The Permanente Journal
Journal Impact IF - Analysis · Trend · Prediction · Ranking


Journal Impact IF




Journal Impact IF Trend

Related Journals

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The Permanente Journal

The 2019-2020 Journal Impact IF of The Permanente Journal is 1.095, which is just updated in 2020.

The Permanente Journal Impact Factor
Highest IF
Highest Journal Impact IF

The highest Journal Impact IF of The Permanente Journal is 1.485.

Lowest IF
Lowest Journal Impact IF

The lowest Journal Impact IF of The Permanente Journal is 0.935.

Total Growth Rate
IF Total Growth Rate

The total growth rate of The Permanente Journal IF is -10.8%.

Annual Growth Rate
IF Annual Growth Rate

The annual growth rate of The Permanente Journal IF is -1.5%.

Journal Impact IF Ranking

Subcategory Quartile Rank Percentile
General Medicine Q2 161/529

General Medicine 69%

Journal Impact IF Ranking

· In the General Medicine research field, the Quartile of The Permanente Journal is Q2. The Permanente Journal has been ranked #161 over 529 related journals in the General Medicine research category. The ranking percentile of The Permanente Journal is around 69% in the field of General Medicine.

The Permanente Journal Impact Factor 2020-2021 Prediction

The Permanente Journal Impact Factor Predition System

The Permanente Journal Impact Factor Prediction System is now online. You can start share your valuable insights with the community.

Predict Check All Preditions
Total Publications
Total Citations

Annual Publication Volume

Annual Citation Record

International Collaboration Trend

Cited Documents Trend

Journal Impact IF History

Year Journal Impact IF
Year Journal Impact IF
2019-2020 1.095
2018-2019 0.935
2017-2018 1.118
2016-2017 1.405
2015-2016 1.191
2014-2015 1.485
2013-2014 1.228
2012-2013 -
2011-2012 -
Journal Impact IF History

· The 2019-2020 Journal Impact IF of The Permanente Journal is 1.095
· The 2018-2019 Journal Impact IF of The Permanente Journal is 0.935
· The 2017-2018 Journal Impact IF of The Permanente Journal is 1.118
· The 2016-2017 Journal Impact IF of The Permanente Journal is 1.405
· The 2015-2016 Journal Impact IF of The Permanente Journal is 1.191
· The 2014-2015 Journal Impact IF of The Permanente Journal is 1.485
· The 2013-2014 Journal Impact IF of The Permanente Journal is 1.228
The Journal Impact IF 2012-2013 of The Permanente Journal is still under analysis. Stay Tuned!
The Journal Impact IF 2011-2012 of The Permanente Journal is still under analysis. Stay Tuned!

Publications Cites Dataset

Year Publications Citations
Year Publications Citations
1997 1 0
1998 1 0
1999 2 0
2000 5 0
2001 6 3
2002 13 13
2003 12 16
2004 34 31
2005 95 90
2006 65 114
2007 73 155
2008 75 195
2009 66 227
2010 56 327
2011 79 366
2012 67 515
2013 97 738
2014 84 1023
2015 98 1251
2016 89 1223
2017 137 1423
2018 165 1328
2019 188 1622
2020 180 2267
2021 5 171
Publications Cites Dataset

· The The Permanente Journal has published 1 reports and received 0 citations in 1997.
· The The Permanente Journal has published 1 reports and received 0 citations in 1998.
· The The Permanente Journal has published 2 reports and received 0 citations in 1999.
· The The Permanente Journal has published 5 reports and received 0 citations in 2000.
· The The Permanente Journal has published 6 reports and received 3 citations in 2001.
· The The Permanente Journal has published 13 reports and received 13 citations in 2002.
· The The Permanente Journal has published 12 reports and received 16 citations in 2003.
· The The Permanente Journal has published 34 reports and received 31 citations in 2004.
· The The Permanente Journal has published 95 reports and received 90 citations in 2005.
· The The Permanente Journal has published 65 reports and received 114 citations in 2006.
· The The Permanente Journal has published 73 reports and received 155 citations in 2007.
· The The Permanente Journal has published 75 reports and received 195 citations in 2008.
· The The Permanente Journal has published 66 reports and received 227 citations in 2009.
· The The Permanente Journal has published 56 reports and received 327 citations in 2010.
· The The Permanente Journal has published 79 reports and received 366 citations in 2011.
· The The Permanente Journal has published 67 reports and received 515 citations in 2012.
· The The Permanente Journal has published 97 reports and received 738 citations in 2013.
· The The Permanente Journal has published 84 reports and received 1023 citations in 2014.
· The The Permanente Journal has published 98 reports and received 1251 citations in 2015.
· The The Permanente Journal has published 89 reports and received 1223 citations in 2016.
· The The Permanente Journal has published 137 reports and received 1423 citations in 2017.
· The The Permanente Journal has published 165 reports and received 1328 citations in 2018.
· The The Permanente Journal has published 188 reports and received 1622 citations in 2019.
· The The Permanente Journal has published 180 reports and received 2267 citations in 2020.
· The The Permanente Journal has published 5 reports and received 171 citations in 2021.
· The total publications of The Permanente Journal is 1693.
· The total citations of The Permanente Journal is 13098.

What is Impact Factor?

The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly average number of citations of articles published in the last two years in a given journal. It is frequently used as a proxy for the relative importance of a journal within its field; journals with higher impact factor values are often deemed to be more important, or carry more intrinsic prestige in their respective fields, than those with lower values.

The Permanente Journal | Academic Accelerator - About the Impact Factor

Impact factor is commonly used to evaluate the relative importance of a journal within its field and to measure the frequency with which the “average article” in a journal has been cited in a particular time period. Journal which publishes more review articles will get highest IFs. Journals with higher IFs believed to be more important than those with lower ones. According to Eugene Garfield “impact simply reflects the ability of the journals and editors to attract the best paper available.” Journal which publishes more review articles will get maximum IFs. The Impact Factor of an academic journal is a scientometric Metric that reflects the yearly average number of citations that recent articles published in a given journal received. It is frequently used as a Metric for the relative importance of a journal within its field; journals with higher Impact Factor are often deemed to be more important than those with lower ones. The The Permanente Journal Impact Factor IF measures the average number of citations received in a particular year (2020) by papers published in the The Permanente Journal during the two preceding years (2018-2019). Note that 2020 Impact Factor are reported in 2021; they cannot be calculated until all of the 2020 publications have been processed by the indexing agency. New journals, which are indexed from their first published issue, will receive an impact factor after two years of indexing; in this case, the citations to the year prior to Volume 1, and the number of articles published in the year prior to Volume 1, are known zero values. Journals that are indexed starting with a volume other than the first volume will not get an impact factor until they have been indexed for three years. Occasionally, Journal Citation Reports assigns an impact factor to new journals with less than two years of indexing, based on partial citation data. The calculation always uses two complete and known years of item counts, but for new titles one of the known counts is zero. Annuals and other irregular publications sometimes publish no items in a particular year, affecting the count. The impact factor relates to a specific time period; it is possible to calculate it for any desired period. In addition to the 2-year Impact Factor, the 3-year Impact Factor, 4-year Impact Factor, 5-year Impact Factor, Real-Time Impact Factor can provide further insights and factors into the impact of The Permanente Journal.


The impact factor was devised by Eugene Garfield, the founder of the Institute for Scientific Information (ISI). Impact factors are calculated yearly starting from 1975 for journals listed in the Journal Citation Reports (JCR). ISI was acquired by Thomson Scientific & Healthcare in 1992, and became known as Thomson ISI. In 2018, Thomson ISI was sold to Onex Corporation and Baring Private Equity Asia. They founded a new corporation, Clarivate, which is now the publisher of the JCR.


The impact factor is used to compare different journals within a certain field. The Web of Science indexes more than 11,500 science and social science journals. Journal impact factors are often used to evaluate the merit of individual articles and individual researchers. This use of impact factors was summarised by Hoeffel:

Impact Factor is not a perfect tool to measure the quality of articles but there is nothing better and it has the advantage of already being in existence and is, therefore, a good technique for scientific evaluation. Experience has shown that in each specialty the best journals are those in which it is most difficult to have an article accepted, and these are the journals that have a high impact factor. Most of these journals existed long before the impact factor was devised. The use of impact factor as a measure of quality is widespread because it fits well with the opinion we have in each field of the best journals in our specialty....In conclusion, prestigious journals publish papers of high level. Therefore, their impact factor is high, and not the contrary.

