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Richard A Mularski, MD, MSHS, MCR

TitleSenior Investigator
InstitutionKaiser Permanente Northwest
DepartmentCenter for Health Research - Northwest
Address3800 N. Interstate Avenue
Portland OR 97227
ORCID ORCID Icon0000-0001-6979-2542 Additional info
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    Collapse Overview 
    Collapse overview
    Dr. Richard Mularski is an academic physician who leads research at the Center for Health Research and practices pulmonary and critical care medicine for Northwest Permanente, where he is also regional clinical quality lead for COPD (chronic obstructive pulmonary disease) and medical director for Pulmonary Care Management.

    Dr. Mularski is board certified in pulmonary, critical care, and palliative medicine. He has expertise in research methodology, quality measurement and improvement, translating findings from research into clinical practice, and implementing evidence-based medicine in the areas of obstructive lung disease, dyspnea, palliative care, and end-of-life care.

    He has performed evidence-based reviews and performance measure development for multiple pulmonary and palliative projects. He led the RAND Health pulmonary quality review for the QA Tools project and was lead author on a consensus statement for 18 quality measures for palliative and end-of-life care for critically ill, hospitalized patients.

    Dr. Mularski serves as site principal investigator on a number of clinical trials in COPD, including the ASPIRE AeriSeal and IBV Valve trials, co-investigator on the NHLBI Long-term Oxygen Treatment Trial, and site principal investigator for a multi-center collaboration, the COPD Outcomes-based Network for Clinical Effectiveness & Research Translation (CONCERT).

    He was the inaugural chair of the American Thoracic Society’s Quality Improvement Committee, currently chairs the society’s Ad Hoc Committee on Dyspnea Crisis and serves as its voting representative to the American Medical Association’s Physician Consortium for Performance Improvement. He is an officer in succession for president of the Oregon Thoracic Society.

    Dr. Mularski graduated from the University of Arizona College of Medicine and trained in internal medicine, pulmonary disease, and critical care at OHSU. He completed clinical research training and practical clinical training in hospice and palliative medicine, as well as training in health services research, before joining the Permanente Medical Group in 2006. Dr. Mularski is an adjunct associate professor of medicine at OHSU.

    Collapse Research 
    Collapse research activities and funding
    RC2HL101618     (AU, DAVID H)Sep 30, 2009 - Aug 31, 2012
    NIH/NHLBI
    CONCERT-Clinical Effectiveness Research (CONCERT-CER)
    Role: Co-Principal Investigator

