Research Topics
| Richard A MularskiSummaryAffiliation: Kaiser Permanente Country: USA Publications
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Detail Information
Publications
Measuring outcomes in randomized prospective trials in palliative careRichard A Mularski
Kaiser Permanente Center for Health Research, Oregon Health and Science University, Portland, OR 97227, USA
J Pain Symptom Manage 34:S7-S19. 2007..As other fields have developed and refined methodological approaches that address their particular research needs, palliative care researchers must do the same to answer important clinical questions in rigorous and credible ways...
The quality of obstructive lung disease care for adults in the United States as measured by adherence to recommended processesRichard A Mularski
Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate, WIN 1060, Portland, OR 97227, USA
Chest 130:1844-50. 2006..The extent to which patients with obstructive lung disease receive recommended processes of care is largely unknown. We assessed the quality of care delivered to a national sample of the US population...
Palliative care and intensive care unit care: preadmission assessment #122Richard A Mularski
The Center for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate, WIN 1060, Portland, OR 97227, USA
J Palliat Med 9:1204-5. 2006
Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care WorkgroupRichard A Mularski
Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA
Crit Care Med 34:S404-11. 2006..The proposed measures are intended to stimulate further discussion, testing, and refinement for quality of care measurement and enhancement...
Pain management within the palliative and end-of-life care experience in the ICURichard A Mularski
Center for Health Research Kaiser Permanente Northwest and Oregon Health and Science University, Portland, OR 97227, USA
Chest 135:1360-9. 2009....
Randomized controlled trial of mindfulness-based therapy for dyspnea in chronic obstructive lung diseaseRichard A Mularski
The Center for Health Research, Kaiser Permanente Northwest, Portland, OR 97227, USA
J Altern Complement Med 15:1083-90. 2009..The objective of this study was to test the efficacy of a mindfulness-based breathing therapy (MBBT) on improving symptoms and health-related quality of life in those with COPD...
Defining and measuring quality palliative and end-of-life care in the intensive care unitRichard A Mularski
Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA
Crit Care Med 34:S309-16. 2006....
Quality of dying in the ICU: ratings by family membersRichard A Mularski
Oregon Health and Science University and Portland Veterans Affairs Medical Center, Portland, OR, USA
Chest 128:280-7. 2005..To explore the quality of the dying experience and associations to higher quality ratings for people who died in an ICU...
Incidence and risk factors for venous thromboembolic disease in podiatric surgeryAndrew H Felcher
Kaiser Permanente Center for Health Research, 3800 N Interstate Avenue, Portland, OR 97227, USA
Chest 135:917-22. 2009..The objective of our study was to determine the incidence and risk factors for postprocedure VTE in podiatric surgery...
A review of quality of care evaluation for the palliation of dyspneaRichard A Mularski
The Center for Health Research, Kaiser Permanente Northwest Pulmonary and Critical Care Medicine, Oregon Health and Science University Portland, 97227, USA
Am J Respir Crit Care Med 181:534-8. 2010..Additional knowledge gaps include standards for clinical dyspnea care, assessment in the cognitively impaired, and evaluation of effectiveness of dyspnea care for patients with advanced disease...
Palliative care and intensive care unit care: daily intensive care unit care plan checklist #123Richard A Mularski
The Center for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate, WIN 1060, Portland, OR 97227, USA
J Palliat Med 9:1205-6. 2006
COPD performance measures: missing opportunities for improving careJohn E Heffner
Providence Portland Medical Center, 5050 NE Hoyt St, Ste 540, Portland, OR 97213, USA
Chest 137:1181-9. 2010....
Automating care quality measurement with health information technologyBrian Hazelhurst
Center for Health Research, Kaiser Permanente Northwest, Portland, OR 97227, USA
Am J Manag Care 18:313-9. 2012..To assess the performance of a health information technology platform that enables automated measurement of asthma care quality using comprehensive electronic medical record (EMR) data, including providers' free-text notes...
Pharmacist glycemic control team improves quality of glycemic control in surgical patients with perioperative dysglycemiaKaren S Mularski
Kaiser Sunnyside Medical Center, Portland, OR, USA
Perm J 16:28-33. 2012..However, safe and effective perioperative glycemic control can be limited by expert clinician availability...
