Bio

Clinical Focus


  • Anesthesia

Academic Appointments


Honors & Awards


  • Watson Fellowship, Thomas J. Watson Foundation (2009)

Professional Education


  • Medical Education: Stanford University School of Medicine (2014) CA
  • Fellowship: Stanford University Anesthesiology Fellowships (2019) CA
  • Residency: Brigham and Women's Hospital Anesthesiology Residency (2018) MA
  • Fellow, Stanford Hospital/VA Palo Alto, Regional Anesthesia and Acute Pain Medicine (2019)
  • MD, Stanford University School of Medicine (2014)

Teaching

Graduate and Fellowship Programs


Publications

All Publications


  • Pain management in the orthopaedic trauma patient: Non-opioid solutions INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED Gessner, D. M., Horn, J., Lowenberg, D. W. 2020; 51: S28?S36
  • Revisiting Mechanisms of Extraterritorial Allodynia. Current pain and headache reports Gessner, D. M., Sang, C. N. 2017; 21 (5): 25

    View details for DOI 10.1007/s11916-017-0625-9

    View details for PubMedID 28421380

  • Improving and sustaining a reduction in iatrogenic pneumothorax through a multifaceted quality-improvement approach. Journal of hospital medicine Shieh, L., Go, M., Gessner, D., Chen, J. H., Hopkins, J., Maggio, P. 2015; 10 (9): 599-607

    Abstract

    The Agency for Healthcare Research and Quality has adopted iatrogenic pneumothorax (IAP) as a Patient Safety Indicator. In 2006, in response to a low performance ranking for IAP rate from the University Healthsystem Consortium (UHC), the authors established a multidisciplinary team to reduce our institution's IAP rate. Root-cause analysis found that subclavian insertion of central venous catheterization (CVC) was the most common procedure associated with IAP OBJECTIVE: Our short-term goal was a 50% reduction of both CVC-associated and all-cause IAP rates within 18 months, with long-term goals of sustained reduction.Observational study.Academic tertiary care hospital.Consecutive inpatients from 2006 to 2014.Our multifaceted intervention included: (1) clinical and documentation standards based on evidence, (2) cognitive aids, (3) simulation training, (4) purchase and deployment of ultrasound equipment, and (5) feedback to clinical services.CVC-associated IAP, all-cause IAP rate.We achieved both a short-term (years 2006 to 2008) and long-term (years 2006 to 2008-2014) reduction in our CVC-associated and all-cause IAP rates. Our short-term reduction in our CVC-associated IAP was 53% (P?=?0.088), and our long-term reduction was 85% (P?

    View details for DOI 10.1002/jhm.2388

    View details for PubMedID 26041246

  • Cost and turn-around time display decreases inpatient ordering of reference laboratory tests: a time series BMJ QUALITY & SAFETY Fang, D. Z., Sran, G., Gessner, D., Loftus, P. D., Folkins, A., Christopher, J. Y., Shieh, L. 2014; 23 (12): 994-1000

    Abstract

    Reference tests, also known as send-out tests, are commonly ordered laboratory tests with variable costs and turn-around times. We aim to examine the effects of displaying reference laboratory costs and turn-around times during computerised physician order entry (CPOE) on inpatient physician ordering behaviour.We conducted a prospective observational study at a tertiary care hospital involving inpatient attending physicians and residents. Physician ordering behaviour was prospectively observed between September 2010 and December 2012. An intervention was implemented to display cost and turn-around time for reference tests within our CPOE. We examined changes in the mean number of monthly physician orders per inpatient day at risk, the mean cost per order, and the average turn-around time per order.After our intervention, the mean number of monthly physician orders per inpatient day at risk decreased by 26% (51 vs 38, p<0.0001) with a decrease in mean cost per order (US$146.50 vs US$134.20, p=0.0004). There were no significant differences in mean turn-around time per order (5.6 vs 5.7?days, p=0.057). A stratified analysis of both cost and turn-around time showed significant decreases in physician ordering. The intervention projected a mean annual savings of US$330?439. Reference test cost and turn-around time variables were poorly correlated (r=0.2). These findings occurred in the setting of non-significant change to physician ordering in a control cohort of non-reference laboratory tests.Display of reference laboratory cost and turn-around time data during real-time ordering may result in significant decreases in ordering of reference laboratory tests with subsequent cost savings.

    View details for DOI 10.1136/bmjqs-2014-003053

    View details for Web of Science ID 000345318300009

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