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Charles E. Cowles, Jr., MD, MBA

Present Title & Affiliation

Primary Appointment

Assistant Professor, Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX
Clinical Medical Director, Department of Anesthesiology and Perioperative Medicine, Division of Anesthesiology and Critical Care, The University of Texas MD Anderson Cancer Center, Houston, TX
Perioperative Safety Officer, Perioperative Services, The University of Texas MD Anderson Cancer Center, Houston, TX

Bio Statement

My area of interest is the prevention of surgical fires and patient safety concerns with emphasis on awareness and training of hazards, physical plant design, adverse outcome investigations, and root cause analysis.  My areas of clinical interest include pediatric anesthesiology, TIVA, neuroanesthesia, and awake craniotomies. In addition to clinical interests, I have a desire to learn and examine methods for the business of medicine including application of lean methodology, value strategy, and reduction of healthcare related costs. I also have an interest in the development of a debriefing system for employees, patients, and families who have experienced a crisis event.

Research Interests

Operating Room Fire Prevention
Occupational Health of Anesthesia Providers
Crisis Intervention
Application of Lean Principles in the Healthcare Environment
Business of Medicine
Human Factors Engineering

Clinical Interests

Neuroanesthesia
Pediatric anesthesia
Integration of technology into the surgical environment
Frailty in the Perioperative Patient

Office Address

The University of Texas MD Anderson Cancer Center
1515 Holcombe
Unit Number: 409
Houston, TX 77030
Room Number: FC 13.3048
Phone: 713-745-5026

Education & Training

Degree-Granting Education

2013 University of Tennessee, Knoxville, TN, MBA, Physician MBA
2004 University of Texas-Houston, Houston, TX, MD, Medicine
1998 University of Houston - Clear Lake, Houston, TX, BS, Sports Medicine
1998 University of the State of New York, Albany, NY, RN, Nursing

Postgraduate Training

7/2005-6/2008 Clinical Residency, Anesthesiology, University of Texas - Houston, Houston, TX, Dr. James Arens
6/2004-6/2005 Clinical Internship, Internal Medicine / Anesthesiology Categorical, University of Texas-Houston, Houston, TX, Dr. Frank Arnett

Board Certifications

4/2010 American Board of Anesthesiology

Experience/Service

Other Appointments/Responsibilities

Advisor- Safe Use Initiative, US Food and Drug Administration (FDA), Bethesda, MD, 10/2010-present
Paramedic Supervisor, City of Beaumont Fire Dept, Beaumont, TX, 1/1989-1/1995
Paramedic, City Of Baytown, Baytown, TX, 11/1986-1/1989

Consultantships

Editor, US FDA, Silver Spring, MD, 1/2014-present
Curriculum Committee Member - Nurse Anesthetist Program, University of Texas Health Science Center, Houston, Texas, 1/2010-present
Advisor, ERCI, Plymouth Meeting, PA, 2009
Script Editor, Anesthesia Patient Foundation, Indianapolis, IN, 2009
Advisor, Anesthesia Patient Safety Foundation, Indianapolis, IN, 10/2008-present
Medical Advisor, San Jacinto College Surgical Technology Department, Pasadena, TX, 4/2005-present

Institutional Committee Activities

Member, Task Force for Departmental Promotion, 6/2014-present
Member, Operating Room Committee, 2/2014-present
Chair, Interdisciplinary Clinical Alarm Safety Committee, 2/2014-present
Member, Quality Improvement Assessment Board, 9/2013-present
Member, Elevator Patient Care Workgroup, 9/2013-7/2014
Co-Chair, ICEC Subcommittee for Patient Safety-Surgical and Invasive Procedures, 7/2012-present
Member, ICEC Subcommittee for Patient Safety-Incident Reporting, 7/2012-present
Member, Division of Surgery Continuous Quality Improvement Committee, 6/2011-present
Member, Infection Control Committee, 9/2010-present
Member, POE Task Force for Point of Care Testing, 6/2010-present
Ad hoc Advisor, Institutional Safety Committee, 4/2010-present
Member, Patient Safety Committee, 10/2009-present
Co-Chairman, Perioperative Safety Council, 3/2009-present
Vice Chair, Laser Safety Committee, 1/2009-present
Chair, Critical Response Task Force, 1/2009-7/2011
Member / Advisor, OR Pyxis Pilot Project, 12/2008-5/2010

