Permanente Medicine

JUNE 25, 2025

per 100,000 in 2009 to 23.5 What we found is truly impressive: Screening rates among KPNC patients nearly doubled — from 37.4% in 2000 to 79.8% in 2019 Deaths from colorectal cancer decreased by 50% overall One of the largest reductions was among Black patients, with mortality rates dropping from 52.5

Screening 52

Screening Preventive Care Preventative Care Patient-Centered 52

GeriPal

MARCH 2, 2023

This long and sordid history of gabapentin and pregabalin is beautifully described in Seth Landefeld and Mike Steinman 2009 NEJM editorial. 2022 Perioperative Gabapentin Use in Older AdultsRevisiting Multimodal Pain Management JAMA IM. I understand that it can be a hard place clinically. J Am Geriatr Soc. Annals of IM.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

OCTOBER 20, 2022

And so there was a report in 2009 by the Institute of Medicine saying that we need to equip all of these individuals in caring for older person in an evidence based manner. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. So you’re right.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 24, 2023

Full disclosure, I talked with Ava Kofman a bunch while she was preparing that article, and I thought based on my professional experience working in hospice, things that I had seen, that she raised a lot of issues that I had personally encountered in my clinical experience. Management, it’s hard. Who sees you? How is that done?

IT 114

IT Provider Patients Families 114

GeriPal

MARCH 7, 2024

Healthcare, just the way healthcare is structured, that’s not something that’s feasible unless there’s a specific symptom management need that allows for more care, but just to provide simple care doesn’t exist. Is that right, Jane? Jane: Yeah, that’s right. We know the medical system is fairly transactional.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Many years ago for the first study; I believe it was in 2009, 2010; I met with Susan Mitchell at the Institute for Aging Research, and told her that I wanted to study the use of feeding tubes for people with advanced dementia. Ruth: Sure.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

PEMBlog

APRIL 4, 2025

Immunization status and the management of febrile children in the pediatric emergency department: what are we doing? Unfortunately, timely clinical question, what do we do with the UN or under vaccinated child who presents to the emergency department with fever? Pediatr Emerg Care. 2023;39(1):1-5. doi:10.1097/PEC.0000000000002864

Vaccination 66

Vaccination Illness IT Clinic 66