Research Topics
| J R CurtisSummaryAffiliation: University of Washington Country: USA Publications
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Publications
Effectiveness of screening examinations to detect unrecognized exercise-induced bronchoconstrictionTeal S Hallstrand
Division of Pulmonary and Critical Care Medicine, Department of Medicine, The School of Public Health and Community Medicine, University of Washington, Seattle 98195, USA
J Pediatr 141:343-8. 2002..8% of the adolescents with EIB. CONCLUSIONS: EIB occurs frequently in adolescent athletes, and screening by physical examination and medical history does not accurately detect it...
Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICUJ Randall Curtis
Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, WA, USA
Contemp Clin Trials 33:1245-54. 2012..This manuscript also reports some of the lessons that we have learned early in this study...
End-of-life care in the intensive care unit: can we simultaneously increase quality and reduce costs?J Randall Curtis
Division of Pulmonary and Critical Care, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA
Am J Respir Crit Care Med 186:587-92. 2012....- Long-term sequelae of critical illness: memories and health-related quality of lifeCatherine Lee Hough
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, Seattle, Washington, USA
Crit Care 9:145-6. 2005..Further research is needed if we are effectively to understand, prevent and treat the negative sequelae of critical illness... - Improving palliative care for patients in the intensive care unitJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington School of Medicine, Harborview Medical Center, Box 359761, 325 Ninth Avenue, Seattle, WA 98104-2499, USA
J Palliat Med 8:840-54. 2005 - The assessment of health status among patients with COPDJ R Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, Dept of Medicine, University of Washington, Seattle, WA 98104 2499, USA
Eur Respir J Suppl 41:36s-45s. 2003..This article reviews major concepts and methods in health-status assessments for patients with chronic obstructive pulmonary disease, which will have an important role in assessing the efficacy and effectiveness of new treatments... - Missed opportunities during family conferences about end-of-life care in the intensive care unitJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, Box 359762, 325 Ninth Avenue, Seattle, WA 98104 2499, USA
Am J Respir Crit Care Med 171:844-9. 2005..Improved communication with family members of critically ill patients can decrease the prolongation of dying in the intensive care unit (ICU), but few data exist to guide the conduct of this communication... - Patient-physician communication about end-of-life care for patients with severe COPDJ R Curtis
Division of Pulmonary and Critical Care Medicine, Dept of Medicine, School of Medicine, Seattle, WA 98104, USA
Eur Respir J 24:200-5. 2004..Future studies should determine the responsiveness of these items to interventions, and the effect such interventions have on patient satisfaction and quality of care... - Studying communication about end-of-life care during the ICU family conference: development of a frameworkJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
J Crit Care 17:147-60. 2002..The purpose of this study was to develop an understanding of the way this communication is currently conducted... - Interventions to improve care during withdrawal of life-sustaining treatmentsJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington 98104 2499, USA
J Palliat Med 8:S116-31. 2005..Further research is needed to identify and test the most appropriate and responsive outcome measures and to identify the most effective and cost-effective interventions... - The long-term outcomes of mechanical ventilation: what are they and how should they be used?J Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, Washington 98104 2499, USA
Respir Care 47:496-505; discussion 505-7. 2002..These outcomes include such diverse concepts as quality of life, functional status, and neuropsychological function. This review addresses theoretical and practical challenges to measuring and interpreting those other outcomes... - Communicating about end-of-life care with patients and families in the intensive care unitJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, University of Washington, Harborview Medical Center, Box 359762, 325 Ninth Avenue, Seattle, WA 98104 2499, USA
Crit Care Clin 20:363-80, viii. 2004.... - Caring for patients with critical illness and their families: the value of the integrated clinical teamJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, Seattle, WA 98104 2499, USA
Respir Care 53:480-7. 2008.... - Palliative and end-of-life care for patients with severe COPDJ R Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, Seattle, WA 98104 2499, USA