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Pasquale CB, Choate R, McCreary G, Mularski RA, Clark W, Houlihan M, Malanga E, Yawn BP. Self-reported COPD Medication Use and Adherence in the COPD Foundation Patient- Powered Registry Network. Chronic Obstr Pulm Dis. 2021 Sep 08. PMID: 34496465.
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    2. McCreary G, Boyce D, Houlihan ME, Rommes J, Rubin C, Deitemeyer K, Clark W, Pasquale C, Mularski R, Malanga E, Yawn BP. Patient-Driven Research Agenda: What Needs to be Studied in Those Living with COPD During the Coronavirus Disease 2019 Pandemic. Chronic Obstr Pulm Dis. 2021 Jul 28; 8(3):314-318. PMID: 33891810.
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    3. Colombo CJ, Colombo RE, Maves RC, Branche AR, Cohen SH, Elie MC, George SL, Jang HJ, Kalil AC, Lindholm DA, Mularski RA, Ortiz JR, Tapson V, Liang CJ. Performance Analysis of the National Early Warning Score and Modified Early Warning Score in the Adaptive COVID-19 Treatment Trial Cohort. Crit Care Explor. 2021 Jul; 3(7):e0474. PMID: 34278310; PMCID: PMC8280088.
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    4. Cipta A, Turner B, Haupt EC, Werch H, Reinke L, Mularski RA, Nguyen HQ. Spiritual distress: symptoms, quality of life and hospital utilisation in home-based palliative care. BMJ Support Palliat Care. 2021 Sep; 11(3):322-328. PMID: 34088743.
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    5. Anderson M, Collison K, Drummond MB, Hamilton M, Jain R, Martin N, Mularski RA, Thomas M, Zhu CQ, Ferguson GT. Peak Inspiratory Flow Rate in COPD: An Analysis of Clinical Trial and Real-World Data. Int J Chron Obstruct Pulmon Dis. 2021; 16:933-943. PMID: 33883890; PMCID: PMC8055277.
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    6. Sprung CL, Jennerich AL, Joynt GM, Michalsen A, Curtis JR, Efferen LS, Leonard S, Metnitz B, Mikstacki A, Patil N, McDermid RC, Metnitz P, Mularski RA, Bulpa P, Avidan A. The Influence of Geography, Religion, Religiosity and Institutional Factors on Worldwide End-of-Life Care for the Critically Ill: The WELPICUS Study. J Palliat Care. 2021 Apr 05; 8258597211002308. PMID: 33818159.
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    7. Oh AL, Mularski RA, Barjaktarevic I, Barr RG, Bowler RP, Comellas AP, Cooper CB, Criner GJ, Han MK, Hansel NN, Hoffman EA, Kanner RE, Krishnan JA, Paine R, Parekh TM, Peters SP, Christenson SA, Woodruff PG, SPIROMICS Investigators . Defining Resilience to Smoking Related Lung Disease: A Modified Delphi Approach from SPIROMICS. Ann Am Thorac Soc. 2021 Feb 25. PMID: 33631079.
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    8. Shen E, Lee JS, Mularski RA, Crawford P, Go AS, Sung SH, Tabada GH, Gould MK, Nguyen HQ. COPD Comorbidity Profiles and 2-Year Trajectory of Acute and Postacute Care Use. Chest. 2021 Jun; 159(6):2233-2243. PMID: 33482176.
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    9. McCormack MC, Bascom R, Brandt M, Burgos F, Butler S, Caggiano C, Dimmock AEF, Fineberg A, Goldstein J, Guzman FC, Halldin CN, Johnson JD, Kerby GS, Krishnan JA, Kurth L, Morgan G, Mularski RA, Pasquale CB, Ryu J, Sinclair T, Stachowicz NF, Taite A, Tilles J, Truta JR, Weissman DN, Wu TD, Yawn BP, Drummond MB. Electronic Health Records and Pulmonary Function Data: Developing an Interoperability Roadmap. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2021 01; 18(1):1-11. PMID: 33385224; PMCID: PMC7780974.
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    10. Gershon AS, Lindenauer PK, Wilson KC, Rose L, Walkey AJ, Sadatsafavi M, Anstrom KJ, Au DH, Bender BG, Brookhart MA, Dweik RA, Han MK, Joo MJ, Lavergne V, Mehta AB, Miravitlles M, Mularski RA, Roche N, Oren E, Riekert KA, Schoenberg NC, Stukel TA, Weiss CH, Wunsch H, Africk JJ, Krishnan JA. Informing Healthcare Decisions with Observational Research Assessing Causal Effect. An Official American Thoracic Society Research Statement. Am J Respir Crit Care Med. 2021 01 01; 203(1):14-23. PMID: 33385220; PMCID: PMC7781125.
