Browse Health
Internist, Geriatric Specialist (elderly care)
12 years of experience
Accepting new patients

Education ?

Medical School Score
Saint Louis University (1998)
  • Currently 2 of 4 apples

Awards & Distinctions ?

Appointments
Ronald Reagan Ucla Medical Center
Associations
American Board of Internal Medicine

Affiliations ?

Dr. Ward is affiliated with 10 hospitals.

Hospital Affilations

Score

Rankings

  • Huntington Hospital
    100 W California Blvd, Pasadena, CA 91105
    • Currently 4 of 4 crosses
    Top 25%
  • University of California - Ronald Reagan UCLA Medical Center
  • Mattel Chldns Hosp. At Ucla
    10833 Le Conte Ave, Los Angeles, CA 90095
  • UCLA Medical Center
  • John Muir Medical Center-Concord Campus
  • Santa Monica - UCLA Medical Center
  • San Gabriel Valley Medical Center
  • UCLA Neuropsychiatric Institute & Hospital
    760 Westwood Plz, Los Angeles, CA 90095
  • Stewart and Lynda Resnick Neuropsychiatric Hospital at UCLA
  • Alhambra Hospital Medical Center
  • Publications & Research

    Dr. Ward has contributed to 3 publications.
    Title Ethical Considerations of Patients with Pacemakers.
    Date September 2008
    Journal American Family Physician
    Title Risks of Combined Alcohol/medication Use in Older Adults.
    Date July 2007
    Journal The American Journal of Geriatric Pharmacotherapy
    Excerpt

    BACKGROUND: Many older adults (ie, those aged >65 years) drink alcohol and use medications that may be harmful when consumed together. OBJECTIVE: This article reviews the literature on alcohol and medication interactions, with a focus on older adults. METHODS: Relevant articles were identified through a search of MEDLINE and International Pharmaceutical Abstracts (1966-August 2006) for English-language articles. The following medical subject headings and key words were used: alcohol medication interactions, diseases worsened by alcohol use, and alcohol metabolism, absorption, and distribution. Additional articles were identified by a manual search of the reference lists of the identified articles, review articles, textbooks, and personal reference sources. RESULTS: Many older adults drink alcohol and take medications that may interact negatively with alcohol. Some of these interactions are due to age-related changes in the absorption, distribution, and metabolism of alcohol an medications. Others are due to disulfiram-like reactions observed with some medications, exacerbation of therapeutic effects and adverse effects of medications when combined with alcohol, and alcohol's interference with the effectiveness of some medications. CONCLUSIONS: Older adults who drink alcohol and who take medications are at risk for a variety of adverse consequences depending on the amount of alcohol and the type of medications consumed. It is important for clinicians to know how much alcohol their older patients are drinking to be able to effectively assess their risks and to counsel them about the safe use of alcohol and medications. Similarly, it is important for older adults to understand the potential risks of their combined alcohol and medication use to avoid the myriad of problems possible with unsafe use of these substances..

    Title Addressing Delays in Medication Administration for Patients Transferred from the Hospital to the Nursing Home: A Pilot Quality Improvement Project.
    Date
    Journal The American Journal of Geriatric Pharmacotherapy
    Excerpt

    Background: Patients being transferred to a nursing home (NH) after an acute hospitalization are subject to adverse effects, including medication errors, related to poor coordination of care across settings. Objective: The goal of this study was to develop, implement, and evaluate the impact of a pilot intervention to improve patient safety by reducing delays in administration and omission of medications among patients discharged from the hospital to the NH. Methods: An expedited discharge protocol was developed in collaboration with hospital physician residents, hospital discharge planners, and NH staff (administrators, directors of nursing services, and licensed nurses). The intervention included education of the involved health care professionals and implementation of the expedited protocol to ensure that medication orders were transmitted to the NH-contracted pharmacy before patients' arrival at the NH. The intervention protocol was compared with a standard discharge protocol among patients aged >/=65 years being discharged from 2 university-affiliated hospitals to a single proprietary NH. The primary outcomes were the time between arrival at the NH and administration of first dose of an ordered medication; the number of omitted medications; the proportion of patients experiencing medication omissions; and the proportion of patients with omitted medications that had a low, medium, and high potential for negative consequences. Results: The study involved 10 patients discharged from each of the 2 hospitals and transferred to the NH. Although several components of the intervention were successfully implemented, none of the medication orders were transmitted to the NH-ccontracted pharmacy before patients' arrival at the NH. All 17 patients with medications ordered to be administered in the evening had >/=1 dose of a medication omitted after their arrival at the NH. The mean (SD) delay from arrival at the NH to administration of the first dose of an ordered medication was 12.55 (7.45) hours. The mean number of doses of different medications omitted per patient was 3.4 (2.60). Sixty-seven doses of medications were omitted; 53 of these omissions involved only 1 dose of a medication. Thirty-three percent of omitted doses involved medications with the highest potential for resulting in a negative consequence. Conclusions: The intervention to improve patient safety by reducing medication delays for patients making the transition from the hospital to the NH was not successfully implemented, as medication orders were not transmitted to the NH-contracted pharmacies before patients' arrival at the NH. All patients making the transition from hospital to NH experienced a >12-hour delay in medication administration, and the mean number of missed doses of medications was >3. There is a need for further exploration of the reasons for and possible solutions to delays in medication administration during the transition to the NH, as well as of the impact of such delays on patient outcomes, including adverse drug events, emergency department visits, and rehospitalizations.

    Similar doctors nearby

    Dr. Jenny Mao

    Internal Medicine
    19 years experience
    Los Angeles, CA

    Dr. Teryl Nuckols

    Internal Medicine
    13 years experience
    Los Angeles, CA

    Dr. Harold Paulus

    Internal Medicine
    Los Angeles, CA

    Dr. Neil Shah

    Internal Medicine
    14 years experience
    Los Angeles, CA

    Dr. Deborah Kado

    Internal Medicine
    19 years experience
    Los Angeles, CA

    Dr. Tomas Ganz

    Internal Medicine
    32 years experience
    Los Angeles, CA
    Search All Similar Doctors