Eur Respir J 32:796-803. 2008..Improving communication represents an important opportunity for the improvement of the quality of palliative and end-of-life care received by these patients... - An approach to understanding the interaction of hope and desire for explicit prognostic information among individuals with severe chronic obstructive pulmonary disease or advanced cancerJ Randall Curtis
Department of Pulmonary and Critical Care Medicine, University of Washington, Seattle, Washington 98104, USA
J Palliat Med 11:610-20. 2008.... - The attitudes of patients with advanced AIDS toward use of the medical futility rationale in decisions to forego mechanical ventilationJ R Curtis
Department of Medicine, University of Washington, Seattle, USA
Arch Intern Med 160:1597-601. 2000..The medical futility rationale asserts that physicians need not offer their patients therapies that have zero or close to zero probability of success. The rationale is controversial, but it is used in practice... - Why don't patients and physicians talk about end-of-life care? Barriers to communication for patients with acquired immunodeficiency syndrome and their primary care cliniciansJ R Curtis
Department of Medicine, University of Washington, Seattle 98104 2499, USA
Arch Intern Med 160:1690-6. 2000..Interventions to improve this communication have generally been unsuccessful, suggesting that important barriers to this communication must exist... - Effect of a quality-improvement intervention on end-of-life care in the intensive care unit: a randomized trialJ Randall Curtis
Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle Washington, USA
Am J Respir Crit Care Med 183:348-55. 2011..Because of high mortality, end-of-life care is an important component of intensive care... - Predictors of symptoms of posttraumatic stress and depression in family members after patient death in the ICUCynthia J Gries
University of Washington, Division of Pulmonary and Critical Care, Seattle, WA 98104, USA
Chest 137:280-7. 2010..Patients' deaths in the ICU have been associated with a high burden of psychologic symptoms in families. This study identifies characteristics associated with psychologic symptoms in family members... - Practical guidance for evidence-based ICU family conferencesJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, Box 359762, University of Washington, 325 Ninth Ave, Seattle, WA 98104 2499, USA
Chest 134:835-43. 2008..This communication also requires a balance between adhering to processes of care that are associated with improved outcomes and individualizing communication to the unique needs of the family... - Ethics and end-of-life care for adults in the intensive care unitJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center University of Washington, Seattle, WA 98104 2499, USA
Lancet 376:1347-53. 2010..To make such a decision requires adequate training, good communication between the clinician and family, and the collaboration of a well functioning interdisciplinary team... - Integrating palliative and critical care: evaluation of a quality-improvement interventionJ Randall Curtis
Division of Pulmonary and Critical Care, Box 359762, Harborview Medical Center, University of Washington, Seattle, WA 98104, USA
Am J Respir Crit Care Med 178:269-75. 2008..Palliative care in the intensive care unit (ICU) is an important focus for quality improvement... - The family conference as a focus to improve communication about end-of-life care in the intensive care unit: opportunities for improvementJ R Curtis
Division of Pulmonary and Critical Care Medicine, School of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 29:N26-33. 2001.... - Barriers and facilitators to end-of-life care communication for patients with COPDElizabeth Knauft
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, USA
Chest 127:2188-96. 2005..Barriers and facilitators associated with communication are targets for interventions to improve end-of-life care, but such interventions will likely need to address the specific barriers relevant to individual patient-physician pairs... - Communicating with dying patients within the spectrum of medical care from terminal diagnosis to deathM D Wenrich
Office of the Vice President for Medical Affairs and Dean of the School of Medicine, University of Washington, Campus Box 356350, Seattle, WA 98195 6350, USA
Arch Intern Med 161:868-74. 2001..This study assessed which aspects of communication between patients and physicians are important in end-of-life care... - Communication about palliative care for patients with chronic obstructive pulmonary diseaseJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, USA
J Palliat Care 21:157-64. 2005..Further research is needed to develop and test interventions that can enhance patient-physician communication about palliative and EOL care for patients with COPD, and we describe our perspective on a research agenda in each area... - Evaluation of a standardized order form for the withdrawal of life support in the intensive care unitPatsy D Treece