Honors and Awards

2013-2014 Rising Star Super Doctor, Texas Monthly Magazine
2012 FDA Citation of Achievement, US Food and Drug Administration
2011 Twenty Year Award, National Registry of Emergency Medical Technicians
2008 Outstanding Anesthesiology Resident in Neurosurgery, University of Texas- Houston Anesthesiology Department
2008 Outstanding Performance in Airway Management, University of Texas-Houston Anesthesiology Department
2006 Outstanding Junior Anesthesiology Resident, University of Texas-Houston Anesthesiology Department
2003-present Who's Who in America, Who's Who
2003-2004 President, UT Houston Medical Student Anesthesia Club
1993-present Who's Who in American Healthcare, Who's Who

Professional Memberships

American Society of Anesthesiologists, Chicago, IL
Alternate Delegate Representing Texas, 10/2014-present
Member, Committee on Equipment and Facilities, 10/2011-present
Member, Committee of Respiratory Care, 1/2011-present
Representative to Commission on Accreditation for Respiratory Care, 12/2010-present
Member, ASA Task Force on Fire Prevention in the Operating Room, 11/2006-present
Resident Member, Committee on Quality Management and Departmental Administration, 5/2005-5/2006
Member, 6/2002-present
Anesthesia Patient Safety Foundation, Indianapolis, IN
Surgical Fire Task Force, 10/2009-present
Commission on Accreditation for Respiratory Care, Bedford, TX
Site Visitor, 10/2011-present
Program Referee, 9/2011-present
Chairman of International Accreditation Committee, 3/2011-7/2012
Board of Commissioners, 11/2010-present
Harris County Medical Society, Houston, TX
Emergency Care Committee Chair, 1/2014-present
Emergency Care Committee Member, 1/2012-present
Member, 8/2000-present
Texas Medical Association, Austin, TX
Member Interspecialty Committee Representing Texas Society of Anesthesiologists, 5/2014-present
Delegate Representing Harris County, 1/2013-present
Member Reference Committee on Socioeconomics, 2013
Member Membership Committee, 10/2012-present
Alternate Delegate Representing Harris County, 11/2011-1/2013
Leadership College Scholar, 10/2011-5/2012
Member, 8/2000-present
Texas Society of Anesthesiologists, Austin, TX
Member Committee on Patient Safety and Medical Quality, 7/2014-present
Member Economics Committee, 7/2014-present
District 7 Delegate, 9/2013-present
Council Member- Section Council of Members Serving the TMA, 9/2012
Member, 9/2008-present

Selected Publications

Peer-Reviewed Original Research Articles

1. Maldaun MVC, Khawja SN, Suki D, Levine N, Rao G, Lang FF, Weinberg JS, Tummala S, Cowles CE, Ferson DZ, Nguyen AT, Sawaya R, Sujit SS. Awake Craniotomy for gliomas in a High-Field (1.5T) Intraoperative Magnetic Resonance (iMRI) Operating Room: Analysis of 42 Cases. Journal of Neurosurgery, http://thejns.org/doi/full/10.3171/2014.6.JNS132285, August 2014, 8/2014. e-Pub 8/2014.
2. Apfelbaum JL, Caplan RA, Barker SJ, Connis RT, Cowles C, Ehrenwerth J, Nickinovich DG, Pritchard D, Roberson DW, Caplan RA, Barker SJ, Connis RT, Cowles C, de Richemond AL, Ehrenwerth J, Nickinovich DG, Pritchard D, Roberson DW, Wolf GL, American Society of Anesthesiologists Task Force on Operating Room Fires. Practice advisory for the prevention and management of operating room fires: an updated report by the American Society of Anesthesiologists Task Force on Operating Room Fires. Anesthesiology 118(2):271-90, 2/2013. PMID: 23287706.
3. Spratt D, Cowles CE, Berguer R, Dennis V, Waters TR, Rodriguez M, Spry C, Groah L. Workplace safety equals patient safety. AORN J 96(3):235-44, 9/2012. PMID: 22935253.
4. American Society of Anesthesiologists Task Force on Operating Room Fires, Caplan RA, Barker SJ, Connis RT, Cowles C, de Richemond AL, Ehrenwerth J, Nickinovich DG, Pritchard D, Roberson D, Wolf GL. Practice advisory for the prevention and management of operating room fires. Anesthesiology 108(5):786-801; quiz 971-2, 5/2008. PMID: 18431114.

