Lance S. Patak, MD, MBA

Anesthesiology

On staff since October 2015

Academic Title: Assistant Professor

Research Center: Center for Clinical and Translational Research

"I enjoy solving relevant problems with practical solutions that achieve real outcomes."

  • My program of research is in evidence-based applications to science. I have served as the Director of the Research and Innovation Center at UCSD Health Sciences coordinating campus wide resources to help facilitate the development and commercialization of various innovation within the Department of Anesthesiology. In my current position, I have brought the same strategic vision and am currently engaged with several innovators throughout Seattle Children’s Hospital facilitating the development and prototyping of eight medical device innovations.

    I began translating research to practice through evidence-based innovation with the development and commercialization of the Vidatak EZ Board in 2003. Uncertain of how to best meet the communication needs of intubated patients, I launched a research initiative to uncover exactly what intervention would fulfill this specific gap in knowledge and practice. With two years of research with intubated patients and rigorous end-user assessment and testing, all of the specifications that impact utility were identified and implemented. Competitors who did not incorporate these specifications made similar products that failed in the market space, leaving Vidatak to become the market leader in patient communication boards for critically ill patients. As demand grew, the Vidatak EZ Board required multiple translations and underwent five reiterations after further research identified new specifications, which would improve both user and care provider satisfaction. Due to the quality of work invested and the unique patient-centric, evidence-based approach taken in the process of developing the EZ Board, the EZ Board (US Patent No. 6,422,875) is now sold in 20 different languages and Picture format, in 7 countries around the world, with just over 1 million units sold. However, what we continue to find are provider and user requests for content that requires functionality that is achievable only through implementations of technology within a digital communication device, the specifications of which will be complex and must be understood to be a successful means by which critically ill patients can effectively communicate.

    I expanded on my work with the EZ Board and led successful development and commercialization of Eloquence with funding support from a successful Phase I and Phase II STTR (MD006149) using an iterative research and development process to ensure all end users, from patient to administrators, experienced an impact on end user related outcomes. Eloquence is a multilingual, touchscreen nurse call communication system for patients to deliver specific messages to their providers in lieu of the traditional one-in-all nurse call button found on traditional pillow speakers. Subsequently, I led successful development and commercialization of VidaTalk with additional funding support from a successful Phase I and Phase II STTR (NR014087), again using an iterative design process ensuring that critically-ill patients would be able to successfully navigate the technology and achieve outcomes effectiveness.

    I have also begun other areas of innovative research and product development where prior commercialization has failed to rigorously assess and test the end user (i.e. patient-controlled analgesia (PCA) pumps). Having worked as a nurse assistant, nurse tech and unit secretary for 12 years in both nursing homes and hospitals, as a registered nurse for 8 years and now as a physician for over 10 years, I bring a unique perspective to end user applications and insight on driving efficiencies with innovation across the continuum of care providers. I have clear insight on each care provider’s ability to contribute to the patient care process and have invaluable, in-depth and very descript knowledge of where gaps in communication make the greatest impact on the delivery of healthcare amongst these roles.

  • Award Name Award Description Awarded By Award Date
    Patents Issued 2002 US Patent No. 6,422,875; Device for communicating with a voice-disabled patient. 2012 US Patent No. 8,183,987; Method and system for advanced patient communication. 2016 US Patent No. 9,361,769; Method and system for advanced patient communication. 2016 US Patent No. 9,415,181; Ambidextrous ergonomic face mask. 2018 US Patent No. 9,922,168; Patient device for advanced patient communication. 2018 EP Patent No. 2,992,500; A method, device and system for healthcare device adaptation. 2020 US Patent No.10,658,081; Patient device for advanced patient communication.
  • Manuscripts in Refereed Journals