Division of Pulmonary and Critical Care, Department of Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA
Crit Care Med 32:1141-8. 2004..Although the order form was helpful to clinicians and changed medication delivery, demonstrating clear improvements in quality of dying may require larger sample sizes, more sensitive measures, or more effective interventions... - Factors associated with nurse assessment of the quality of dying and death in the intensive care unitNaomi M Hodde
Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 32:1648-53. 2004..If nurse-assessed quality of dying is to be a useful tool for measuring and improving quality of end-of-life care, it is important to understand the factors associated with nurse ratings... - Treatment preferences for resuscitation and critical care among homeless personsWendi M Norris
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, USA
Chest 127:2180-7. 2005..Hospitals serving homeless individuals should consider developing policies to address this issue... - HIV risk screening in the primary care setting. Assessment of physicians skillsM D Wenrich
Department of Medicine, University of Washington, Seattle 98195-6420, USA
J Gen Intern Med 12:107-13. 1997..Methods are needed to develop, standardize, and disseminate better screening techniques to identify patients with or at risk of developing HIV infection, such as written HIV risk screening questions for use in medical intake forms... - Refinement, scoring, and validation of the Family Satisfaction in the Intensive Care Unit (FS-ICU) surveyRichard J Wall
Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 35:271-9. 2007..To refine the Family Satisfaction in the Intensive Care Unit (FS-ICU) survey and develop a validated method for scoring the instrument... - End-of-life care in the intensive care unit: a research agendaG D Rubenfeld
Division of Pulmonary and Critical Care Medicine, The Department of Medicine, University of Washington, Seattle, WA 98104 2499, USA
Crit Care Med 29:2001-6. 2001..Although there have been consensus statements and review articles on end-of-life care in the ICU, there is limited evidence on which to base an assessment of best practices for providing high-quality end-of-life care in this setting... - Integrating palliative and critical care: description of an interventionPatsy D Treece
Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, Washington, USA
Crit Care Med 34:S380-7. 2006..Future reports will need to examine the ability of the interventions to improve outcomes of palliative care in the ICU... - Family satisfaction with family conferences about end-of-life care in the intensive care unit: increased proportion of family speech is associated with increased satisfactionJonathan R McDonagh
Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 32:1484-8. 2004..Future studies should assess the effect of interventions to increase listening by critical care clinicians on the quality of communication and the family experience... - Quality indicators for end-of-life care in the intensive care unitEllen B Clarke
Center for Applied Ethics and Professional Practice, University of Washington, Seattle, USA
Crit Care Med 31:2255-62. 2003..Once validated, these indicators might be used to improve the quality of EOLC by serving as the components of an internal or external audit evaluating EOLC continuous quality improvement efforts in intensive care unit settings... - Primary care residency graduates' reported training needsD E DeWitt
WWAMI Regional and Community Based Education in Medicine, University of Washington School of Medicine, Seattle 98105, USA
Acad Med 76:285. 2001..Primary care residency graduates were surveyed about their satisfaction with their training. The respondents desired more training in outpatient knowledge and procedures, psychosocial skills, and business skills... - Patients' perspectives on physician skill in end-of-life care: differences between patients with COPD, cancer, and AIDSJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, Seattle, USA
Chest 122:356-62. 2002..Physician understanding of these differences will provide insights that allow improvement in the quality of care... - Potential for response bias in family surveys about end-of-life care in the ICUErin K Kross
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, Seattle, WA 98104, USA
Chest 136:1496-502. 2009.... - Barriers to communication about end-of-life care in AIDS patientsJ R Curtis
Department of Medicine, University of Washington, Seattle 98104-2499, USA
J Gen Intern Med 12:736-41. 1997..To improve the quality of medical care at the end of life, we must address the quality of communication about end-of-life care... - A measure of the quality of dying and death. Initial validation using after-death interviews with family membersJ Randall Curtis