Influence of personal preferences for life-sustaining treatment on medical decision making among pediatric intensivistsJennifer S Needle
Division of Critical Care, Department of Pediatrics, Oregon Health and Science University, Portland, OR, USA
Crit Care Med 40:2464-9. 2012..We sought to examine the relationship between personal preferences for life-sustaining treatment and medical decision making among pediatric intensivists...
Medication use, emergency hospital care utilization, and quality-of-life outcome disparities by race/ethnicity among adults with asthmaDavid M Mosen
Center for Health Research, Kaiser Permanente Northwest, 3800 N Interstate Ave, Portland, OR 97227 1110, USA
Am J Manag Care 16:821-8. 2010....
End-of-life care in the critically ill geriatric populationRichard A Mularski
Division Pulmonary and Critical Care Medicine, Oregon Health and Science University, 3181 S. W Sam Jackson Park Rd, L102, Portland, OR 97239, USA
Crit Care Clin 19:789-810, viii. 2003..Recent data suggest that, on average, 11% of Medicare recipients spend more that 7 days in the ICU within 6 months before death...
A systematic review of measures of end-of-life care and its outcomesRichard A Mularski
Center for Health Research, Kaiser Permanente Northwest, Oregon Health and Science University, 3800 N Interstate, WIN 1060, Portland, OR 97227, USA
Health Serv Res 42:1848-70. 2007..To identify psychometrically sound measures of outcomes in end-of-life care and to characterize their use in intervention studies...
Methodological approaches for a systematic review of end-of-life careKarl A Lorenz
VA Greater Los Angeles Healthcare System, Los Angeles, California 90073, and Johns Hopkins University, Baltimore, MD, USA
J Palliat Med 8:S4-11. 2005..This very large, diverse body of literature reflects the tremendous growth of the field of end-of-life care over the last decade...
Quality measures for symptoms and advance care planning in cancer: a systematic reviewKarl A Lorenz
Veterans Affairs Greater Los Angeles Healthcare System, Division of General Internal Medicine, Los Angeles, CA 90073, USA
J Clin Oncol 24:4933-8. 2006..This study was designed to identify systematically the quality measures and the evidence to support their use in pain, dyspnea, depression, and advance care planning (ACP), and to identify research gaps...
The search for a good death--are there quality insights accessible from medical records?Richard A Mularski
Crit Care Med 36:1372-3. 2008
A systematic review of satisfaction with care at the end of lifeSydney Morss Dy
Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA
J Am Geriatr Soc 56:124-9. 2008..More focus on these satisfaction elements might improve the effectiveness of end-of-life interventions and their evaluation...
Evidence for improving palliative care at the end of life: a systematic reviewKarl A Lorenz
Division of General Internal Medicine, Veterans Integrated Palliative Program, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California 90073, USA
Ann Intern Med 148:147-59. 2008..Many persons and their families are burdened by serious chronic illness in late life. How to best support quality of life is an important consideration for care...
Measuring pain as the 5th vital sign does not improve quality of pain managementRichard A Mularski
Portland Veterans Affairs Medical Center, USA
J Gen Intern Med 21:607-12. 2006..To improve pain management, the Veterans Health Administration launched the "Pain as the 5th Vital Sign" initiative in 1999, requiring a pain intensity rating (0 to 10) at all clinical encounters...
An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnessesPaul N Lanken
Am J Respir Crit Care Med 177:912-27. 2008
Focus group findings about the influence of culture on communication preferences in end-of-life careWilliam H Shrank
Division of General Internal Medicine, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA 90073, USA
J Gen Intern Med 20:703-9. 2005..Little guidance is available for health care providers who try to communicate with patients and their families in a culturally sensitive way about end-of-life care...
Pain management in the intensive care unitRichard A Mularski
Veterans Affairs Greater Los Angeles Healthcare System, Division of Pulmonary and Critical Care Medicine, University of California Los Angeles, Los Angeles, CA 90073, USA
Crit Care Clin 20:381-401, viii. 2004..To optimize palliative therapy, symptoms are best addressed by interdisciplinary care teams guided by models that acknowledge a continuum of curative therapies and palliative care...