    • Rico Mora DA, Perez KM, Parikh JM, Chatterjee D, George P, O'Reilly-Shah V, Rollins M, Sinskey JL, Patak L
      Improvement in perioperative anesthesia documentation for fetal interventions.
      32594611 Paediatric anaesthesia, 2020 Sept. : 30(9)1046-1048
      https://pubmed.ncbi.nlm.nih.gov/32594611/
    • Patak L, Tate JA, Happ MB
      C-The Missing Tenet Within the ABCDEF Bundle.
      32568912 Critical care medicine, 2020 July : 48(7)e629-e630
      https://pubmed.ncbi.nlm.nih.gov/32568912/
    • Patak LS, Stroschein KM, Risley R, Collins M, Groenewald CB
      Patterns and predictors of difficult intravenous access among children presenting for procedures requiring anesthesia at a tertiary academic medical center.
      31602736 Paediatric anaesthesia, 2019 Oct. : 29(10)1068-1070 PMCID:PMC7137765
      https://pubmed.ncbi.nlm.nih.gov/31602736/
    • Padia R, Miller C, Patak L, Friedman SD, Stone K, Otjen J, Johnson K
      Simulation-Guided Tracheotomy in a Patient With Fibrodysplasia Ossificans Progressiva.
      30582158 The Laryngoscope, 2019 April : 129(4)812-817
      https://pubmed.ncbi.nlm.nih.gov/30582158/
    • Ojo B, Collins M, Ou H, Rampersad S, Rubens D, Patak L
      Difficult airway management in a child with fibrodysplasia ossificans progressiva in status asthmaticus.
      30036738 Journal of clinical anesthesia, 2018 Dec. : 518-9
      https://pubmed.ncbi.nlm.nih.gov/30036738/
    • Montie M, Shuman C, Galinato J, Patak L, Titler M
      Perspectives of 30 English Patients on Call Light Technology, Eloquence Revisited.
      28306574 Computers, informatics, nursing : CIN, 2018 Jan. : 36(1)27-34 PMCID:PMC5600627
      https://pubmed.ncbi.nlm.nih.gov/28306574/
    • Shuman C, Montie M, Galinato J, Patak L, Titler M
      Registered Nurse and Nursing Assistant Perceptions of Limited English-Proficient Patient-Clinician Communication.
      29135845 The Journal of nursing administration, 2017 Dec. : 47(12)589-591 PMCID:PMC5726553
      https://pubmed.ncbi.nlm.nih.gov/29135845/
    • Patak LS
      Iatrogenic Endotracheal Tube Obstruction by Tegaderm.
      28697034 A & A case reports, 2017 Dec. 1 : 9(11)332-333
      https://pubmed.ncbi.nlm.nih.gov/28697034/
    • Baier AW, Snyder DJ, Leahy IC, Patak LS, Brustowicz RM
      A Shared Opportunity for Improving Electronic Medical Record Data.
      28632540 Anesthesia and analgesia, 2017 Sept. : 125(3)952-957
      https://pubmed.ncbi.nlm.nih.gov/28632540/
    • Montie M, Shuman C, Galinato J, Patak L, Anderson CA, Titler MG
      Conduits to care: call lights and patients' perceptions of communication.
      29075125 Journal of multidisciplinary healthcare, 2017 : 10359-366 PMCID:PMC5609800
      https://pubmed.ncbi.nlm.nih.gov/29075125/
    • Galinato J, Montie M, Shuman C, Patak L, Titler M
      Perspectives of Nurses on Patients With Limited English Proficiency and Their Call Light Use.
      28393085 Global qualitative nursing research, 2016 Aug. 12 : 3 PMCID:PMC5381929
      https://pubmed.ncbi.nlm.nih.gov/28393085/
    • Montie M, Galinato JG, Patak L, Titler M
      Spanish-Speaking Limited English Proficiency Patients and Call Light Use.
      27257219 Hispanic health care international : the official journal of the National Association of Hispanic Nurses, 2016 June : 14(2)65-72
      https://pubmed.ncbi.nlm.nih.gov/27257219/
    • Galinato J, Montie M, Patak L, Titler M
      Perspectives of Nurses and Patients on Call Light Technology.
      26176639 Computers, informatics, nursing : CIN, 2015 Aug. : 33(8)359-67 PMCID:PMC4546527
      https://pubmed.ncbi.nlm.nih.gov/26176639/
    • Patak LS, Tait AR, Mirafzali L, Morris M, Dasgupta S, Brummett CM
      Patient perspectives of patient-controlled analgesia (PCA) and methods for improving pain control and patient satisfaction.
      23788069 Regional anesthesia and pain medicine, 2013 July : 38(4)326-33 PMCID:PMC3717314
      https://pubmed.ncbi.nlm.nih.gov/23788069/
    • Patak LS, Haydar B, Bradley D
      Nonsustained ventricular tachycardia resolving under general anesthesia: a case presentation.
      23439817 Anesthesia and analgesia, 2013 March : 116(3)738-9
      https://pubmed.ncbi.nlm.nih.gov/23439817/
    • Costello JM, Patak L, Pritchard J
      Communication vulnerable patients in the pediatric ICU: Enhancing care through augmentative and alternative communication.
      21791863 Journal of pediatric rehabilitation medicine, 2010 : 3(4)289-301
      https://pubmed.ncbi.nlm.nih.gov/21791863/
    • Patak L, Wilson-Stronks A, Costello J, Kleinpell RM, Henneman EA, Person C, Happ MB
      Improving patient-provider communication: a call to action.
      19745632 The Journal of nursing administration, 2009 Sept. : 39(9)372-6 PMCID:PMC2904301
      https://pubmed.ncbi.nlm.nih.gov/19745632/
    • Patak L, Gawlinski A, Fung NI, Doering L, Berg J, Henneman EA
      Communication boards in critical care: patients' views.
      17098155 Applied nursing research : ANR, 2006 Nov. : 19(4)182-90
      https://pubmed.ncbi.nlm.nih.gov/17098155/
    • Patak L, Gawlinski A, Fung NI, Doering L, Berg J
      Patients' reports of health care practitioner interventions that are related to communication during mechanical ventilation.
      15454910 Heart & lung : the journal of critical care, 2004 Sept. : 33(5)308-20
      https://pubmed.ncbi.nlm.nih.gov/15454910/