Eugene Garfield

In brief, Impact factors may be used by:
  • Authors to decide where to submit an article for publication.
  • Libraries to make collection development decisions
  • Academic departments to assess academic productivity
  • Academic departments to make decisions on promotion and tenure.
As impact factors are a journal-level metric, rather than an article- or individual-level metric, this use is controversial. Garfield agrees with Hoeffel,but warns about the "misuse in evaluating individuals" because there is "a wide variation [of citations] from article to article within a single journal". Other things to consider about Impact Factors:
  • Many journals do not have an impact factor.
  • The impact factor cannot assess the quality of individual articles. Even if citations were evenly distributed among articles, the impact factor would only measure the interests of other researchers in an article, not its importance and usefulness.
  • Only research articles, technical notes and reviews are “citable” items. Editorials, letters, news items and meeting abstracts are “non-citable items”.
  • Only a small percentage of articles are highly cited and they are found in a small subset of journals. This small proportion accounts for a large percentage of citations.
  • Controversial papers, such as those based on fraudulent data, may be highly cited, distorting the impact factor of a journal.
  • Citation bias may exist. For example, English language resources may be favoured. Authors may cite their own work.
Moreover, informed and careful use of these impact data is essential, and should be based on a thorough understanding of the methodology used to generate impact factors. There are controversial aspects of using impact factors:
  • It is not clear whether the number of times a paper is cited measures its actual quality.
  • Some databases that calculate impact factors fail to incorporate publications including textbooks, handbooks and reference books.
  • Certain disciplines have low numbers of journals and usage. Therefore, one should only compare journals or researchers within the same discipline.
  • Review articles normally are cited more often and therefore can skew results.
  • Self-citing may also skew results.
  • Some resources used to calculate impact factors have inadequate international coverage.
  • Editorial policies can artificially inflate an impact factor.
Impact factors have often been used in advancement and tenure decision-making. Many recognize that this is a coarse tool for such important decisions, and that a multitude of factors should be taken into account in these deliberations. When considering the use of the impact factor (IF), keep these aspects in mind:
  • IF analysis is limited to citations from the journals indexed by the Web of Science/Web of Knowledge. Currently, the Web of Science indexes only 8621 journals across the full breadth of the sciences, and just 3121 in the social sciences.
  • A high IF/citation rate says nothing about the quality -- or even, validity -- of the references being cited. Notorious or even retracted articles often attract a lot of attention, hence a high number of citations. The notority related to the first publication on "cold fusion" is one such example.
  • Journals that publish more "review articles" are often found near the top of the rankings. While not known for publishing new, creative findings, these individual articles tend to be heavily cited.
  • The IF measures the average number of citations to articles in the journal -- given this, a small number of highly-cited articles will skew the figure.
  • It takes several years for new journals to be added to the list of titles indexed by the Web of Science/Web of Knowledge, so these newer titles will be under-represented.
  • It's alleged that journal editors have learned to "game" the system, encouraging authors to cite their works previously published in the same journal.
Comparing Journals Across Disciplines? Not a good idea! Using Impact Factors within a given discipline should only be done with great care, as described above. Using impact factor data to compare journals across disciplines is even more problematic. Here are some of the reasons:
  • Disciplines where older literature is still referenced, such as Chemistry and Mathematics, offer challenges to the methodolgy since older citations (older than two years) are not used to calculate the impact factor for a given journal. (Five-year impact factor analysis, which can be calculated using the Journal Citation Index database, helps smooth out this problem only to some degree.)
  • Different disciplines have different practices regarding tendency to cite larger numbers of references. Higher overall citation rates will bump upward impact factor measurements.
  • Where it's common for large numbers of authors to collaborate on a single paper, such as in Physics, the tendency of authors to cite themselves (and in this case, more authors) will result in increased citation rates.

Pros and Cons of the Impact Factor


  • A vetted, established metric for measuring journal impact within a discipline.
  • Designed to eliminate bias based on journal size and frequency.
  • Individual articles makes an uneven contribution to overall Impact Factor.
  • Impact Factor does not account for certain things, things like context (postive or negative citaion) and intentionality (self-citation).
  • The metric is proprietary to and bound by the contents of the Thomson Reuters database.
  • Citations, on which the Impact Factor is based, count for less than 1% of an article's overall use.


Numerous critiques have been made regarding the use of impact factors. A 2007 study noted that the most fundamental flaw is that impact factors present the mean of data that are not normally distributed, and suggested that it would be more appropriate to present the median of these data. There is also a more general debate on the validity of the impact factor as a measure of journal importance and the effect of policies that editors may adopt to boost their impact factor (perhaps to the detriment of readers and writers). Other criticism focuses on the effect of the impact factor on behavior of scholars, editors and other stakeholders. Others have made more general criticisms, arguing that emphasis on impact factor results from negative influence of neoliberal policies on academia claiming that what is needed is not just replacement of the impact factor with more sophisticated metrics for science publications but also discussion on the social value of research assessment and the growing precariousness of scientific careers in higher education.
Experts stress that there are limitations in using impact factors to evaluate a scholar's work. There are many reasons cited for not relying on impact factor alone to evaluate the output of a particular individual. Among these are the following:

  • A single factor is not sufficient for evaluating an author's work.
  • Journal values are meaningless unless compared within the same discipline. Impact factors vary among disciplines.
  • The impact factor was originally devised to show the impact of a specific journal, not a specific scholar. The quality and impact of the author's work may extend beyond the impact of a particular journal.
According to Jim Testa, a researcher for ThomsonReuters Scientific, the most widespread misuse of the Impact Factor is to evaluate the work of an individual author (instead of a journal). "To say that because a researcher is publishing in a certain journal, he or she is more influential or deserves more credit is not necessarily true. There are many other variables to consider." (interview 6/26/2008 in Thomson Reuters blog entry)

The Permanente Journal
Journal Profile


The journal’s objectives include publishing original research, review articles, clinical case reports, commentaries, and editorials that maintain high standards of editorial integrity; that are timely, credible, and enjoyable to read on a diverse range of medical topics; that foster consideration of important issues affecting medicine, health, health care, health policy, and health care delivery; and that share a multidisciplinary study of medical practice and health care. None

Highly Cited Keywords


The ISSN of The Permanente Journal is 1552-5767 . An ISSN is an 8-digit code used to identify newspapers, journals, magazines and periodicals of all kinds and on all media–print and electronic.

ISSN (Online)
ISSN (Online)

The ISSN (Online) of The Permanente Journal is 1552-5775 . An ISSN is an 8-digit code used to identify newspapers, journals, magazines and periodicals of all kinds and on all media–print and electronic.


The Permanente Journal is published by nan .

Publication Frequency
Publication Frequency

The Permanente Journal publishes reports Quarterly .

2012 - Present

The Publication History of The Permanente Journal covers 2012 - Present .

Open Access
Open Access

The Permanente Journal is an Open Access (OA) Journal. Open Access stands for unrestricted access and unrestricted reuse. With Open Access, researchers can read and build on the findings of others without restriction. Much scientific and medical research is paid for with public funds. Open Access allows taxpayers to see the results of their investment.

Publication Fee
Publication Fee

The Permanente Journal is an Open Access (OA) Journal. Open Access stands for unrestricted access and unrestricted reuse. With Open Access, researchers can read and build on the findings of others without restriction. Open Access allows taxpayers to see the results of their investment. Please share or review the publication fee with the community.


The language of The Permanente Journal is English .

United States

The publisher of The Permanente Journal is nan , which locates in United States .