Department of Medicine, University of Washington, Seattle, WA 98104, USA
J Pain Symptom Manage 24:17-31. 2002..Future work will assess the potential role of the QODD in improving the quality of the dying experience... - Clinician statements and family satisfaction with family conferences in the intensive care unitRenee D Stapleton
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 34:1679-85. 2006.... - Noninvasive positive pressure ventilation in critical and palliative care settings: understanding the goals of therapyJ Randall Curtis
Department of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 35:932-9. 2007..Therefore, the Society of Critical Care Medicine charged this Task Force with developing an approach for considering use of NPPV for patients who choose to forego endotracheal intubation... - Why are critical care clinicians so powerfully distressed by family demands for futile care?J Randall Curtis
Department of Medicine, University of Washington, Seattle, WA, USA
J Crit Care 18:22-4. 2003 - Measuring success of interventions to improve the quality of end-of-life care in the intensive care unitJ Randall Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, Washington, USA
Crit Care Med 34:S341-7. 2006..In this article, we examine some of the data supporting potential process and outcome measures that could be used to evaluate the success of interventions designed to improve end-of-life care in the ICU... - Agreement among family members in their assessment of the Quality of Dying and DeathRichard Mularski
Department of Medicine, VA Greater Los Angeles Healthcare System, The University of California, 90073, USA
J Pain Symptom Manage 28:306-15. 2004.... - Transitions regarding palliative and end-of-life care in severe chronic obstructive pulmonary disease or advanced cancer: themes identified by patients, families, and cliniciansLynn F Reinke
Department of Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, Washington, USA
J Palliat Med 11:601-9. 2008..Patients may experience transitions in different ways than clinicians. No prior studies have examined this issue from patients', families', and clinicians' perspectives... - Death rounds: end-of-life discussions among medical residents in the intensive care unitCatherine Lee Hough
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, Harborview Medical Center, Seattle, WA 98104-2499, USA
J Crit Care 20:20-5. 2005..This conference can be easily incorporated into the ICU curriculum. Most residents who participated in the survey indicated that they valued Death Rounds and believed that it should be included in all ICU rotations... - Primary care physicians' attitudes and practices regarding discussing organ donation with their patientsJ Daryl Thornton
Center for Reducing Health Disparities, Division of Pulmonary and Critical Care, MetroHealth Campus of Case Western Reserve University, Cleveland, Ohio 44109, USA
J Natl Med Assoc 102:52-8. 2010..However, the frequency with which primary care providers hold these discussions with their patients has not been reported... - A good death: a qualitative study of patients with advanced AIDSC M Pierson
Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
AIDS Care 14:587-98. 2002..A better understanding of these domains may enable clinicians to more fully appreciate the experiences of their dying patients and identify ways to improve the care they provide at the end of life... - Toward shared decision making at the end of life in intensive care units: opportunities for improvementDouglas B White
Division of Pulmonary and Critical Care Medicine and Program in Medical Ethics, Department of Medicine, School of Medicine, University of California, San Francisco, CA 94143 0903, USA
Arch Intern Med 167:461-7. 2007..In North America, families generally wish to be involved in end-of-life decisions when the patient cannot participate, yet little is known about the extent to which shared decision making occurs in intensive care units... - Supporting hope and prognostic information: nurses' perspectives on their role when patients have life-limiting prognosesLynn F Reinke
Department of Veterans Affairs, VA Puget Sound Health Care System, Health Services Research and Development, Seattle, Washington, USA
J Pain Symptom Manage 39:982-92. 2010..Few studies have examined nurses' perspectives on their roles in meeting these patient and family needs... - Do primary care physicians screen patients about alcohol intake using the CAGE questions?M D Wenrich
Department of Medicine, University of Washington, Seattle 98195, USA
J Gen Intern Med 10:631-4. 1995..Methods are needed to incorporate the CAGE questions into primary care practices in a more systematic manner... - Evaluating the quality of dying and deathD L Patrick
Department of Epidemiology, University of Washington, Seattle, 98195-7660, USA