    Published Books, Videos, Software, etc.

    • Essential Regional™ – Resource and data collection application for anesthesia providers to select the most appropriate regional block given location and depth of surgery aiming to reduce spared segments and subsequent opioid requirements. The institutional version of this application allows for EMR integration, post-operative outcomes data collection from providers and patients enabling first-time measures of efficacy for regional anesthesia
    • VidaTalk™ - Communication app facilitating communication for mechanically-ventilated, nonverbal patients and patients with limited English proficiency
    • MedSafe™ – Smartphone application that provides accurate dosing, dilution and administration guidance for any medication after scanning its barcode
    • Spiritual Care Communication App – Communication app facilitating spiritual care and end of life communication for mechanically-ventilated and nonverbal patients
    • Eloquence™ – Bedside touchscreen nurse call communication system and workflow solutions driving nursing efficiencies, patient safety, quality care, satisfaction and optimizing staffing utilization and allocation
    • Vidatak EZ Board™ – Communication board for facilitating patient communication with mechanically-ventilated and nonverbal patients
      1999

    Other Publications

    • Rico Mora DA, Perez KM, Parikh JM, Chatterjee D, George P, O'Reilly-Shah V, Rollins M, Sinskey JL, Patak L
      Improvement in perioperative anesthesia documentation for fetal interventions.
      32594611 Paediatric anaesthesia, 2020 Sept. : 30(9)1046-1048

