Rosa Rodriguez-Monguio, PhD, MS

Professor & Director, Medication Outcomes Center
Department of Clinical Pharmacy
+1 415 502-6029

A professor at the Department of Clinical Pharmacy and the Director of the Medication Outcomes Center, Rosa Rodriguez-Monguio’s research focuses on improving patient outcomes while containing the cost of pharmaceutical treatments and services. As a health economist with 20 years of experience in pharmaceutical economics, policy and health outcomes research, she incorporates quantitative research methodologies to assess the effect of prescribing practices and drug utilization on patient safety and outcomes, and health care cost. In addition, Rosa devotes an important part of her research endeavors to evaluate the root causes, economic impact and adverse events associated with drug shortages. Her research interests also include applying economic evaluation models to inform evidence-based medication decision-making.

Rosa's teaching and mentoring goals are to support our students, residents and fellows professional development to integrate and apply pharmacoeconomic principles, methods and applications to inform clinical practice and efficient allocation of resources, and ultimately, to enhance patient care and health outcomes.



Inpatient administration of opioids and risk for post-operative ileus in older adults.

Journal of opioid management

Rodriguez-Monguio R, Berkley E, Mendoza E, Miller K, Selim S, Trac C, Lun Z, Reisner L

The American Public Health Association Endorses Single-Payer Health System Reform.

Medical care

King B, Spadaro A, Schiff G, Rodriguez-Monguio R, Jordan AO, Flaherty L, Lee WC, Zito J, Fein O, American Public Health Association, Medical Care Section

The association of multimodal analgesia and high-risk opioid discharge prescriptions in opioid-naive surgical patients.

Perioperative medicine (London, England)

Langnas E, Rodriguez-Monguio R, Luo Y, Croci R, Dudley RA, Chen CL

Hospital admission medication reconciliation in high-risk prescription opioid users.

Research in social & administrative pharmacy : RSAP

Rodriguez-Monguio R, Lun Z, Kehr K, Agustin JP, San Agustin-Nordmeier K, Huynh C, Reisner L

Enhanced recovery after surgery protocol and postoperative opioid prescribing for cesarean delivery: an interrupted time series analysis.

Perioperative medicine (London, England)

Langnas EM, Matthay ZA, Lin A, Harbell MW, Croci R, Rodriguez-Monguio R, Chen CL

Substance use treatment services utilization and outcomes among probationers in drug courts compared to a matched cohort of probationers in traditional courts.

The American journal on addictions

Rodriguez-Monguio R, Montgomery B, Drawbridge D, Packer I, Vincent GM

Reductions in vancomycin and meropenem following the implementation of a febrile neutropenia management algorithm in hospitalized adults: An interrupted time series analysis.

Infection control and hospital epidemiology

Trinh TD, Strnad L, Damon L, Dzundza JH, Graff LR, Griffith LM, Hilts-Horeczko A, Olin R, Shenoy S, DeVoe C, Wang L, Rodriguez-Monguio R, Gu TM, Hampton SR, Macapinlac BAC, Yang K, Doernberg SB

Liposomal bupivacaine decreases post-operative length of stay and opioid use in patients undergoing radical cystectomy.


Chu CE, Law L, Zuniga K, Lin TK, Tsourounis C, Rodriguez-Monguio R, Lazar A, Washington SL, Cooperberg MR, Greene KL, Carroll PR, Pruthi RS, Meng MV, Chen LL, Porten SP

Perioperative Prescribing Practices of Extended-Release Opioids in Noncancer Surgical Patients, 2015-2018.

Anesthesia and analgesia

Rodriguez-Monguio R, Naveed M, Croci R, Gross K, Langnas E, Chen CL, Seoane-Vazquez E

Long-Term Trends in Postoperative Opioid Prescribing, 1994 to 2014.

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews

Chen CL, Jeffery MM, Krebs EE, Thiels CA, Schumacher MA, Schwartz AJ, Thombley R, Finlayson E, Rodriguez-Monguio R, Ward D, Dudley RA

Using a Machine Learning System to Identify and Prevent Medication Prescribing Errors: A Clinical and Cost Analysis Evaluation.