J Pain Symptom Manage 22:717-26. 2001..This operational definition will guide validation of after-death reports of the quality of dying experience and evaluation of interventions to improve quality of end-of-life care... - Understanding physicians' skills at providing end-of-life care perspectives of patients, families, and health care workersJ R Curtis
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
J Gen Intern Med 16:41-9. 2001..Our findings should focus physicians, physician-educators, and researchers on communication, emotional support, and accessibility to improve the quality of end-of-life care... - Prognostication during physician-family discussions about limiting life support in intensive care unitsDouglas B White
Division of Pulmonary and Critical Care Medicine, Program in Medical Ethics, Department of Medicine, University of California, San Francisco, USA
Crit Care Med 35:442-8. 2007.... - Withdrawing life support and resolution of conflict with familiesJenny Way
Department of Medicine, University of Washington, Seattle, WA 98195, USA
BMJ 325:1342-5. 2002 - Decisions to limit life-sustaining treatment for critically ill patients who lack both decision-making capacity and surrogate decision-makersDouglas B White
Division of Pulmonary and Critical Care Medicine, University of California, San Francisco School of Medicine, San Francisco, CA, USA
Crit Care Med 34:2053-9. 2006..Decisions to limit life support were generally made by physicians without judicial or institutional review. Further research and debate are needed to develop optimal decision-making strategies for these difficult cases... - Correspondence between patients' preferences and surrogates' understandings for dying and deathRuth A Engelberg
Department of Medicine, University of Washington, Seattle, Washington 98104, USA
J Pain Symptom Manage 30:498-509. 2005..These discussions may enable surrogates and clinicians to more accurately follow patient preferences... - Ability of primary care physicians to diagnose and manage Pneumocystis carinii pneumoniaJ R Curtis
Department of Medicine, University of Washington, Seattle, 98195, USA
J Gen Intern Med 10:395-9. 1995..These findings suggest significant delay in diagnosis and treatment had these physicians been treating an actual patient with PCP... - Family satisfaction in the ICU: differences between families of survivors and nonsurvivorsRichard J Wall
Department of Medicine, University of Washington, Seattle, WA 98104, USA
Chest 132:1425-33. 2007..In the current study, we sought to confirm these findings and identify specific aspects of care that were rated more highly by the family members of patients dying in the ICU compared to family members of ICU survivors... - Abandonment at the end of life from patient, caregiver, nurse, and physician perspectives: loss of continuity and lack of closureAnthony L Back
Fred Hutchinson Cancer Research Center, School of Medicine, Department of Medicine, University of Washington, Seattle, WA, USA
Arch Intern Med 169:474-9. 2009..Surveys and anecdotes suggest that patients and family members sometimes feel abandoned by their physicians at the transition to end-of-life care. To our knowledge, no prior studies describe abandonment prospectively... - Shared priorities for the end-of-life periodLois Downey
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA
J Pain Symptom Manage 37:175-88. 2009..This change would reduce respondent burden in future investigations, simplify analyses aimed at identifying domains underlying the dying-and-death experience, and exclude the top-priority item of fewer than 4% of respondents... - Responding to families' questions about the meaning of physical movements in critically ill patientsRuth A Engelberg
Department of Medicine, School of Medicine, University of Washington, Seattle, WA 98104, USA
J Crit Care 23:565-71. 2008..This study used qualitative methods to describe physicians' responses to families' questions about the meaning of patients' movements in critically ill patients... - Development of a Web-based educational intervention to improve cross-cultural communication among hospice providersArdith Z Doorenbos
Biobehavioral Nursing and Health Systems, School of Nursing, University of Washington, Seattle, Washington 98195, USA
J Soc Work End Life Palliat Care 6:236-55. 2010..Participants also reported finding the online delivery convenient and the interactive format valuable. Improving the quality of cross-cultural patient-provider communication can contribute to reducing disparities at end-of-life... - Predictors of time to death after terminal withdrawal of mechanical ventilation in the ICUColin R Cooke
Division of Pulmonary and Critical Care Medicine, University of Michigan, 6 Ann Arbor, MI 48109 5604, USA
