The Safety Net

It is critically important to improve the quality of care for under-served patients who are disproportionately of racial and ethnic minorities and low income. In order to improve their health and reach equity, we must form partnerships with the communities in which they are embedded.

Steve Babuljak 2016

Steve Babuljak 2016

Funding sources


Agency for Healthcare Research and Quality (AHRQ) P30 grant: Building an Ambulatory Patient Safety Learning Laboratory for Diverse Populations: The San Francisco Ambulatory Safety Center for iNnovaTion (ASCENT)

Agency for Healthcare Research and Quality (AHRQ) R01 grant: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge (SPARK) Network

Selected Publications

Ackerman, S. L., Gourley, G., Le, G., Williams, P., Yazdany, J., & Sarkar, U. (2018). Improving Patient Safety in Public Hospitals: Developing Standard Measures to Track Medical Errors and Process Breakdowns. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000480

Ackerman, S. L., Sarkar, U., Tieu, L., Handley, M. A., Schillinger, D., Hahn, K., … Lyles, C. (2017). Meaningful use in the safety net: a rapid ethnography of patient portal implementation at five community health centers in California. Journal of the American Medical Informatics Association: JAMIA, 24(5), 903–912. https://doi.org/10.1093/jamia/ocx015

Fontil, V., Lyles, C. R., Schillinger, D., Handley, M. A., Ackerman, S., Gourley, G., … Sarkar, U. (2018). Safety-net institutions in the US grapple with new cholesterol treatment guidelines: a qualitative analysis from the PHoENIX Network. Risk Management and Healthcare Policy, 11, 99–108. https://doi.org/10.2147/RMHP.S156311

Garg, S. K., Lyles, C. R., Ackerman, S., Handley, M. A., Schillinger, D., Gourley, G., … Sarkar, U. (2016). Qualitative analysis of programmatic initiatives to text patients with mobile devices in resource-limited health systems. BMC Medical Informatics and Decision Making, 16, 16. https://doi.org/10.1186/s12911-016-0258-7

Khoong, E. C., Cherian, R., Rivadeneira, N. A., Gourley, G., Yazdany, J., Amarnath, A., … Sarkar, U. (2018). Accurate Measurement In California’s Safety-Net Health Systems Has Gaps And Barriers. Health Affairs (Project Hope), 37(11), 1760–1769. https://doi.org/10.1377/hlthaff.2018.0709

Lyles, C. R., Aulakh, V., Jameson, W., Schillinger, D., Yee, H., & Sarkar, U. (2014). Innovation and transformation in California’s safety net health care settings: an inside perspective. American Journal of Medical Quality: The Official Journal of the American College of Medical Quality, 29(6), 538–545. https://doi.org/10.1177/1062860613507474

Lyson, H. C., Ackerman, S., Lyles, C., Schillinger, D., Williams, P., Gourley, G., … Sarkar, U. (2018). Redesigning primary care in the safety net: A qualitative analysis of team-based care implementation. Healthcare (Amsterdam, Netherlands). https://doi.org/10.1016/j.hjdsi.2018.09.004

Selby, K., Michel, M., Gildengorin, G., Karliner, L., Pramanik, R., Fontil, V., & Potter, M. B. (2018). Disparities in Hypertension Control Across and Within Three Health Systems Participating in a Data-Sharing Collaborative. Journal of the American Board of Family Medicine: JABFM, 31(6), 897–904. https://doi.org/10.3122/jabfm.2018.06.180166

Tieu, L., Sarkar, U., Schillinger, D., Ralston, J. D., Ratanawongsa, N., Pasick, R., & Lyles, C. R. (2015). Barriers and Facilitators to Online Portal Use Among Patients and Caregivers in a Safety Net Health Care System: A Qualitative Study. Journal of Medical Internet Research, 17(12), e275. https://doi.org/10.2196/jmir.4847

Creative Commons License
This work by Urmimala Sarkar is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License .
Based on a work at sarkarlab.ucsf.edu.