Joint Commission journal on quality and patient safety

Rozenblum R, Rodriguez-Monguio R, Volk LA, Forsythe KJ, Myers S, McGurrin M, Williams DH, Bates DW, Schiff G, Seoane-Vazquez E

The Landscape of Cellular and Gene Therapy Products: Authorization, Discontinuations, and Cost.

Human gene therapy. Clinical development

Shukla V, Seoane-Vazquez E, Fawaz S, Brown L, Rodriguez-Monguio R

The Landscape of Cellular and Gene Therapy Products: Cost, Approvals, and Discontinuations

Hum Gene Ther Clin Dev. 2019 Apr 10. doi: 10.1089/humc.2018.201.

Shukla V, Seoane E, Souhiela F, Lawrence B, Rodriguez-Monguio R

Innovation and competition in advanced therapy medicinal products.

EMBO molecular medicine

Seoane-Vazquez E, Shukla V, Rodriguez-Monguio R

Gender differences in mental health and substance use disorders and related healthcare services utilization.

The American journal on addictions

Brand E, Rodriguez-Monguio R, Volber R

Incorporating medication indications into the prescribing process.

American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists

Kron K, Myers S, Volk L, Nathan A, Neri P, Salazar A, Amato MG, Wright A, Karmiy S, McCord S, Seoane-Vazquez E, Eguale T, Rodriguez-Monguio R, Bates DW, Schiff G

Driving and riding under the influence of recent marijuana use: Risk factors among a racially diverse sample of young adults.

Journal of ethnicity in substance abuse

Whitehill JM, Rodriguez-Monguio R, Doucette M, Flom E

The Economic Burden of Pathological Gambling and Co-occurring Mental Health and Substance Use Disorders.

Journal of addiction medicine

Rodriguez-Monguio R, Brand E, Volberg R

Changes in the utilization of osteoporosis drugs after the 2010 FDA bisphosphonate drug safety communication.

Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society

Balkhi B, Seoane-Vazquez E, Rodriguez-Monguio R

The patient-centered medical home model: healthcare services utilization and cost for non-elderly adults with mental illness.

Journal of mental health (Abingdon, England)

Bowdoin JJ, Rodriguez-Monguio R, Puleo E, Keller D, Roche J

Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors.

Expert opinion on drug safety

Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, Schiff G

Opioid Prescription Drug Use and Expenditures in US Outpatient Physician Offices: Evidence from Two Nationally Representative Surveys.

Cancer therapy & oncology international journal

Qureshi ZP, Haider MR, Rodriguez-Monguio R, Wooten NR, Nikitin RV, Ball S, Barth K, Elk R, Horner R, Bennett C

Cost-effectiveness of different strategies for treatment relapsing-remitting multiple sclerosis.

Journal of comparative effectiveness research

Sawad AB, Seoane-Vazquez E, Rodriguez-Monguio R, Turkistani F


International journal of technology assessment in health care

Balkhi B, Seoane-Vazquez E, Rodriguez-Monguio R

Price analysis of multiple sclerosis disease-modifying therapies marketed in the United States.

Current medical research and opinion

Bin Sawad A, Seoane-Vazquez E, Rodriguez-Monguio R, Turkistani F

Are Obese Residents More Likely to Be Admitted to Nursing Homes That Have More Deficiencies in Care?

Journal of the American Geriatrics Society

Zhang N, Rodriguez-Monguio R, Barenberg A, Gurwitz J

Health Information Technologies: Which Nursing Homes Adopted Them?

Journal of the American Medical Directors Association

Zhang N, Lu SF, Xu B, Wu B, Rodriguez-Monguio R, Gurwitz J

Gambling involvement indicative of underlying behavioral and mental health disorders.

The American journal on addictions

Okunna NC, Rodriguez-Monguio R, Smelson DA, Poudel KC, Volberg R

FDA safety actions for antidiabetic drugs marketed in the US, 1980-2015.

The International journal of risk & safety in medicine

Kwon CS, Seoane-Vazquez E, Rodriguez-Monguio R

Fixed-dose combination and single active ingredient drugs: a comparative cost analysis.