Chest 138:289-97. 2010..Little information exists about the expected time to death after terminal withdrawal of mechanical ventilation. We sought to determine the independent predictors of time to death after withdrawal of mechanical ventilation... - ICU care associated with symptoms of depression and posttraumatic stress disorder among family members of patients who die in the ICUErin K Kross
Department of Medicine, Division of Pulmonary and Critical Care, Harborview Medical Cente, University of Washington, Seattle, WA, USA
Chest 139:795-801. 2011..The patient-level risk factors for these family symptoms are not well understood but may help to target future interventions... - Improving social work in intensive care unit palliative care: results of a quality improvement interventionAndrew J McCormick
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center University of Washington, Seattle, Washington 98104 2499, USA
J Palliat Med 13:297-304. 2010..Social workers are involved in providing this care for patients and families. Our goal was to examine the social worker component of an intervention to improve interdisciplinary palliative care in the ICU... - Physicians' interactions with health care teams and systems in the care of dying patients: perspectives of dying patients, family members, and health care professionalsJan D Carline
Department of Medical Education and Biomedical Informatics, University of Washington, Seattle, WA 98195, USA
J Pain Symptom Manage 25:19-28. 2003.... - Spiritual care of families in the intensive care unitRichard J Wall
Harborview Medical Center, Division of Pulmonary and Critical Care, Department of Medicine, University of Washington, Seattle, WA, USA
Crit Care Med 35:1084-90. 2007.... - Narcotic and benzodiazepine use after withdrawal of life support: association with time to death?Jeannie D Chan
Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle, USA
Chest 126:286-93. 2004..To determine whether the dose of narcotics and benzodiazepines is associated with length of time from mechanical ventilation withdrawal to death in the setting of withdrawal of life-sustaining treatment in the ICU... - Quality of life in adolescents with mild asthmaTeal S Hallstrand
Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Washington, Seattle, Washington 98195 6522, USA
Pediatr Pulmonol 36:536-43. 2003..Symptoms of dyspnea during exercise are common in asthma and are associated with lower HRQoL. The clinical significance of these differences in HRQoL is unclear... - Acquired neuromuscular disorders in the intensive care unitSteven Deem
Department of Anesthesiology, University of Washington, Seattle, Washington 98104-2499, USA
Am J Respir Crit Care Med 168:735-9. 2003 - Association between chronic heart failure and inhaled beta-2-adrenoceptor agonistsDavid H Au
Health Services Research and Development, Division of Pulmonary and Critical Care Medicine, VA Puget Sound Health Care System, Seattle, Wash 98108, USA
Am Heart J 148:915-20. 2004..Recent reports suggest an association between beta-agonists and the risk of incident chronic heart failure (CHF). We sought to examine the association between inhaled beta-agonists and risk of incident and nonincident heart failure... - Management of the critically ill patient with severe acute pancreatitisAvery B Nathens
University of Washington, Seattle, WA, USA
Crit Care Med 32:2524-36. 2004..The goal of this consensus statement is to provide recommendations regarding the management of the critically ill patient with severe acute pancreatitis (SAP)... - Expressions of nonabandonment during the intensive care unit family conferenceHeather F West
Department of Medicine, School of Medicine, University of Washington, Seattle, WA, USA
J Palliat Med 8:797-807. 2005..Future studies could use this model to develop a communication intervention for the ICU family conference... - Differences in health care utilization at the end of life among patients with chronic obstructive pulmonary disease and patients with lung cancerDavid H Au
Health Services Research and Development, VA Puget Sound Health Care System, Seattle, Wash, USA
Arch Intern Med 166:326-31. 2006.... - Measuring intensive care nurses' perspectives on family-centered end-of-life care: evaluation of 3 questionnairesLois Downey
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Seattle WA 98195, USA
Am J Crit Care 15:568-79. 2006..Attempts to improve end-of-life care increasingly focus on family-centered care, but few validated assessment tools exist... - Communicating bad newsAnthony L Back
Department of Medicine, University of Washington School of Medicine, Seattle 98195, USA
West J Med 176:177-80. 2002 - Psychometric characteristics of a quality of communication questionnaire assessing communication about end-of-life careRuth Engelberg
Department of Medicine, Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, 98104, USA