Selected Articles

Full Title Authors
Full Title Authors
A Practical Guide for Physicians and Health Care Workers to Reduce Their Carbon Footprint in Daily Clinical Work Efstathios Karamanos · Efstathios Karamanos
Using Lean Management to Drive Improvement at East Denver Medical Office Anna Khachikyan · Anna Khachikyan
Three Sides to Every Story: Preparing Patient and Family Storytellers, Facilitators, and Audiences Kristin Bank · Kristin Bank
Optimizing Specialty Palliative Care: Five Key Strategic Initiatives Michael H. Kanter · Michael H. Kanter
Workplace Violence Prevention Lauren Lee · Lauren Lee
Continuing Care Quality Management: Right Care, Right Time, Right Place Applied to Skilled Nursing Facility Care Melissa Stern · Melissa Stern
Collaborative Protocols between Physicians and Pharmacy Groups to Facilitate Opioid Reduction in the Napa-Solano Service Area Robert Durand · Robert Durand
Theres No Place Like Home: Creating a Safe, Individualized, Transitional Care Pathway After a Skilled Nursing Facility Stay Peter Khang · Peter Khang
Putting the Patient First—Shared Decision Making at Kaiser Permanente Jeff Chen · Jeff Chen
Moving Upstream: Three Regions Approaches for Addressing Social Determinants and Needs to Improve Health Outcomes Yvonne Rice · Yvonne Rice
Patient Partners Redesign Personal Action Plans Andrew Felcher · Andrew Felcher
Bringing Hospital Care into the Home: Designing for Spread of AMCAH and [email protected] Ranu Pandey · Ranu Pandey
Barriers and Facilitators to the Deprescribing of Nonbenzodiazepine Sedative Medications Among Older Adults Hyewon Jun · Hyewon Jun
The E-SCOPE Initiative: A Strategic Approach to Identify and Accelerate Implementation of Evidence-Based Best Practices Bruce Cohn · Bruce Cohn
Same-Day Bilateral Cataract Surgery: Providing More Value to Members and to Kaiser Permanente Jennifer Kuntz · Jennifer Kuntz
Care Without Delay Joel Whittaker · Joel Whittaker
Improving Performance on Medicare Stars Medication Adherence Measures through Predictive Analytics Alan Moreno · Alan Moreno
The Importance of Continual Learning in a Rapidly Changing Health Care Environment Linda Fahey · Linda Fahey
Nothing About Patients Without Patients: Strategically Partnering with Leadership for Patient-Centered Outcomes Paul Castaldo · Paul Castaldo
Endogenous Group A Streptococcal Endophthalmitis in a Healthy 42-Year-Old Man: A Case Report Eugene Feig · Eugene Feig
The Community Action Poverty Simulation: A Powerful, Interactive Experience, Moving People to Make a Difference Rebecca Campbell · Rebecca Campbell
Image Diagnosis: Plummer-Vinson Syndrome: An Unusual Cause of Dysphagia Sung Lee · Sung Lee
Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis: A Series of Two Cases Mitsuro Chiba · Mitsuro Chiba
Obstructive Uropathy and Sepsis Caused by an Inguinoscrotal Bladder Hernia: A Case Report Puneet Chhabra · Puneet Chhabra
Home-Based Palliative Care Program Relieves Chronic Pain in Kerala, India: Success Realized Through Patient, Family Narratives Juan Arenas · Juan Arenas
Sentiment, Contents and Retweets: A Study of Two Vaccine-Related Twitter Data Sets Seena Safavy · Seena Safavy
Potentially Preventable Hospital and Emergency Department Events: Lessons from a Large Innovation Project Ann Broderick · Ann Broderick
Exploring Empathy in the Face of Patient Anonymity and Professional Challenges and Barriers Elizabeth B. Blankenship · Mary Goff · Jingjing Yin · Zion Tsz Ho Tse · King-Wa Fu · Hai Liang · Nitin Saroha · Isaac Chun-Hai Fung · Isaac Chun-Hai Fung
From Principles to Practice: Real-World Patient and Stakeholder Engagement in Breast Cancer Research Leif Solberg · Leif Solberg
Engaging with Members to Develop a Person-Centered Transgender Care Program Carmen Medoza · Carmen Medoza
Northern California Medi-Cal Onboarding: Upstream Engagement Sarah M. Greene · Sarah M. Greene
A Successful Multimodal Initiative to Increase Access to Long-Acting Reversible Contraception Among Adolescents Felipe Dest · Felipe Dest
The Impact of Improving Access to Primary Care Bryan Lee · Bryan Lee
Leading Inclusively—Utilizing KPs Seven Inclusive Attributes to Build Trust and Increase Engagement and Team Productivity Sharisse Arnold-Rehring · Sharisse Arnold-Rehring
Nurse-Led Strategies to Improve In-Hospital Code Blue Survival Rates David Glass · David Glass
X Project: Getting Grounded—How Project Chamai Is Poised to Serve Emotional Wellness Needs of Kaiser Permanente Members Susan Terrill · Susan Terrill
Pharmacy and Care Management Collaboration to Improve Health Outcomes through Medication Reconciliation Program Expansion Serge Teplitsky · Serge Teplitsky
Imaging to Treatment: Leveraging Technology to Redesign Care for the Pulmonary Nodule Pathway Chris Chang · Chris Chang
How Our Unique Multidisciplinary Care Model Leads to Superior Outcomes for Cardiac Surgery Patients Bryan Davis · Bryan Davis
Committee for Improvement of Performance Through People: Strengthening Influence Over Work and Engagement in Primary Care Clinical Pharmacy Ashish R Patel · Ashish R Patel
Prevalence and Safety of Intravenous Immunoglobulin Administration During Maintenance Chemotherapy in Children with Acute Lymphoblastic Leukemia in First Complete Remission: A Health Maintenance Organization Perspective Brian Dummett · Brian Dummett
Adverse Childhood Experiences among a Community of Resilient Centenarians and Seniors: Implications for a Chronic Disease Prevention Framework Mark Dreskin · Mark Dreskin
Nebraska Farm Scenes Naveen Qureshi · Naveen Qureshi
Nerve Transfer Surgery for Penetrating Upper Extremity Injuries Wonha Kim · Wonha Kim
Undifferentiated Pleomorphic Sarcoma after Pirfenidone Use: A Case Report Lisa Schuman · Lisa Schuman
A Patient-Centered Approach to a Rural General Practice in Distress and the Search for a Solution Balazs I Bodai · Balazs I Bodai
Effects of Treatment-Associated Increases in Fruit and Vegetable Intake on the Consumption of Other Food Groups and Weight Through Self-Regulatory Processes Efstathios Karamanos · Efstathios Karamanos
Association of Inflammatory Markers with Disease Progression in Patients with Metastatic Melanoma Treated with Immune Checkpoint Inhibitors Barbara Mainguy · Barbara Mainguy
The Rural Inpatient Mortality Study: Does Urban-Rural County Classification Predict Hospital Mortality in California? James J. Annesi · James J. Annesi
Diagnostic Pathway of Oral Cavity Cancer in an Integrated Health Care System Minggui Pan · Minggui Pan
Glioblastoma Multiforme in a Patient with Multiple Myeloma: A Case Report and Literature Review Daniel Linnen · Daniel Linnen
Meditation and Mindfulness: A Call to Action in Elevating Primary Care Kevin Wang · Kevin Wang
One Leaders Journey Toward Empanelment Christine Moore · Christine Moore
To Die at Home Ami Ami · Ami Ami
Cancer Risk of South Asians: A Brief Report Kathryn Teng · Kathryn Teng
Depression Care Management—an Evidence-Based, Collaborative Care Approach to Treating Depression in a Primary Care Setting George Karam · George Karam
Preventing Unrecognized Deterioration and Honoring Patients Goals of Care by Embedding an Automated Early-Warning System in Hospital Workflows Maggie Robbins · Maggie Robbins
Implementing a Narrative Medicine Curriculum During the Internship Year: An Internal Medicine Residency Program Experience Loulia Kachirskaia · Loulia Kachirskaia
Spreading and Scaling Kaiser Permanentes Primary Care Plus: An Interdisciplinary, Person-Centered Primary Care Model Cristine Lacerna · Cristine Lacerna
Deprescribing: A Graduation in Medicine Victoria Brownlow · Victoria Brownlow
May The Schwartz Be With You: Fostering Ethical Care Environments through Schwartz Rounds— A Live Demonstration Beverly Kroner · Beverly Kroner
Changing Regional Surgical Practice to Improve Quality and Efficiency of Care Maisha Draves · Maisha Draves
Pain Rounds: Implementing an Interdisciplinary Team-Based Approach to Pain Management for Inpatient Rehabilitation Felicia Cohn · Felicia Cohn
Spreading the News: Prevention of Hospital-Acquired Pneumonia is Possible Charles Meltzer · Charles Meltzer
Embrace New Culture in Postacute Care: Shaking up the Status Quo Brian Theodore · Brian Theodore
Improving the Culture of Safety: Workplace Safety Unit-Based Teams Interventions that Work David Wong · David Wong
Effective Rounding for Quality and Safety Jeff Convissar · Jeff Convissar
Sepsis Showdown: A Unified, Interregional Approach to Sepsis Diagnosis and Treatment Linda Donner · Linda Donner
