Peter Rudd, MD
Academic Appointments
- Emeritus Faculty-Med Ctr Line, Medicine - General Medical Disciplines
Key Documents
Contact Information
- Academic Offices
Personal Information EmailAlternate Contact Ryan Nicholas Oden Administrative Associate Email Tel Work 650-725-5417
Professional Overview
Administrative Appointments
- Member, SHC Quality Improvement and Patient Safety Committee (2003 - 2008)
- Chair, Clinical Science Affinity Group; School of Medicine Curricular Reform Project (2002 - 2003)
- Senator-At Large, Stanford University School of Medicine Faculty Senate (2002 - 2005)
- Member, Stanford Hospital & Clinics Care Review Committee (1998 - 2008)
- Director, Department of Medicine Quality Assurance and Quality Improvement Programs (1998 - 2008)
- Chief, Division of General Internal Medicine (Dept. of Medicine) (1997 - 2008)
Honors and Awards
- Phi Beta Kappa, Amherst College (1966)
- Diplomate, National Board of Medical Examiners (1971)
- Diplomate, American Board of Internal Medicine (1975)
- Fellowship, W.K. Kellogg Foundation; Hospital Research and Education Trust (1977)
- Fellowship, Andrew W. Mellon Foundation (1977-81)
- Listee, Best Doctors in America (1997-99)
Professional Education
| BA: | Amherst College, French (1966) |
| MD: | Case Western Reserve University, Medicine (1970) |
| Internship: | Stanford Univ. Affil. Hospitals, Internal Medicine (1971) |
| Residency: | Stanford Univ. Affil. Hospitals, Internal Medicine (1975) |
| Fellowship: | RWJ Clinical Scholars; McGill, Health care planning (1976) |
Graduate & Fellowship Program Affiliations
Internet Links
Industry Relationships
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Scientific Focus
Current Research Interests
Quality improvement (QI) efforts seek to make medical care the best it can be rather than merely good enough to avoid censure. Focus on improving the average performance usually produces more net benefit than eliminating outliers, often by simplification, standardization, and specification. We have worked with electronic medication monitors, clinical databases, and computerized physician order entry systems for better clinical outcomes. We have also developed training modules for students, house officers, and clinicians for enhanced professionalism and accountability.
Recent work has emphasized optimizing among cost, quality and access, using examples of common internal medicine problems (e.g., community acquired pneumonia, diabetes mellitus, blood product transfusion). QI project teams arose in both inpatient and outpatient settings. The optimal results occur from combining didactic training and practical applications via projects with plan-do-study-act rapid cycles of change. We have also examined the relative impact of patient versus physician behaviors as well as system factors in determining clinical outcomes for control of elevated cholesterol.
In prior work, we explored medication adherence. Medication-taking represents a complex behavior integral to optimal outcomes in much of ambulatory medical care. We have helped develop and test electronic medication monitors capable of dynamic tracking of medication dispensing events over time. The technology offers a time-based matrix by which to interpret, understand, and improve clinical outcomes that depend on patients' medication-taking behavior.
Using the electronic monitor technology, we have studied
a) Normative patterns of medication-taking among subgroups of patients on chronic cardiovascular medications
b) Dose-response relationships among established and investigational antihypertensive medications for misinterpretations of optimal dosing recommendations
c) Critical evaluation of reported adverse drug reactions, based on dosing errors that involve omission, commission, or misscheduling
d) Clinical protocols useful for assessing apparent secondary resistance to treatment after initial clinical responsiveness
e) Cost-effectiveness of the incremental information about precise medication-taking events, patterns, and distortions.
Publications
- Placebo adherence and mortality in the Heart and Estrogen/Progestin Replacement Study. Am J Med. 2012; (8): 804-10
- How personal is the personal health record?: comment on "the digital divide in adoption and use of a personal health record". Arch Intern Med. 2011; (6): 575-6
- Placebo adherence and its association with morbidity and mortality in the studies of left ventricular dysfunction J Gen Intern Med. 2010; (12): 1275-81
- Diuretics were superior to calcium-channel blockers and short-term ACE inhibitors for reducing heart failure in hypertension. ACP J Club. 2007 Jan-Feb; (1): 16
- Review: beta-blockers are less effective than other antihypertensive drugs for reducing risk for stroke in primary hypertension. ACP J Club. 2006 May-Jun; (3): 67
- Review: Beta blockers are less effective than other antihypertensive drugs for reducing risk of stroke in primary hypertension. Evid Based Med. 2006; (3): 85
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