J Palliat Med 9:1086-98. 2006..While further validation studies are needed, this assessment of the QOC represents an important step toward providing a measure of the quality of end-of-life communication... - Definitive care for the critically ill during a disaster: medical resources for surge capacity: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, ILLewis Rubinson
University of Washington, Harborview Medical Center, Campus Box 359762, 325 Ninth Ave, Seattle, WA 98104, USA
Chest 133:32S-50S. 2008..This article suggests medical equipment, concepts to expand treatment spaces, and staffing models for EMCC... - End-of-life considerations in older patients who have lung diseaseRenee D Stapleton
Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, University of Washington, Harborview Medical Center, Box 359762, 325 Ninth Avenue, Seattle, WA 98104 2499, USA
Clin Chest Med 28:801-11, vii. 2007..This article reviews the potential for enhanced palliative care for older patients with chronic lung disease... - Integrating palliative care for liver transplant candidates: "too well for transplant, too sick for life"Anne M Larson
Department of Medicine, School of Medicine, University of Washington, Seattle 98195 6174, USA
JAMA 295:2168-76. 2006..In all of these circumstances, the health care team must combine elements of palliative care with life-sustaining therapy to maximize the patient's quality and quantity of life... - High prevalence of abnormal acid gastro-oesophageal reflux in idiopathic pulmonary fibrosisG Raghu
Division of Pulmonary and Critical Care Medicine, University of Washington, Seattle, WA 98195, USA
Eur Respir J 27:136-42. 2006.... - Underestimation of mortality following lung volume reduction surgery resulting from incomplete follow-upC W Butler
Department of Medicine, University of Washington, Seattle, WA, USA
Chest 119:1056-60. 2001..CONCLUSIONS: Studies reporting the long-term mortality after LVRS can be biased in the direction of underestimating the true value if they are compromised by incomplete follow-up... - Risk of myocardial ischaemia and beta-adrenoceptor agonistsD H Au
Department of Veterans Affairs, VA Puget Sound Health Care System, Seattle, WA 98108, USA
Ann Med 33:287-90. 2001..Furthermore, careful consideration should be given to distinguish symptoms caused by cardiovascular versus respiratory aetiologies... - What influences career choices among graduates of a primary care training program?D E DeWitt
Department of Medicine, University of Washington, Seattle 98105, USA
J Gen Intern Med 13:257-61. 1998..To identify factors that influence primary care residents to become generalists or specialists... - The influence of race/ethnicity and socioeconomic status on end-of-life care in the ICUSarah Muni
Division of Pulmonary and Critical Care Medicine, Harborview Medical Center, University of Washington, 325 Ninth Ave, Seattle, WA 98104, USA
Chest 139:1025-33. 2011..There is conflicting evidence about the influence of race/ethnicity on the use of intensive care at the end of life, and little is known about the influence of socioeconomic status... - Life support for patients without a surrogate decision maker: who decides?Douglas B White
University of California, San Francisco, and San Francisco General Hospital, San Francisco, California 94143 0903, USA
Ann Intern Med 147:34-40. 2007..Physicians in intensive care units have withdrawn life support in incapacitated patients who lack surrogate decision makers and advance directives, yet little is known about how often this occurs or under what circumstances... - Next of kin perspectives on the experience of end-of-life care in a community settingKaye Norris
Kaye Norris Consulting, Missoula, Montana, USA
J Palliat Med 10:1101-15. 2007..Previous studies of end-of-life experience have been conducted primarily in urban medical centers and mostly focused on preferences for rather than experience of care... - Beta-blockers as single-agent therapy for hypertension and the risk of mortality among patients with chronic obstructive pulmonary diseaseDavid H Au
Health Services Research and Development Northwest Center of Excellence, Veterans Affairs Puget Sound Health Care System, Seattle, Washington 98108, USA
Am J Med 117:925-31. 2004..To assess the association between the type of antihypertensive medication and all-cause mortality among patients with chronic obstructive pulmonary disease (COPD)... - Quality of dying and death in two medical ICUs: perceptions of family and cliniciansCari R Levy
Division of Healthcare Policy and Research, University of Colorado Health Sciences Center, Aurora, CO 80011, USA
Chest 127:1775-83. 2005..The aim was to obtain a surrogate assessment of the quality of the dying process and examine differences in the perceptions of different types of raters... - 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... - Association between inhaled beta-agonists and the risk of unstable angina and myocardial infarctionDavid H Au
Department of Medicine, University of Washington, Seattle 98108, USA