Association of Psychiatric Diagnostic Conditions with Hospital Care Outcomes of Patients with Orthopedic Injuries Barbara Zelinski · Barbara Zelinski
Optimal ESRD Starts: Moving Upstream Chronic Kidney Disease to Prevent or Delay End-Stage Renal Disease with Predictive Analytics Kenneth Robinson · Kenneth Robinson
Pursuing Health Equity: Our Journey to Improve Diabetes Control With Our Hispanic/Latino Population at Kaiser Permanente in Indio, California Steven Schwartz · Steven Schwartz
National Total Joint Replacement Initiative: A Case Study for Accelerated Systemwide Spread and Learning Sophie Taylor · Sophie Taylor
Human-Centered Design @ KP: Building Organizational Capacity in Innovation and Patient Engagement Patrick Calasan · Patrick Calasan
Relapse Prevention in Ulcerative Colitis by Plant-Based Diet Through Educational Hospitalization: A Single-Group Trial Fade Mahmoud · Fade Mahmoud
Invasive Basal Cell Carcinoma of the Skin Treated Successfully with Vismodegib: A Case Report Lespasio Mj · Piuzzi Ns · Husni Me · Muschler Gf · Guarino A · Mont Ma · Mont Ma
Real-World Effectiveness of a Medically Supervised Weight Management Program in a Large Integrated Health Care Delivery System: Five-Year Outcomes Nicole Tran · Nicole Tran
Abortion and Risk of Repeated Unintended Pregnancy among Health Plan Members Jim Bellows · Jim Bellows
Spotlight on Antidiabetic Agents with Cardiovascular or Renoprotective Benefits Tina Raine-Bennett · Tina Raine-Bennett
Uses and Misuses of Patient- and Neighborhood-level Social Determinants of Health Data Ali Shukor · Ali Shukor
Effect of an Electronic Alert on Targeted HIV Testing Among High-Risk Populations Ruth Madievsk · Ruth Madievsk
Management of Hypertension on the Labor and Delivery Unit: Delivering Care in the Era of Protocols and Algorithms Laura Gottlieb · Laura Gottlieb
Therapeutic Interferon Interchange in Relapsing Multiple Sclerosis Lowers Health Care and Pharmacy Expenditures with Comparable Safety William Towner · William Towner
Urate-Lowering Therapy in Moderate to Severe Chronic Kidney Disease Zachary Kuhlmann · Zachary Kuhlmann
To Pace or Not To Pace? A Narrative Review of VIP Syndrome Nicole Hahn · Nicole Hahn
Clostridium Difficile-Associated Infection in Trauma Patients: Development of the Clostridium Difficile Influencing Factors (CDIF) Score Gerald Levy · Gerald Levy
A for Life Ching Khoo · Ching Khoo
Efficacy of Bilateral Transcutaneous Posterior Tibial Nerve Stimulation for Fecal Incontinence Efstathios Karamanos · Efstathios Karamanos
Comparative Effectiveness of Surgical Options for Patients with Ductal Carcinoma In Situ: An Instrumental Variable Approach Fareed Ahmed · Fareed Ahmed
Ode to a Dead Hawk Shota Takano · Shota Takano
Listening Beyond Auscultating: A Quality Initiative to Improve Communication Scores in the Hospital Consumer Assessment of Health Care Practitioners and Systems Survey Lewei Duan · Lewei Duan
Marijuanas Influence on Pain Scores, Initial Weight Loss, and Other Bariatric Surgical Outcomes Robert Sigafoes · Robert Sigafoes
Impact of Body Mass Index on Postconcussion Symptoms in Teenagers Aged 13 to 18 Years Lindsay Mazotti · Lindsay Mazotti
Developing Community-Based Primary Health Care for Complex and Vulnerable Populations in the Vancouver Health Region: HealthConnection Clinic Harshal Mandavdhare · Harshal Mandavdhare
Image Diagnosis: Dysphagia Lusoria—An Unusual Cause of Dysphagia Diagnosed with Endoscopic Ultrasound Ilan Rubinfeld · Ilan Rubinfeld
Cathartic Poetry: Healing Through Narrative Susan Brandzel · Susan Brandzel
Perceptions and Experience of Patients, Staff, and Clinicians with Social Needs Assessment Shawn Criswell · Shawn Criswell
Patient as Healer Sanford Nidich · Sanford Nidich
Improving the Insulin Pump Initiation Process for Pediatric Patients with Type 1 Diabetes through Application of Lean Quality Improvement Methods Erin Stone · Erin Stone
Understanding Waste in Health Care: Perceptions of Frontline Physicians Regarding Time Use and Appropriateness of Care They and Others Provide June Pham · June Pham
Survivial Outcomes in BRCA1 or BRCA2 Mutation Carriers and the Influence of Triple-Negative Breast Cancer Subtype Robert Slover · Robert Slover
Food Insecurity - Addressing Basic Resource Needs in Health Care Settings John P. Caloyeras · John P. Caloyeras
Relationship Between Adverse Childhood Experience Survey Items and Psychiatric Disorders Reina Haque · Reina Haque
Lessons Learned from Implementation of the Food Insecurity Screening and Referral Program at Kaiser Permanente Colorado John Steiner · John Steiner
Using Neighborhood-Level Census Data to Predict Diabetes Progression in Patients with Laboratory-Defined Prediabetes D. Cawthorpe · D. Cawthorpe
Do You Really Need This Appointment Sandra Stenmark · Sandra Stenmark
Vidian Nerve Schwannoma: A Rare Skull-Base Neoplasm Presenting with Ocular Manifestations: A Case Report and Literature Review Julie A. Schmittdiel · Julie A. Schmittdiel
Inadequate Clinical Indications in Computed Tomography Chest and Abdomen/Pelvis Scans Scott Abramson · Scott Abramson
Universal Screening for Social Needs in a Primary Care Clinic: A Quality Improvement Approach Using the Your Current Life Situation Survey Farzad Masroor · Farzad Masroor
The Best Year of Angelas Life Mark Harris · Mark Harris
Cognitive Behavioral Therapy with Heart Rate Variability Biofeedback for Adults with Persistent Noncombat-Related Posttraumatic Stress Disorder Kumara Sundar · Kumara Sundar
Different Harm and Mortality in Critically Ill Medical vs Surgical Patients: Retrospective Analysis of Variation in Adverse Events in Different Intensive Care Units Kumara Sundar · Kumara Sundar
Palliative Surgery for Metastatic Fungating Phyllodes Tumors: A Series of Two Cases Frank Bauer · Frank Bauer
Balloons of Hope Harry Bramley · Harry Bramley
Continuity of Care in Residency Teaching Practices: Lessons fromBright Spots Aakanksha Goe · Aakanksha Goe
Image Diagnosis: Allergic Fungal Sinusitis Ahmed Z. Obeidat · Ahmed Z. Obeidat
Management of Uveitis in Spondyloarthropathy: Current Trends Julia Rawlings · Julia Rawlings
Complex Ventral Hernias: A Review of Past to Present Nikhil Gupta · Nikhil Gupta
Image Diagnosis: Nasal Furunculosis - A Dangerous Nose Infection Joseph Gabriel · Joseph Gabriel
Image Diagnosis: Liver Ears—Spiders on the Back of the Ears Charles Trujillo · Charles Trujillo
Impact of Asynchronous Training on Radiology Learning Curve among Emergency Medicine Residents and Clerkship Students Harshal Mandavdhare · Harshal Mandavdhare
How Using Generative Learning Strategies Improved Medical Student Self-Competency in End-of-Life Care Michelle Henninger · Michelle Henninger
Association of Proteinuria with Central Venous Catheter Use at Initial Hemodialysis Ali Pourmand · Christina Woodward · Hamid Shokoohi · Jordan B. King · M. Reza Taheri · Jackson King · Christopher Lawrence · Christopher Lawrence
Psoriasiform Hailey-Hailey Disease Presenting as Erythematous Psoriasiform Plaques Throughout the Body: A Case Report Ken Park · Ken Park
Access to Affordable Housing Promotes Health and Well-Being and Reduces Hospital Visits Dean A. Kujubu · Dean A. Kujubu
Migraine Headache Treated with Famciclovir and Celecoxib: A Case Report Jashin Wu · Jashin Wu
The Harmony of Disequilibrium Thomas E. Kottke · Thomas E. Kottke
An Observational Study of Cardiovascular Risks Associated with Rheumatoid Arthritis Therapies: A Comparison of Two Analytical Approaches Jonathan Lukoff · Jonathan Lukoff
Rats! Hantavirus: A Case Report of a Suspected Case in Eastern Tennessee Malini Veerappan · Malini Veerappan
Metastatic Angiosarcoma of the Scalp Presenting with Cystic Lung Lesions: A Case Report and Review of Cystic Lung Diseases Robert Goldfien · Robert Goldfien
The Effect of Abnormal Vitamin D Levels in Athletes Antonette Ajay · Antonette Ajay
A Simple Model for Predicting Two-Year Risk of Diabetes Development in Individuals with Prediabetes Michelle Lespasio · Michelle Lespasio
Assessment of Pharmacy Department Patient Safety Culture with the Use of Validated Work Environment Survey Indices Eric Macy · Eric Macy
Hip Osteoarthritis: A Primer Benjamin Wheatley · Benjamin Wheatley
Naloxone Distribution and Training for Patients with High-Risk Opioid Use in a Veterans Affairs Community-Based Primary Care Clinic Jonathan Liang · Jonathan Liang
