A decade of cultivating the next generation of delivery science researchers
Co-founded in 2012 by Richard W. Grant, MD, MPH, and Julie Schmittdiel, PhD, and funded by The Permanente Medical Group, the fellowship offers training and mentorship to junior investigators interested in research aimed at improving health care delivery.
Widely used triage method overestimates severity of a quarter of emergency department patients
A Kaiser Permanente study looking at the application of the Emergency Severity Index — a method commonly used to triage emergency department patients — found some imprecision, suggesting there may be an opportunity for the ESI to be updated.
Shorter wait between COVID-19 and elective surgery possible
Kaiser Permanente researchers have good news for patients, surgeons, anesthesiologists, and hospital administrators who have had to put off elective surgery because of a positive COVID-19 test. Among fully vaccinated patients, there may not be an elevated risk with surgery soon after COVID-19.
Early antibiotics for sepsis supported in new study
A large multi-hospital analysis found that early antibiotics in sepsis patients resulted in improved health outcomes for them without posing unintended consequences for others, such as expanding overall antibiotic use or worsening antibiotic resistance.
COVID-19 patients did better if they had booster vaccination
A large Kaiser Permanente analysis of COVID-19 patients confirms the value of vaccination, finding higher rates of hospitalization and advanced medical care for COVID-19 patients who were unvaccinated, were vaccinated but not boosted, or who had an additional health condition such as obesity or heart disease.
National recognition for Kaiser Permanente early alert system
Kaiser Permanente Northern California’s life-saving Advance Alert Monitor (AAM) program — an early detection system that helps care teams predict when hospitalized patients are at risk for clinical deterioration — has been recognized by The Joint Commission and National Quality Forum.
Medical assistants help close virtual visit digital divide
Patients participating in video visits with their primary care doctors in fall 2020 benefited from having a medical assistant help connect the call, particularly if they needed language interpretation or lived in a low-socioeconomic-status neighborhood, according to new Kaiser Permanente research.
Filling in evidence gaps about preventive care
A new report from a consensus committee headed by Kaiser Permanente Division of Research Director Tracy Lieu, MD, MPH, for the National Academies of Sciences, Engineering and Medicine (NASEM), makes recommendations to accelerate the research needed to fill evidence gaps for clinical preventive services.
Similar follow-up after telemedicine and office visits
Patients who made appointments to see their primary care doctors by video or over the phone did not seek substantially more follow-up care overall than those who had traditional in-person visits, according to Kaiser Permanente research published November 16 in JAMA Network Open.
Risk score assigns surgery patients to best level of preoperative counseling
A clinical decision support tool developed with predictive analytics could lead to more consistent patient preparation for elective surgery and reduce complications, according to Kaiser Permanente research published Nov. 10 in Annals of Surgery.
Patients who need language interpretation less likely to initially choose a video visit
Patients with limited English proficiency who need a language interpreter for a telemedicine visit were less likely to choose a video visit for their first time than patients who did not need an interpreter, Kaiser Permanente research found.
Diverse new class of postdoctoral fellows adds to research strength
The Kaiser Permanente Division of Research postdoctoral research program drew one of its largest-ever classes of fellows this year, building the strength of DOR’s research portfolio. Seven fellows cover fields from diet to dementia, cancer to clinical informatics, to women’s and children’s health, and more.
Predictive model paired with case management reduced rate of readmitted hospital patients
A follow-up program for Kaiser Permanente Northern California patients discharged from the hospital was associated with reduced readmissions without increased mortality, new research in the journal BMJ suggests.
Most stroke patients with severe symptoms could seemingly be treated at a primary stroke center
Even if emergency personnel were able to use the best stroke assessment tool available, most patients taken directly by ambulance to a comprehensive stroke center could have been treated at a primary stroke center instead, a new Kaiser Permanente study suggests.
Real-time in-hospital alerts associated with lower patient mortality
A sophisticated system that analyzes electronic data about hospital patients, identifies those at risk of deteriorating, and issues an alert to a centralized team of specially trained nurses resulted in a lower mortality rate, Kaiser Permanente researchers reported in the New England Journal of Medicine.
New study aims to help older adults with type 2 diabetes cut back on medications
Richard Grant, MD, MPH, a research scientist at the Kaiser Permanente Division of Research, has received a $3.2 million, 5-year National Institutes of Health Institute on Aging grant to develop an online education program that uses advance care planning concepts to improve diabetes care for adults age 75 and older.
Early colorectal cancer screening benefits African Americans
Kaiser Permanente researchers showed starting annual colorectal cancer screening at age 45 in African Americans can find colorectal cancers at a rate similar to that seen when screening starts after age 50 — the age most guidelines currently recommend.
The New Faces of Research
Diabetes, medication safety, and understanding chronic conditions are just some of the research areas a new class of postdoctoral fellows at the Kaiser Permanente Northern California Division of Research will support. The 3 early-career researchers began their appointments this past year.
Kaiser Permanente research shows mastectomy patients recover safely at home
A study in Annals of Surgical Oncology finds that the rate of home recovery after mastectomy increased from 23% regionwide to 61% in the 6 months after the program started, with no significant changes in emergency-department visits, reoperations, or readmissions.
Delivering the Next Generation of Diabetes Scientists
The Kaiser Permanente Division of Research has received a T32 grant from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) to train young scientists in translating research into practice for people with type 2 diabetes and prediabetes.
A Better Way to Assess Ovarian Cancer Risk
New radiology guidelines developed by Kaiser Permanente gynocological oncologist and researcher Betty Suh-Burgman, MD, allow women at higher risk for ovarian cancer to be promptly referred for surgical evaluation while women at low risk can safely avoid surgery.
Partners of Newly Diagnosed Diabetes Patients More Likely to Adopt Healthy Behaviors
Partners of people with newly diagnosed diabetes are more likely to improve their health behaviors than partners of people without the disease, according to a large new Kaiser Permanente study published today in Annals of Family Medicine.
Kaiser Permanente stroke patients receive clot-busting medication more than twice as fast as national rates
Kaiser Permanente hospitals in Northern California are delivering clot-busting medication to new stroke patients more than twice as fast as the national average. This follows the region-wide adoption of an integrated telemedicine program, according to new research published December 15 in the journal Stroke.
Targeted analysis program seeks quick answers to pressing health care questions
An innovative program based at the Kaiser Permanente Division of Research is breaking down barriers between researchers and clinical leadership, allowing them to work together on short-term projects that can directly and quickly impact care.
Physician researchers build bridges to health care innovation
David Vinson, MD, has been conducting research on nights and weekends for much of his 17-year career as an emergency-room physician in The Permanente Medical Group. A new program sponsored by TPMG will allow him to dedicate a portion of his clinical work week to research, while collaborating with investigators at the Division of Research.