Chest 121:846-51. 2002..CONCLUSIONS: A prescription for inhaled beta-agonists may increase the risk of myocardial infarction and unstable angina in patients with COPD... - A content analysis of forms, guidelines, and other materials documenting end-of-life care in intensive care unitsEllen B Clarke
Department of Critical Care Medicine, Brown University, Rhode Island Hospital, Providence, RI, USA
J Crit Care 19:108-17. 2004..A second purpose was to determine how these materials might be modified to include more EOLC content and used to trigger clinical behaviors that might improve the quality of EOLC... - Alterations during medical interpretation of ICU family conferences that interfere with or enhance communicationKiemanh Pham
Department of Emergency Medicine, Kern Medical Center, Bakersfield, CA, USA
Chest 134:109-16. 2008..Despite the importance of medical interpretation, little is known about the alterations that occur and their effect on communication... - Contradictions and communication strategies during end-of-life decision making in the intensive care unitHsiu-Fang Hsieh
Department of Nursing, Fooyin University, Kaohsiung Hsien 831, Taiwan
J Crit Care 21:294-304. 2006.... - Duration of withdrawal of life support in the intensive care unit and association with family satisfactionEric Gerstel
Departments of Internal Medicine and Critical Care, Geneva University Hospitals of Geneva and University of Geneva, Geneva, Switzerland
Am J Respir Crit Care Med 178:798-804. 2008..Most deaths in the intensive care unit (ICU) involve withholding or withdrawing multiple life-sustaining therapies, but little is known about how to proceed practically and how this process affects family satisfaction... - 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... - A communication strategy and brochure for relatives of patients dying in the ICUAlexandre Lautrette
Saint Louis Hospital and Paris 7 University, Assistance Publique Hopitaux de Paris, France
N Engl J Med 356:469-78. 2007..We evaluated a format that included a proactive end-of-life conference and a brochure to see whether it could lessen the effects of bereavement...
Research Grants
- IMPROVING CLINICIAN-FAMILY COMMUNICATION IN THE ICUJ Curtis; Fiscal Year: 2000..In addition, the development of curricula for improving clinician education about clinician-family communication will make an important contribution to the training of nurses and physicians. ..
- End-of-life Care for Chronic Lung Disease and Acute Respiratory FailureJ Curtis; Fiscal Year: 2007..3. Evaluate the stability of changes in the above outcomes over a 3 month period. 4. Evaluate the efficacy of the intervention for improving physician-nurse collaboration. ..
- Improving patient outcomes in end-of-life care provided by physicians and nursesJ Curtis; Fiscal Year: 2007..If the intervention is effective, it offers the opportunity to improve the end-of-life care received by patients and their families throughout the US. ..
- Improving patient outcomes in end-of-life care provided by physicians and nursesJ Curtis; Fiscal Year: 2009..If the intervention is effective, it offers the opportunity to improve the end-of-life care received by patients and their families throughout the US. ..
- Randomized trial of an interdisciplinary communication intervention to improve paJ Curtis; Fiscal Year: 2009..The facilitated communication intervention is designed to be easily generalizable to other hospitals and ICUs and, if successful, would improve the quality of care patients and their families receive in the ICU. ..
- Randomized trial of an interdisciplinary communication intervention to improve paRUTH ANN ENGELBERG; Fiscal Year: 2010..The facilitated communication intervention is designed to be easily generalizable to other hospitals and ICUs and, if successful, would improve the quality of care patients and their families receive in the ICU. ..
- An ICU Intervention to Improve End-of-Life CareJ Curtis; Fiscal Year: 2007..The goal of this proposal is to demonstrate the effectiveness of a generalizable, multi-faceted, nurse-focused quality improvement project designed to improve end-of-life care in the ICU. ..
- Improving Physician Skill at Providing End-of-Life CareJ Curtis; Fiscal Year: 2004..The results will allow investigators and others to develop targeted educational and systemic interventions to improve the quality of this care. ..
- Balancing Hope & Truth-Telling for Patients with Ca/COPDJ Curtis; Fiscal Year: 2005..These strategies will be described and translated into interventions targeting nurses, physicians, and teams who provide care for patients with cancer, COPD, and other life-limiting diseases. ..
- Improving patient outcomes in end-of-life care provided by physicians and nursesJ Randall Curtis; Fiscal Year: 2010..If the intervention is effective, it offers the opportunity to improve the end-of-life care received by patients and their families throughout the US. ..