The Unmet Challenge of Medication Nonadherence Thomas Bodenheimer · Thomas Bodenheimer
Implementing a Protocol to Optimize Detection of Chromosome Abnormalities in Cases of Miscarriage or Stillbirth at a Midwestern Teaching Hospital Satvinder Bakshi · Satvinder Bakshi
ECG Diagnosis: Accelerated Idioventricular Rhythm Fred Kleinsinger · Fred Kleinsinger
Refractory Hypoxemia in a Patient with Submassive Pulmonary Embolism and an Intracardiac Shunt: A Case Report and Review of the Literature Darren Farley · Darren Farley
Sinonasal Ewing Sarcoma: A Case Report and Literature Review Thomas Gildea · Thomas Gildea
A Randomized Controlled Trial of Financial Incentives for Medicaid Beneficiaries with Diabetes Christopher Slatore · Christopher Slatore
A View from the Other Side of the Consultation Desk Ritabelle Fernandes · Ritabelle Fernandes
Current Epidemiology and Management of Radiocontrast-Associated Acute- and Delayed-Onset Hypersensitivity: A Review of the Literature Brandon Hyatt · Brandon Hyatt
Letting Me Off the Hook Katie E. Raffel · Leila Y Beach · John Lin · Jacob E. Berchuck · Shelly Abram · Elizabeth Markle · Shalini Patel · Shalini Patel
Medical Students Perspectives on Trauma-Informed Care Training Sarah Dunkerley · Sarah Dunkerley
Impact of Standardizing Management of Atrial Fibrillation with Rapid Heart Rate in the Emergency Department Ellen Goldstein · Ellen Goldstein
On Becoming Trauma-Informed: Role of the Adverse Childhood Experiences Survey in Tertiary Child and Adolescent Mental Health Services and the Association with Standard Measures of Impairment and Severity Nora B. Henrikson · Eva Chang · Kevin Ulrich · Deborah King · Melissa L. Anderson · Melissa L. Anderson
Psychiatric Aspects of Extreme Sports: Three Case Studies Ernesto de Leon · Ernesto de Leon
Toward Better HIV Care: A Thought Leader Interview Abdul Rahman · Abdul Rahman
The Case for Including Adverse Childhood Experiences in Child Maltreatment Education: A Path Analysis Russ Granich · Russ Granich
Evidence-Based Medicine and Bioethics: Implications for Health Care Organizations, Clinicians, and Patients Loel Solomon · Loel Solomon
Leukocytoclastic Vasculitis Secondary to Pyridostigmine (Mestinon): Report of a Possible First Case John J. Sim · John J. Sim
Atypical Presentation of Acute Angle-Closure Glaucoma in Maroteaux-Lamy Mucopolysaccharidosis with Patent Prophylactic Laser Peripheral Iridotomy: A Case Report Puneet Chhabra · Puneet Chhabra
Knee Osteoarthritis: A Primer Eric Makhni · Eric Makhni
Cancer Screening Reminders: Addressing the Spectrum of Patient Preferences Lois Leveen · Lois Leveen
An Unlikely Rapid Transformation of Myelodysplastic Syndrome to Acute Leukemia: A Case Report Andrew Pourmoussa · Andrew Pourmoussa
Finding Purpose: Honing the Practice of Making Meaning in Medicine Jack Goldstein · Jack Goldstein
Research Letter: Anticholinergic Drugs and the Gallbladder —A Neglected Effect? Gary Friedman · Gary Friedman
Factors Influencing Helmet Use, Head Injury, and Hospitalization Among Children Involved in Skateboarding and Snowboarding Accidents Homa Sadeghian · Homa Sadeghian
Improving Patient-Centered Care by Assessing Patient Preferences for Multiple Sclerosis Disease-Modifying Agents: A Stated-Choice Experiment Caroline S. Carlin · Lucas Higuera · Sarah Anderson · Sarah Anderson
Minimizing Medical Radiation Exposure by Incorporating a New RadiationVital Signinto the Electronic Medical Record: Quality of Care and Patient Safety Oluwaseun Akinseye · Oluwaseun Akinseye
Depression Care Management from Implementation to Expansion:No More Wasted Years Violeta Rabrenovich · Violeta Rabrenovich
End-Stage Renal Disease Outcomes among the Kaiser Permanente Southern California Creatinine Safety Program (Creatinine SureNet): Opportunities to Reflect and Improve Craig Conlon · Steven M. Asch · Mark Hanson · Andrew Avins · Barbara Levitan · Carol P. Roth · Michael Robbins · Michael Dworsky · Seth A. Seabury · Teryl K. Nuckols · Teryl K. Nuckols
Left Ventricular Noncompaction Cardiomyopathy and Recurrent Polymorphic Ventricular Tachycardia: A Case Report and Literature Review Jason Gilde · Jason Gilde
Defecation-Specific Behavior in Children with Functional Defecation Issues: A Systematic Review Lily Nguyen · Lily Nguyen
Deadly Sphenoid Fungus—Isolated Sphenoid Invasive Fungal Rhinosinusitis: A Case Report David Witt · David Witt
Prospective Calling for Spanish-Speaking Diabetic Patient Pilot to Improve Failed to Keep Appointment Rate Dana Barnes · Dana Barnes
The ROUTE to Reducing Patient Harm: Preventing Hospital Acquired Pneumonia in Northern California Rajiv Misquitta · Rajiv Misquitta
Engaging Kaiser Permanentes Business Side in Community Health Promotion Using a Data Visualization and Hotspot Mapping Tool Jennifer Stamps · Jennifer Stamps
Effect of a Smoking Cessation Program on Sexual Function Recovery Following Robotic Prostatectomy at Kaiser Permanente Southern California Seena Safavy · Seena Safavy
Geriatric Hip Fracture Care: Fixing a Fragmented System Mary Anderson · Mary Anderson
A Survey of Parents with Children on the Autism Spectrum: Experience with Services and Treatments Tracy A Becerra · Maria Massolo · Vincent Yau · Ashli Owen-Smith · Frances Lynch · Phillip Crawford · Kathryn A. Pearson · Magdalena Pomichowski · Virginia P. Quinn · Cathleen K. Yoshida · Lisa A. Croen · Lisa A. Croen
Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90) Busayo Irojah · Busayo Irojah
Prenatal Development and Parents Lived Experiences: How Early Events Shape Our Psychophysiology and Relationships by Ann Diamond Weinstein Anna Luise Kirkengen · Anna Luise Kirkengen
Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis and Treatment With a Biologic: A Case Report Ian Chong · Ian Chong
Small-Bowel Intussusception in a Pregnant Woman: A Case Report Roxana Covali · Roxana Covali
Effectiveness of Electrostimulation on Whole Salivary Flow Among Patients with Type 2 Diabetes Mellitus Sujatha Dyasnoor · Sujatha Dyasnoor
Well-Differentiated Neuroendocrine Tumor—A Low b-Grade Tumors Aggressive Course and Dismal Outcome: A Case Report Dinesh Atwal · Dinesh Atwal
Nasopharyngeal Carcinoma Diagnostic Challenge in a Nonendemic Setting: Our Experience with 101 Patients Kevin Wang · Kevin Wang
Considerations in the Neuropsychological Evaluation and Treatment of Children with Limited English Proficiency Alonso Cardenas · Laura Villavicencio · Mani Pavuluri · Mani Pavuluri
Image Diagnosis: Iliopsoas Abscess from Crohn Disease Ashley Abraham · Ashley Abraham
Image Diagnosis: Rapidly Enlarging Scrotal Hematoma: A Complication of Femoral Access? Raza Askari · Rami N. Khouzam · Dwight A. Dishmon · Dwight A. Dishmon
Supporting Muslim Patients During Advanced Illness Nathan A. Boucher · Nathan A. Boucher
Image Diagnosis: A Gastric Signet-Ring Adenocarcinoma of Type Linitis Plastica Mimicking Splenomegaly in a Patient with Chronic Lymphocytic Leukemia Leonid Yavorkovsky · Leonid Yavorkovsky
Patient and Practitioner Perspectives on Culturally Centered Integrated Care to Address Health Disparities in Primary Care Glenda Wrenn · Glenda Wrenn
Physician Guide to Appropriate Opioid Prescribing for Noncancer Pain Timothy Munzing · Timothy Munzing
An Alternative Paradigm for Evidence-Based Medicine: Revisiting Lawrence Weed, MDs Systems Approach Ali Shukor · Ali Shukor
Image Diagnosis: Splenic Infarction Associated with Oral Contraceptive Pills in a Healthy Young Woman Al-Ola Abdallah · Al-Ola Abdallah
Health Achieved Through Lifestyle Transformation (HALT): The Power of Lifestyle to Reverse Chronic Disease Jordan Menda · Jordan Menda
Appropriate Interval for Imaging Follow-up of Small Simple Pancreatic Cysts Richard Dlott · Richard Dlott
To Err is Human: Can American Medicine Learn from Past Mistakes? Jeffrey B. Ritterman · Jeffrey B. Ritterman
Image Diagnosis: Unusual Cause of Gastrointestinal Bleeding in a Young Man: Isolated Gastric Angiodysplasias Sandeep Lamoria · Sandeep Lamoria
Patient Perspectives on Communication with Primary Care Physicians about Chronic Low Back Pain Philip Madvig · Philip Madvig
Benchmarking Inpatient Antimicrobial Use: Is Risk-Adjustment Possible? Heidi Clune · Heidi Clune
Optimal Starts for End-Stage Renal Disease Jimmy Munteanu · Jimmy Munteanu
Applying the Stepped Care Model to Chronic Pain Management Carlos Paredes · Carlos Paredes
The Sacramento Medical Center Discharge Prescription Improvement Process Bradford NaPier · Bradford NaPier