  • Presentations Title Event Location Date
    Improvement in perioperative documentation for fetal anesthesia. Society for Pediatric Anesthesia/American Academy of Pediatrics Pediatric Anesthesiology 2020 Meeting Bahamas Feb. 2020
    Emergent tracheotomy in a twelve-month-old with retropharyngeal abscess Grand rounds Seattle Children’s Hospital, Seattle, WA Sept. 2019
    FAER: Swimming with Sharks, Presenter – Improving Communication in Critically-ill Patients 2018 American Society of Anesthesiologists Annual Meeting San Francisco, CA Oct. 2018
    Patterns and predictors of difficult intravenous access among children presenting for anesthesia Patak L, Collins M, Groenewald C. Society for Pediatric Anesthesia Annual Meeting Phoenix, AZ Oct. 2018
    Tracheotomy in patients with fibrodysplasia ossificans progressiva: Case series and use of simulation-guided surgery. 98th Annual Meeting of the American Broncho-Esophagological Association National Harbor, MD April 2018
    Patterns and predictors of difficult intravenous access among children presenting for anesthesia Grand Rounds Seattle Children's Hospital Seattle, WA March 2018
    Stoneman Syndrome: Emergent Intubation of a Child with Fibrodysplasia Ossificans Progressiva in Status Asthmaticus American Society of Anesthesiologists Annual Meeting Boston, MA. Oct. 2017
    Panelist – Listen Up Startups; the Clinicians are Talking! Techstars Startup Week Seattle, Foster School of Business University of Washington, Seattle, WA Oct. 2017
    Development, acceptability and usability of the VidaTalk electronic tablet application International Conference on Communication in Healthcare & Health Literacy and Research Conference Annual Meeting Baltimore, MD Oct. 2017
    Necrotizing enterocolitis: What are the Indications for Bedside Operative Management? Seattle Children’s Hospital, Seattle, WA Aug. 2017
    Center for Cultivation Research and Innovation Grand Rounds San Diego, CA April 2015
    Leveraging UCSD Community Resources for Research and Innovation Support Six Minutes of Sciences San Diego, CA April 2015
    Usability and Acceptability Testing of an iPad Communication Application in the Intensive Care Unit. Society of Critical Care Medicine Annual Meeting Phoenix, AZ Jan. 2015
    Call light use of limited English proficiency patients NAHN National Association of Hispanic Nurses Miami, Florida July 2014
  • Grant Title Grantor Amount Award Date
    Development of Essential Regional Application Seattle Children’s Hospital $57,650 March 2020 - Feb. 2021
    Improving the Effectiveness and Safety of Post-operative Opioid Management in the Home Setting with Parachute: An Application to Help Guide and Monitor Home Opioid Use. University of Washington CoMotion Innovation Fund $50,000 Dec. 2018 - Dec. 2020
    Identifying Differences in the Structure and Content of Medical Conversations With and Without Interpreters Center for Diversity and Health Equity $15,000 July 2017 - June 2018
    Improving Outcomes for Mechanically Ventilated Patients with the Digital EZ Board NIH NINR/NIA $1,150,000 Sept. 2015 - Aug. 31, 2018
    Advancing Patient Call Light Systems to Achieve Better Outcomes NIH NIMHD $1,200,000 Sept. 2012 - Aug. 2015
    Improving Outcomes for Mechanically Ventilated Patients with the Digital EZ Board NIH NINR $200,000 Aug. 2012 - July 2014
    Advancing Patient Call Light Systems to Achieve Better Outcomes NIH NIMHD $200,000 Sept. 2010 - Aug. 2012

Overview

Board Certification(s)

Anesthesiology
Pediatric Anesthesiology

Medical/Professional School

UCLA David Geffen School of Medicine, Los Angeles
USC Marshall School of Business, Los Angeles

Residency

Anesthesiology, University of Michigan, Ann Arbor

Fellowship

Pediatric Anesthesia, University of Michigan Health System, Ann Arbor

Clinical Interests

Point of care ultrasound; Fetal anesthesia; Outcomes driven innovation; Medical mission

Research Description

Outcomes based research; Outcomes improvement; Systems processes; Workflow; Efficiency models; Innovation; Medical devices