    J Trauma 56:191-3. 2004
  41. ncbi request reprint Surgeons, intensivists, and the covenant of care: administrative models and values affecting care at the end of life--Updated
    Joan Cassell
    Department of Surgery, Washington University School of Medicine, St Louis, MO, USA
    Crit Care Med 31:1551-7; discussion 1557-9. 2003
    ..End-of-life care remains a challenging and complex activity in critical care units. There is little information concerning the influence of administrative models of care delivery on end-of-life care...
  42. doi request reprint Vascular arginase contributes to arteriolar endothelial dysfunction in a rat model of hemorrhagic shock
    Robert A Johnson
    Division of Trauma and Emergency Surgery, Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229, USA
    J Trauma 69:384-91. 2010
    ..However, the role of arginase in hemorrhage-induced endothelial dysfunction has not been studied. This study tests the hypothesis that arginase inhibition improves endothelial function after hemorrhage...
  43. ncbi request reprint Appendicitis: selective use of abdominal CT reduces negative appendectomy rate
    Gregory M DeArmond
    University of Texas Health Sciences Center, San Antonio 78229 3900, USA
    Surg Infect (Larchmt) 4:213-8. 2003
    ....
  44. ncbi request reprint Surgeons, intensivists, and the covenant of care: administrative models and values affecting care at the end of life
    Joan Cassell
    Departments of Surgery, Washington University School of Medicine, St Louis, MO, USA
    Crit Care Med 31:1263-70. 2003
    ..End-of-life care remains a challenging and complex activity in critical care units. There is little information concerning the influence of administrative models of care delivery on end-of-life care...