Spice-y Kidney Failure: A Case Report and Systematic Review of Acute Kidney Injury Attributable to the Use of Synthetic Cannabis Ceyda Zarifi · Ceyda Zarifi
Experiences in an Italian Rehabilitation Hospital—Two Stories Claudio Crisci · Claudio Crisci
Population-Level Incidence and Predictors of Surgically Induced Diabetes and Exocrine Insufficiency after Partial Pancreatic Resection Irmina Elliott · Irmina Elliott
Taking Total Joint Replacement Surgery and Care to the Next Level Linda Leavell · Linda Leavell
Secondary Syphilis Associated with Membranous Nephropathy and Acute Hepatitis in a Patient with HIV: A Case Report Roy Martin · Roy Martin
Risk of Venous Thromboembolism after a Single Normal Proximal Lower Extremity Venous Ultrasound Myles M. Mitsunaga · Myles M. Mitsunaga
Image Diagnosis: Numb Chin Syndrome Rabih M. Geha · Rabih M. Geha
Health Care Systems Support to Enhance Patient-Centered Care: Lessons from a Primary Care-Based Chronic Pain Management Initiative Charlotte Paterson · Charlotte Paterson
User-Centered Design for Developing Interventions to Improve Clinician Recommendation of Human Papillomavirus Vaccination Satvinder Bakshi · Satvinder Bakshi
Recognizing a Rare Phenomenon of Angiotensin-Converting Enzyme Inhibitors: Visceral Angioedema Presenting with Chronic Diarrhea—A Case Report Gregory Nichols · Gregory Nichols
Communication with physicians about health care costs: Survey of an insured population James T. Hardee · James T. Hardee
To Spread or Not to Spread: That is the Question …That Evaluation Can Answer Kalvin Yu · Kalvin Yu
Streamlining Screening to Treatment: The Hepatitis C Care Cascade in the Mid-Atlantic Region Sarah Evers · Sarah Evers
The Art of Healing through Narrative Medicine in Clinical Practice: A Reflection Jim Bellows · Jim Bellows
Transforming the Health Care Response to Intimate Partner Violence Carla Rodriguez · Carla Rodriguez
Consistent, Efficient, and Effective A1C Management to Goal: Novel Approaches from Kaiser Permanente Kern County, San Diego, and Northern California Mitsuro Chiba · Mitsuro Chiba
Cultural Medicine: Speaking Up at Kaiser Permanente Tracy Lippard · Tracy Lippard
Induction with Infliximab and a Plant-Based Diet as First-Line (IPF) Therapy for Crohn Disease: A Single-Group Trial Greg Berman · Greg Berman
Supportive Care for Complex Needs—Kaiser Permanente Care Team Management Models Gabriel Escobar · Gabriel Escobar
Achieving Spread and Breaking Down Silos: From Managing Tonsillectomy Pain to Reducing Pediatric Narcotic Usage Wui-Leong Koh · Wui-Leong Koh
Comparing Hospital Processes and Outcomes in California Medicare Beneficiaries: Simulation Prompts Reconsideration yan Darke · yan Darke
Current State and Next Steps for Specialty Palliative Care Georgina Ottaviano · Georgina Ottaviano
Rome was not Built in a Day: Creating a System of Support and Structure for Unit-Based Teams to Thrive Matthew Handley · Matthew Handley
Proactive Risk Assessment Using Simulation to Optimize the Institute for Healthcare Improvement Framework and Improve Safety David Glass · David Glass
Incorporating Life Care Planning into Specialty Care Populations Lauren P. Wallner · Lauren P. Wallner
Branding Urgent Care: A Journey in Shifting Acute Outpatient Care Away from the Emergency Department Helen Wu · Helen Wu
Ten-Year Trends in Preventive Service Use Before and After Prostate Cancer Diagnosis: A Comparison with Noncancer Controls Jeffrey Klingman · Jeffrey Klingman
Fundamentals of Evidence-Based Care: How to Find, Evaluate, and Use Evidence in Your Quality Journey Lynn Garofalo-Wright · Lynn Garofalo-Wright
Time is Brain: Redesigning Stroke Care at Kaiser Permanente Northern California Brigid McCaw · Brigid McCaw
Improvement is a Mindset, not a Department Aeman Muneeb · Aeman Muneeb
From the Bedside: A Family Physician Experiences Health Care from the Patient Side Michael Ismail · Michael Ismail
Image Diagnosis - Yellow Palms and Soles: Look Beyond the Eyes and Think Beyond Hyperbilirubinemia Isabelle Beaudry-Bellefeuille · Isabelle Beaudry-Bellefeuille
Emotional Freedom Techniques to Treat Posttraumatic Stress Disorder in Veterans: Review of the Evidence, Survey of Practitioners, and Proposed Clinical Guidelines Dawson Church · Dawson Church
Adult Epiglottitis: A Case Series Benjamin Lindquist · Benjamin Lindquist
Childhood Disrupted: How Your Biography Becomes Your Biology, and How You Can Heal David Clarke · David Clarke
What About Me? Puberty Education for Preteens Michael Lynch · Michael Lynch
Image Diagnosis: Endobronchial Tuberculosis Masquerading as an Endobronchial Tumor with Presentation as Middle Lobe Syndrome Kamal Gera · Kamal Gera
Understanding Preferences for Osteoporosis Information to Develop an Osteoporosis Patient Education Brochure Stephanie Edmonds · Stephanie Edmonds
Sjögren Syndrome and Pregnancy: A Literature Review Gupta S · Gupta N · Gupta N
Lifestyle Medicine: A Brief Review of Its Dramatic Impact on Health and Survival Aaysha Kapila · Aaysha Kapila
Use of Epidural Analgesia as an Adjunct in Elective Abdominal Wall Reconstruction: A Review of 4983 Cases Maximilian Storz · Maximilian Storz
Understanding Faculty and Trainee Needs Related to Scholarly Activity in a Large, Nonuniversity Graduate Medical Education Program Davida Davida Becker · Davida Davida Becker
Morbidity in Pregnant Women Associated with Unverified Penicillin Allergies, Antibiotic Use, and Group B Streptococcus Infections Shilpa Desai · Shilpa Desai
Collaborative Management of Neurocognitive Disorders in Primary Care: Explorations of an Attempt at Culture Change Lewis Mehl-Madrona · Lewis Mehl-Madrona
Image Diagnosis: Zinc-Induced Copper Deficiency Causing Pancytopenia Recognized on Bone Marrow Examination Joyce Johnsrud · Joyce Johnsrud
Practicing Healing—Cleaning the Back of an Elderly Tibetan Woman James Lake · James Lake
Fundamental Use of Surgical Energy (FUSE): An Essential Educational Program for Operating Room Safety Sanford Nidich · Sanford Nidich
Transcendental Meditation and Reduced Trauma Symptoms in Female Inmates: A Randomized Controlled Study Charles Elder · Charles Elder
Mind-Body Training for At - Risk Populations: Preventive Medicine at its Best Gunveen Singh · Gunveen Singh
Dying Is Much More Difficult Than Youd Think: A Death By Dehydration Michael Bachmann · Michael Bachmann
A Qualitative Inquiry into the Complex Features of Strained Interactions: Analysis and Implications for Health Care Personnel Ashok Krishnaswami · Ashok Krishnaswami
Design and Implementation of a Physician Coaching Pilot to Promote Value-based Referrals to Specialty Care Phillipa Malpas · Phillipa Malpas
Real-World Experiences With a Direct-Acting Antiviral Agent for Patients With Hepatitis C Virus Infection Joel T. Levis · Joel T. Levis
Patterns of Multiple Emergency Department Visits: Do Primary Care Physicians Matter? Vincent Louie · Vincent Louie
Patient Preferences for Discussing Childhood Trauma in Primary Care Daniel Maeng · Daniel Maeng
Simultaneous Occurrence of Varicella Zoster Virus-Induced Pancreatitis and Hepatitis in a Renal Transplant Recipient: A Case Report and Review of Literature Ellen Goldstein · Ninad Athale · Andrés F. Sciolla · Sheryl L. Catz · Sheryl L. Catz
Incidence of Pulmonary Arterial Hypertension in Patients with Psoriasis: A Retrospective Cohort Study Young M Choi · Shannon Famenini · Jashin J. Wu · Jashin J. Wu
Bilateral Basaloid Squamous Cell Carcinoma of the Parotid Gland: A Case Report and Review of the Literature Efstathios Karamanos · Nathan Schmoekel · Dionne Blyden · Anthony Falvo · Ilan Rubinfeld · Ilan Rubinfeld
Focal Segmental Glomerulosclerosis in a Patient with Ambiguous Genitalia: A Diagnostic Dilemma Alexander Rivero · Alexander Rivero
Primary Upper Limb Lymphedema: Case Report of a Rare Pathology Michael McFarlane · Michael McFarlane
Can All Doctors Be Like This? Seven Stories of Communication Transformation Told by Physicians Rated Highest by Patients Puneet Chhabra · Puneet Chhabra
Leukocytoclastic Vasculitis Secondary to Pyridostigmine (Mestinon): Report of a Possible First Case David Clarke · David Clarke
A Clinical Approach to Animal Bites with an Avulsion Flap: A Case Report Andrew Williamson · Andrew Williamson
Bilateral Large Pneumothoraxes Following Implantable Cardioverter-Defibrillator Generator Change: A Case Report of an Uncommon Event Complicating a Common Procedure Ritin Bomb · Sunil K. Jha · Sunil K. Jha