Expert review of pharmacoeconomics & outcomes research

Hao J, Rodriguez-Monguio R, Seoane-Vazquez E

Response to Letter to the Editor: Regarding the Bulzacchelli et al. Article on Injury During U.S. Army Basic Combat Training.

American journal of preventive medicine

Bulzacchelli MT, Sulsky SI, Rodriguez-Monguio R, Karlsson LH, Hill LT

Priority review drugs approved by the FDA and the EMA: time for international regulatory harmonization of pharmaceuticals?

Pharmacoepidemiology and drug safety

Alqahtani S, Seoane-Vazquez E, Rodriguez-Monguio R, Eguale T

Injury during U.S. Army basic combat training: a systematic review of risk factor studies.

American journal of preventive medicine

Bulzacchelli MT, Sulsky SI, Rodriguez-Monguio R, Karlsson LH, Hill MO

Medicaid provisions and the US mental health industry composition.

Journal of mental health (Abingdon, England)

Pellegrini LC, Rodriguez-Monguio R

The US healthcare workforce and the labor market effect on healthcare spending and health outcomes.

International journal of health care finance and economics

Pellegrini LC, Rodriguez-Monguio R, Qian J

Examination of risk evaluation and mitigation strategies and drug safety in the US.

Research in social & administrative pharmacy : RSAP

Rodriguez-Monguio R, Spielberger K, Seoane-Vazquez E

Approval and withdrawal of new antibiotics and other antiinfectives in the U.S., 1980-2009.

The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics

Outterson K, Powers JH, Seoane-Vazquez E, Rodriguez-Monguio R, Kesselheim AS

Comparing the cost of community pharmacy and mail-order pharmacy in a US retirement system.

The International journal of health planning and management

Visaria J, Seoane-Vazquez E, Szeinbach SL, Rodriguez-Monguio R

Market withdrawal of new molecular entities approved in the United States from 1980 to 2009.

Pharmacoepidemiology and drug safety

Qureshi ZP, Seoane-Vazquez E, Rodriguez-Monguio R, Stevenson KB, Szeinbach SL

Access to essential drugs in Guyana: a public health challenge.

The International journal of health planning and management

Seoane-Vazquez E, Rodriguez-Monguio R

Patent life of antiretroviral drugs approved in the US from 1987 to 2007.

AIDS care

Rodriguez-Monguio R, Seoane-Vazquez E

Analysis of the impact of the Uruguay Round Agreements Act on pharmaceutical patents.

Food and drug law journal

Seoane-Vazquez E, Rodriguez-Monguio R, Szeinbach SL, Beyer A, Visaria J

Incentives for orphan drug research and development in the United States.

Orphanet journal of rare diseases

Seoane-Vazquez E, Rodriguez-Monguio R, Szeinbach SL, Visaria J

Endoscopy-related infection: relic of the past?

Current opinion in infectious diseases

Seoane-Vazquez E, Rodriguez-Monguio R

Drug utilization and cost in a Medicaid population: a simulation study of community vs. mail order pharmacy.

BMC health services research

Valluri S, Seoane-Vazquez E, Rodriguez-Monguio R, Szeinbach SL

Endoscopy-related infections and toxic reactions: an international comparison.


Seoane-Vazquez E, Rodriguez-Monguio R, Visaria J, Carlson A

Negotiating antiretroviral drug prices: the experience of the Andean countries.

Health policy and planning

Seoane-Vazquez E, Rodriguez-Monguio R

Exogenous endoscopy-related infections, pseudo-infections, and toxic reactions: clinical and economic burden.

Current medical research and opinion

Seoane-Vazquez E, Rodriguez-Monguio R, Visaria J, Carlson A

Analysis of the World Bank's pharmaceutical lending.

Health policy (Amsterdam, Netherlands)

Rodríguez-Monguió R, Rovira J, Seoane-Vázquez E

Healthcare rationing in Spain: framework, descriptive analysis and consequences.


Rodríguez-Monguió R, Antoñanzas Villar F

Assessing the economic impact of adverse drug effects.


Rodríguez-Monguió R, Otero MJ, Rovira J