Invited Articles

1. Cowles CE. Safety: Only You Can Prevent Surgical Fires. Outpatient Surgery Magazine XIV(10):105-108, http://outpatientsurgery.uberflip.com/i/187647, 10/2013.
2. Stoelting RK, Feldman JM, Cowles CE, Bruley ME. Surgical Fire Injuries Continue to Occur. APSF Newsletter 26(3):41-43, www.apsf.org/newsletters/html/2012/winter/01_firesafety.htm, 1/2012.
3. Cowles CE. Q&A, Why Should I Learn About Fire Extinguishers. APSF Newsletter 25(3-4):59-60, http://www.apsf.org/newsletters/html/2011/winter/09_QA.htm, 2/2011.
Other Articles
1. Wild D. Anesthesiologists Unprepared for OR Fires, Survey Finds. Anesthesiology News 38(7), 7/2012.
2. Cowles CE, Skibber JM. Creating an Easy and Cost-Effective Solution for Patient Identification. UHC News(April 2012), www.uhc.edu/46481.htm, 4/2012.
3. ECRI Institute. New clinical guide to surgical fire prevention [guidance article]. Health Devices 38(19):314-332, 10/2009.
4. Heller A. ASA Issues Guidance for OR Fires. Anesthesiology News 34(7):1, 7/2008.
5. Cowles CE. ASA Advisory Addresses Operating Room Fires. Same-Day Surgery 1(6):64, 6/2008.
6. Cowles CE. ASA Advisory for OR Fires. Healthcare Life Safety Newsletter, 5/2008.

Abstracts

1. Cowles CE, Freedkin A. Implementation of an Incident Command System for Evacuation Planning of a Large Surgical Suite in an Academic Hospital. Univ. of Texas Clinical Safety and Effectiveness Conference and Recognition Event, 9/2013.
2. Cowles CE, Galloy B. Improvement of Patient Transportation by Implementation of Elevator Signage. Univ. of Texas Clinical Safety and Effectiveness Conference and Recognition Event, 9/2013.
3. Weinberg J, Cowles CE, Berkheiser M. Safety Procedure During Simulated Quench of Intraoperative MRI. American Academy of Neurosurgeons, New Orleans LA, 4/2013.
4. Cowles CE and Pivalizza EG. Survey of Surgical Personnel to Enact the “RACE-PASS” Fire Safety Plan. British Journal of Anaesthesia 108(Supplement 2):ii326-7 (#466.00), March 2012, 3/2012.
5. Rebello, E, Cowles C, Kee S, Hernandez M, Sapire K. Evaluation and Implementation of an Automated Medication Dispensing System into Anesthesia Worksites at a Large University Hospital. Soc of Pediatric Anesthesia, San Antonio, TX,, 4/2010.
6. Rebello, E, Cowles C, Kee S, Hernandez M, Sapire K. Evaluation and Implementation of an Automated Medication Dispensing System into Anesthesia Worksites at a Large University Hospital. Anesthesia and Analgesia 110(3):S 152 (#S 152), http://www.anesthesia-analgesia.org/, 3/2010.

Book Chapters

1. Cowles CE. Airway Fire. In: The 5 Minute Anesthesia Consult, First. Ed(s) N Singh-Ratcliff. Lippincott Williams and wilkins: Philadelphia, PA, 2013. ISBN: 978-1-4511-1894-0.
2. Cowles CE. Smoke Inhalation Injury. In: The 5 Minute Anesthesia Consull, First. Ed(s) N Singh-Ratcliff. Lippincott Williams and Wilkins: Philadelphia, PA, 2013. ISBN: 978-1-4511-1894-0.
3. Cowles CE. The Operating Room Environment. In: Clinical Anesthesiology, 5th. Ed(s) Butterworth J, Mackey DC, Wasnick J. Appleton and Lange: New York, 2013. ISBN: 978-0-07-162703-0.
4. Cowles CE, Rozner MA. Never Yell Fire in a Crowded OR. In: Anesthetic Cases through the Core Clinical Competencies Looking Glass. 1, 1. Ed(s) Gallagher CJ, Lewis MC, Schwengel D. Cambridge University Press: Cambridge UK, 217-226, 2010. ISBN: 978-0-521-14413-1.

Letters to the Editor

1. Cowles CE. Regarding fiberoptic intubation and laryngeal morbidity. Anesthesiology 108(6):1150-1; author reply 1151, 6/2008. PMID: 18497618.

Manuals, Teaching Aids, Other Teaching Publications

1. Cowles CE. EMS Clinical Guidelines and Protocols. San Jacinto College District: Pasadena, TX, 1/1996.

Grant & Contract Support

Title: Surgical Fire Prevention Mobile Platform Education Application and Interactive Simulator
Funding Source: Anesthesia Patient Safety Foundation
Role: Principal Investigator
Duration: 1/1/2013 - 12/31/2013
 
Title: Healthcare Safety and Effectiveness Grants
Funding Source: University of Texas System
Role: Principal Investigator
Duration: 7/1/2012 - 6/30/2013
 
Title: Medical Education in Quality, Safety, Medical Errors and Patient Outcomes
Funding Source: University of Texas Sytem
Role: Principal Investigator

Last updated: 7/25/2014