Image Diagnosis: A Striking Bleomycin-Induced Skin Toxicity: Flagellate Hyperpigmentation Lin Hao · Lin Hao
Philanthropy and Beyond: Creating Shared Value to Promote Well-Being for Individuals in Their Communities Thomas E. Kottke · Thomas E. Kottke
Image Diagnosis: Bronchial Anthracofibrosis— A Bronchoscopic Diagnosis Ashok Shah · Ashok Shah
Abdominal Distension—An Unexpected Gift Ching Soong Khoo · Ching Soong Khoo
The Kaiser Permanente Northern California Enhanced Recovery After Surgery Program: Design, Development, and Implementation Vincent Liu · Vincent Liu
Image Diagnosis: Carcinoid Tumorlets and Pulmonary Sequestration in a Patient With Chronic Cough Without a History of Malignancy Zhou Zhang · Zhou Zhang
Use of a Technetium99m-Sestamibi Scan to Detect Ipsilateral Double Adenoma in a Patient with Primary Hyperparathyroidism: A Case Report Alejandro Contreras Md · Alejandro Contreras Md
Image Diagnosis: Multivessel Percutaneous Coronary Intervention in Dextrocardia: Success with Usual Techniques in a Case of Mirror-Image Heart Mohamed Morsy · Mohamed Morsy
Pembrolizumab-Induced Pancytopenia: A Case Report Atwal D · Joshi Kp · Ravilla R · Fade Mahmoud · Fade Mahmoud
It Keeps Us from Putting Drugs in Pockets: How a Public-Private Partnership for Hospital Management May Help Curb Corruption Taryn Vian · Taryn Vian
Impact of Longitudinal Electronic Health Record Training for Residents Preparing for Practice in Patient-Centered Medical Homes Jung Kim · Jung Kim
The Patient-Centered Medical Home as a Community-based Strategy Berkeley Franz · John W. Murphy · John W. Murphy
Deer in the Headlights Tom Paluch · Tom Paluch
Effect of Age on Outcomes of Shoulder Arthroplasty Oke Anakwenze · Oke Anakwenze
Flood Syndrome: Spontaneous Umbilical Hernia Rupture Leaking Ascitic Fluid—A Case Report Emilie Nguyen · Emilie Nguyen
Lessons Learned in War Alberto Hayek · Alberto Hayek
Complementary and Alternative Medicine in an Integrated Health Care Delivery System: Users of Chiropractic, Acupuncture, and Massage Services Tracy McCubbin · Tracy McCubbin
Mortality After Total Knee and Total Hip Arthroplasty in a Large Integrated Health Care System Maria C.S. Inacio · Mark T. Dillon · Alex Miric · Ronald A. Navarro · Elizabeth W. Paxton · Elizabeth W. Paxton
Why Branding Permanente Matters Deb Friesen · Deb Friesen
ECG Diagnosis: Deep T Wave Inversions Associated with Intracranial Hemorrhage Joe Levis · Joe Levis
Teens and Technology Transforming Acne Treatment Ettel Dl · Lamanno Lr · Neyra Sa · Ettel Wj · Ettel Iii Gl · Mitchell Mk · Mitchell Mk
Urgent Need for Improved Mental Health Care and a More Collaborative Model of Care James Lake · James Lake
Splenic Abscess in Immunocompetent Patients Managed Primarily without Splenectomy: A Series of 7 Cases Divyashree · Divyashree
Image Diagnosis: Encephalopathy Resulting from Dural Arteriovenous Fistula Ana Filipa Santos · Célia Machado · Sara Varanda · João Pinho · Manuel Ribeiro · Jaime Rocha · Ricardo Maré · Ricardo Maré
Image Diagnosis: Gastric Migration of Hookworms in a Patient with Anemia Chalapathi Rao Achanta · Chalapathi Rao Achanta
You Are Not Alone: Ten Strategies for Surviving a Malpractice Lawsuit Audrey Sheridan · Audrey Sheridan
The Truth about Truth-Telling in American Medicine: A Brief History Bryan A. Sisk · Richard M. Frankel · Eric Kodish · J. Harry Isaacson · J. Harry Isaacson
Evidence-Based Workflows for Thyroid and Parathyroid Surgery Charles Meltzer · Amer Budayr · Annette Chavez · Richard Dlott · William Greif · Deepak Gurushanthaiah · Andrew Klonecke · Matthew Lando · Joyce Leary · Sundeep Nayak · Ryan D. Niederkohr · Judith Park · Alison Savitz · Henry Schwartz · Henry Schwartz
Emergency Care of Patients with Acute Ischemic Stroke in the Kaiser Permanente Southern California Integrated Health System Kori Sauser-Zachrison · Ernest Shen · Zahra Ajani · William Neil · Navdeep Sangha · Michael K. Gould · Adam L. Sharp · Adam L. Sharp
The Handshake Layer Cake: Meeting and Regreeting Difficulties for a Non-French Surgeon in France Colin G Murphy · Colin G Murphy
Image Diagnosis: Tubo-ovarian Abscess with Hydrosalpinx Kiersten L Carter · Gus M. Garmel · Gus M. Garmel
Using Principles of Complex Adaptive Systems to Implement Secondary Prevention of Coronary Heart Disease in Primary Care Thomas E. Kottke · Jacquelyn Huebsch · Paul McGinnis · Jolleen Nichols · Emily D. Parker · Juliana O. Tillema · Michael V Maciosek · Michael V Maciosek
Image Diagnosis: Pott Puffy Tumor Diane Apostolakos · Ian Tang · Ian Tang
Lifestyle and Self-Management by Those Who Live It: Patients Engaging Patients in a Chronic Disease Model Michelle T. Jesse · Elizabeth Rubinstein · Anne Eshelman · Corinne Wee · Mrunalini Tankasala · Jia Li · Marwan Abouljoud · Marwan Abouljoud
Future Challenges of Robotics and Artificial Intelligence in Nursing : What Can We Learn from Monsters in Popular Culture? Henrik Erikson · Martin Salzmann-Erikson · Martin Salzmann-Erikson
Tears for the Fallen Akhila Pamula · Akhila Pamula
Exploring the Reality of Using Patient Experience Data to Provide Resident Feedback: A Qualitative Study of Attending Physician Perspectives Steffanie Campbell · Heather Honoré Goltz · Sarah Njue · Bich N. Dang · Bich N. Dang
Difference in Effectiveness of Medication Adherence Intervention by Health Literacy Level Ashli Owen-Smith · David H. Smith · Cynthia S. Rand · Jeffrey O. Tom · Reesa Laws · Amy Waterbury · Andrew E. Williams · William M. Vollmer · William M. Vollmer
A Pharmacist-Staffed, Virtual Gout Management Clinic for Achieving Target Serum Uric Acid Levels: A Randomized Clinical Trial Robert Goldfien · Alice Pressman · Alice Jacobson · Michele Ng · Andrew L. Avins · Andrew L. Avins
Treatment of Tracheoinnominate Fistula with Ligation of the Innominate Artery: A Case Report Rhiana Menen · Jimmy J Pak · Matthew A Dowell · Ashish R Patel · Simon K Ashiku · Jeffrey B Velotta · Jeffrey B Velotta
Metastatic Renal Cell Carcinoma Presenting as Painful Chewing Successfully Treated with Combined Nivolumab and Sunitinib Fade Mahmoud · Al-Ola Abdallah · Konstantinos Arnaoutakis · Issam Makhoul · Issam Makhoul
Improving Care in Older Patients with Diabetes: A Focus on Glycemic Control Eric A Lee · Nancy E. Gibbs · John P. Martin · Fred Ziel · Jennifer K. Polzin · Darryl Palmer-Toy · Darryl Palmer-Toy
Association of Age to Mortality and Repeat Revascularization in End-Stage Renal Disease Patients: Implications for Clinicians and Future Health Policies Ashok Krishnaswami · Ashok Krishnaswami · Thomas Alloggiamento · Daniel E. Forman · Thomas K. Leong · Alan S. Go · Charles E. McCulloch · Charles E. McCulloch
Quality Over Quantity: Integrating Mental Health Assessment Tools into Primary Care Practice Darrell L Hudson · Darrell L Hudson
The Role of Clinical Records in Narrative Medicine: A Discourse of Message John W. Murphy · Jung Min Choi · Martin Cadeiras · Martin Cadeiras
The Use of Narrative as a Treatment Approach for Obesity: A Storied Educational Program Description Marcus Griffith · Jeana Griffith · Vladimir Oge · Vladimir Oge
Image Diagnosis: Capitellar Fracture Ganesh Nagaraj · Justin P Mitchelson · Cameron M McFarland · Matthew Silver · Matthew Silver
Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care Lee Jacobs · Thomas M Judd · Zulfiqar Ahmed Bhutta · Zulfiqar Ahmed Bhutta
Impact of a Care Directives Activity Tab in the Electronic Health Record on Documentation of Advance Care Planning Marianne Turley · Susan Wang · Di Meng · Michael H. Kanter · Terhilda Garrido · Terhilda Garrido
Family Characteristics Associated with Likelihood of Varicella Vaccination Sheila Weinmann · John P. Mullooly · Lois Drew · Colleen Chun · Colleen Chun
Learning toSwimwith the Experts: Experiences of Two Patient Co-Investigators for a Project Funded by the Patient-Centered Outcomes Research Institute Michele Robbins · Janice Tufte · Clarissa Hsu · Clarissa Hsu
The Shared Context: Kaiser Permanente and the Columbia-Bassett Program Henry Fc Weil · Henry Fc Weil
Sclerosing Polycystic Adenosis: A Rare Tumor of the Salivary Glands Christopher G Tang · Justin B Fong · Karen L Axelsson · Deepak Gurushanthaiah · Deepak Gurushanthaiah
Treatment of Alcohol Withdrawal Syndrome with and without Dexmedetomidine Muna Beg · Sara Fisher · Dana Siu · Sudhir Rajan · Lawrence Troxell · Vincent Liu · Vincent Liu
PEITC in End-Stage B-Cell Prolymphocytic Leukemia: Case Report of Possible Sensitization to Salvage R-CHOP Arian Nachat · Sam Turoff-Ortmeyer · Chunnan Liu · Michael McCulloch · Michael McCulloch
Love and the Value of Life in Health Care: A Narrative Medicine Case Study in Medical Education Jorge Alberto Martins Pentiado · Helcia Oliveira de Almeida · Fábio Ferreira Amorim · Adriano Machado Facioli · Eliana Mendonça Vilar Trindade · Karlo Jozefo Quadros de Almeida · Karlo Jozefo Quadros de Almeida
Risk of Delayed Intracerebral Hemorrhage in Anticoagulated Patients after Minor Head Trauma: The Role of Repeat Cranial Computed Tomography Clifford J. Swap · Margo Sidell · Raquel Ogaz · Adam L. Sharp · Adam L. Sharp
Weight Loss and the Prevention of Weight Regain: Evaluation of a Treatment Model of Exercise Self-Regulation Generalizing to Controlled Eating James J. Annesi · Ping H. Johnson · Gisèle A. Tennant · Kandice J. Porter · Kristin L. McEwen · Kristin L. McEwen
Low Back Imaging When Not Indicated: A Descriptive Cross-System Analysis Rachel Gold · Elizabeth Esterberg · Celine Hollombe · Jill Arkind · Patricia A Vakarcs · Huong Tran · Tim Burdick · Jennifer E. DeVoe · Michael Horberg · Michael Horberg
Physicians Experiencing Intense Emotions While Seeing Their Patients: What Happens? Joana Vilela da Silva · Irene Carvalho · Irene Carvalho
Lactation Ketoacidosis: An Unusual Entity and a Review of the Literature Sarah Gleeson · Eoin Mulroy · David Clarke · David Clarke
Ethical Analysis for Physicians Considering the Provision of Life-Ending Medication in Compliance with the California End of Life Option Act David Shaner · David Shaner
Hyperparathyroidism of Renal Disease Noah K Yuen · Shubha Ananthakrishnan · Michael Campbell · Michael Campbell
Carpal Tunnel Syndrome in Sarcoidosis: A Case Report of a Rare Neurologic Manifestation Sonambekar A · Nikhil Gupta · Swadi A · Laxmikant Ramkumarsingh Tomar · Laxmikant Ramkumarsingh Tomar
Diagnostic Prevalence of Ankylosing Spondylitis Using Computerized Health Care Data, 1996 to 2009: Underrecognition in a US Health Care Setting Jeffrey R. Curtis · Leslie R. Harrold · Maryam M. Asgari · Atul Deodhar · Craig Salman · Joel M. Gelfand · Jashin J. Wu · Lisa J. Herrinton · Lisa J. Herrinton
Safe and Effective Implementation of Telestroke in a US Community Hospital Setting Kori Sauser-Zachrison · Ernest Shen · Navdeep Sangha · Zahra Ajani · William Neil · Michael K. Gould · Dustin Ballard · Adam L. Sharp · Adam L. Sharp
Association of Unplanned Reintubation with Higher Mortality in Old, Frail Patients: A National Surgical Quality-Improvement Program Analysis Tom Janisse · Tom Janisse
Implementation of the YMCA Diabetes Prevention Program throughout an Integrated Health System: A Translational Study Leah Tuzzio · Evette Ludman · Eva Chang · Lorella Palazzo · Travis Abbott · Edward H. Wagner · Robert J. Reid · Robert J. Reid
ECG Diagnosis: Right Ventricular Myocardial Infarction Charlotta Thunborg · Martin Salzmann-Erikson · Martin Salzmann-Erikson
Form Follows Function: A Functional Medicine Overview Patrick Hanaway · Patrick Hanaway
Refractory Depression, Fatigue, Irritable Bowel Syndrome, and Chronic Pain: A Functional Medicine Case Report Plotnikoff G · Barber M · Barber M
Accreditation Council for Graduate Medical Education Core Competencies at a Community Teaching Hospital: Is There a Gap in Awareness? Al-Temimi M · Kidon M · Johna S · Johna S
The Grateful Aging Program: A Naturalistic Model of Transformation and Healing into the Second Half of Life Marilyn Schlitz · Marilyn Schlitz
Onset of Ulcerative Colitis after Helicobacter pylori Eradication Therapy: A Case Report Mitsuro Chiba · Tsuyotoshi Tsuji · Kenichi Takahashi · Masafumi Komatsu · Takeshi Sugawara · Iwao Ono · Iwao Ono
The Evolution of the Medical School Deanship: From Patriarch to CEO to System Dean Danny A. Schieffler · Danny A. Schieffler
On The Shoulders of Giants Tom Paluch · Tom Paluch
Pediatric Hip Fractures in California: Results from a Community-Based Hip Fracture Registry Heather Prentice · Heather Prentice
Comprehensive Description of Comorbidity for Autism Spectrum Disorder in a General Population D. Cawthorpe · D. Cawthorpe
Implementation and Evaluation of a Safety Net Specialty Care Program in the Denver Metropolitan Area Meredith Fort · Meredith Fort
Use of Improving Palliative Care in the ICU (Intensive Care Unit) Guidelines for a Palliative Care Initiative in an ICU Eluned Mun · Eluned Mun
Participation in Activities Associated With Quality of Life for Long-Term Survivors of Rectal Cancer Carmit K. McMullen · Liyan Liu · Joanna Bulkley · Mark C. Hornbrook · Christopher S. Wendel · Marcia Grant · Andrea Altschuler · Larissa K. Temple · Robert S. Krouse · Lisa J. Herrinton · Lisa J. Herrinton
Physicians Perceptions of Volunteer Service at Safety-Net Clinics Laura McGeehan · Laura McGeehan
Reducing Unnecessary Postoperative Complete Blood Count Testing in the Pediatric Intensive Care Unit Maya Dewan · Jorge A. Gálvez · Tracey G. Polsky · Genna Kreher · Blair Kraus · Luis M. Ahumada · John J. McCloskey · Heather Wolfe · Heather Wolfe
Effectiveness of Cannabidiol Oil for Pediatric Anxiety and Insomnia as Part of Posttraumatic Stress Disorder: A Case Report Oliver Ross · Oliver Ross
Wilms Tumor: An Uncommon Entity in the Adult Patient Fade Mahmoud · M Brandon Allen · Roni M. Cox · Rodney Davis · Rodney Davis
The Jigsaw Puzzle in the Lunchroom John Steiner · John Steiner
Trends in Type of Original Psoriasis Publications by Decade, 1960 to 2010 Sako E · Famenini S · Jashin J. Wu · Jashin J. Wu
Recurrence of Epithelioid Hemangioendothelioma during Pregnancy: Case Report and Systematic Review Michael McCulloch · Michael Russin · Arian Nachat · Arian Nachat
Amniotic Fluid Embolism: Using the Medical Staff Process to Facilitate Streamlined Care Hession Pm · Millward Cj · Gottesfeld Je · Rehring Tf · Miller Kb · Chetham Pm · Muckleroy Sk · Bates Ca · Hollis Hw · Hollis Hw
An Ethics of Permission: A Response to the California End of Life Option Act Craig M Nelson · Craig M Nelson
The Kaiser Permanente Northern California Adult Member Health Survey Gordon N · Lin T · Lin T
Standardizing Management of Adults with Delirium Hospitalized on Medical-Surgical Units Angel C · Brooks K · Fourie J · Fourie J
Monoarticular Poncet Disease after Pulmonary Tuberculosis: A Rare Case Report and Review of Literature Paritosh Garg · Nikhil Gupta · Mohit Arora · Mohit Arora
Assessing the Value of High-Quality Care for Work-Associated Carpal Tunnel Syndrome in a Large Integrated Health Care System: Study Design Mitsuro Chiba · Kunio Nakane · Takayama Y · Sugawara K · Hideo Ohno · Hajime Ishii · Satoko Tsuda · Tsuyotoshi Tsuji · Masafumi Komatsu · Sugawara T · Sugawara T
Trend of Decreased Length of Stay in the Intensive Care Unit (ICU) and in the Hospital with Palliative Care Integration into the ICU Mun E · Clementina D. Ceria-Ulep · Umbarger L · Nakatsuka C · Nakatsuka C
Image Diagnosis: Worm-Induced Biliary Obstruction Andrew W. Phillips · Joanna Ready · Gus M. Garmel · Gus M. Garmel
Image Diagnosis: Hemorrhagic Bullae in a Primary Varicella Zoster Virus Infection Cátia Canelas · João Miguel Carvas · Cristiana Sevivas · Dina Maria Mota Carvalho · Dina Maria Mota Carvalho
A General Pediatrics and Integrative Medicine Approach to Pervasive Refusal Syndrome: A Case Report Von Schoen-Angerer T · Helmschmidt E · Madeleyn R · Kindt R · Möller C · Kienle Gs · Vagedes J · Vagedes J
Consideration of Personal Adverse Childhood Experiences during Implementation of Trauma-Informed Care Curriculum in Graduate Health Programs Strait J · Bolman T · Bolman T
Her Glistening Eyes Ahmed Z. Obeidat · Ahmed Z. Obeidat
Preferential Use of Total Thyroidectomy without Prophylactic Central Lymph Node Dissection for Early-Stage Papillary Thyroid Cancer: Oncologic Outcomes in an Integrated Health Plan Meena Said · Michele Fujimoto · Cara Franken · Sunee Woo · Brooke Vuong · Philip I. Haigh · Philip I. Haigh
Integrated Strategies to Address Maternal and Child Health and Survival in Low-Income Settings: Implications for Haiti Zulfiqar Ahmed Bhutta · Zulfiqar Ahmed Bhutta
Development and Application of a Plant-Based Diet Scoring System for Japanese Patients with Inflammatory Bowel Disease Scott Shannon · Janet Opila-Lehman · Janet Opila-Lehman
Physician Professional Satisfaction and Area of Clinical Practice: Evidence from an Integrated Health Care Delivery System John P. Caloyeras · Michael Kanter · Nicole Ives · Chong Y. Kim · Hemal K. Kanzaria · Sandra H. Berry · Robert H. Brook · Robert H. Brook