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    11. Kalil AC, Patterson TF, Mehta AK, Tomashek KM, Wolfe CR, Ghazaryan V, Marconi VC, Ruiz-Palacios GM, Hsieh L, Kline S, Tapson V, Iovine NM, Jain MK, Sweeney DA, El Sahly HM, Branche AR, Regalado Pineda J, Lye DC, Sandkovsky U, Luetkemeyer AF, Cohen SH, Finberg RW, Jackson PEH, Taiwo B, Paules CI, Arguinchona H, Erdmann N, Ahuja N, Frank M, Oh MD, Kim ES, Tan SY, Mularski RA, Nielsen H, Ponce PO, Taylor BS, Larson L, Rouphael NG, Saklawi Y, Cantos VD, Ko ER, Engemann JJ, Amin AN, Watanabe M, Billings J, Elie MC, Davey RT, Burgess TH, Ferreira J, Green M, Makowski M, Cardoso A, de Bono S, Bonnett T, Proschan M, Deye GA, Dempsey W, Nayak SU, Dodd LE, Beigel JH, ACTT-2 Study Group Members. Baricitinib plus Remdesivir for Hospitalized Adults with Covid-19. N Engl J Med. 2021 03 04; 384(9):795-807. PMID: 33306283; PMCID: PMC7745180.
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    12. Gould MK, Altman DE, Creekmur B, Qi L, de Bie E, Golden S, Kaplan CP, Kelly K, Miglioretti DL, Mularski RA, Musigdilok VV, Smith-Bindman R, Steltz JP, Wiener RS, Aberle DR, Dyer DS, Vachani A. Guidelines for the Evaluation of Pulmonary Nodules Detected Incidentally or by Screening: A Survey of Radiologist Awareness, Agreement, and Adherence From the Watch the Spot Trial. J Am Coll Radiol. 2021 Apr; 18(4):545-553. PMID: 33212069.
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    13. Nguyen HQ, McMullen C, Haupt EC, Wang SE, Werch H, Edwards PE, Andres GM, Reinke L, Mittman BS, Shen E, Mularski RA. Findings and lessons learnt from early termination of a pragmatic comparative effectiveness trial of video consultations in home-based palliative care. BMJ Support Palliat Care. 2020 Oct 13. PMID: 33051309.
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    14. Osuji TA, Macias M, McMullen C, Haupt E, Mittman B, Mularski RA, Wang SE, Werch H, Nguyen HQ. Clinician Perspectives on Implementing Video Visits in Home-Based Palliative Care. Palliat Med Rep. 2020; 1(1):221-226. PMID: 34223480; PMCID: PMC8241367.
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    15. Nguyen HQ, Mularski RA, Moy ML, Lee JS, Shen E. Association between self-reported moderate to vigorous physical activity and the rate of outpatient treated COPD exacerbations: retrospective cohort study. BMJ Open Respir Res. 2020 05; 7(1). PMID: 32467154; PMCID: PMC7264694.
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    16. Aschmann HE, Boyd CM, Robbins CW, Chan WV, Mularski RA, Bennett WL, Sheehan OC, Wilson RF, Bayliss EA, Leff B, Armacost K, Glover C, Maslow K, Mintz S, Puhan MA. Informing Patient-Centered Care Through Stakeholder Engagement and Highly Stratified Quantitative Benefit-Harm Assessments. Value Health. 2020 05; 23(5):616-624. PMID: 32389227.
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    17. Blagev DP, Collingridge DS, Rea S, Carey KA, Mularski RA, Zeng S, Arjomandi M, Press VG. Laboratory-based Intermountain Validated Exacerbation (LIVE) Score stability in patients with chronic obstructive pulmonary disease. BMJ Open Respir Res. 2020 02; 7(1). PMID: 32060034; PMCID: PMC7047500.
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    18. Choate R, Pasquale CB, Parada NA, Prieto-Centurion V, Mularski RA, Yawn BP. The Burden of Cough and Phlegm in People With COPD: A COPD Patient-Powered Research Network Study. Chronic Obstr Pulm Dis. 2020 Jan; 7(1):49-59. PMID: 31999902; PMCID: PMC7182382.
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    19. Aschmann HE, Puhan MA, Robbins CW, Bayliss EA, Chan WV, Mularski RA, Wilson RF, Bennett WL, Sheehan OC, Yu T, Yebyo HG, Leff B, Tabano H, Armacost K, Glover C, Maslow K, Mintz S, Boyd CM. Outcome preferences of older people with multiple chronic conditions and hypertension: a cross-sectional survey using best-worst scaling. Health Qual Life Outcomes. 2019 Dec 19; 17(1):186. PMID: 31856842; PMCID: PMC6924040.
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    20. Criner GJ, Delage A, Voelker K, Hogarth DK, Majid A, Zgoda M, Lazarus DR, Casal R, Benzaquen SB, Holladay RC, Wellikoff A, Calero K, Rumbak MJ, Branca PR, Abu-Hijleh M, Mallea JM, Kalhan R, Sachdeva A, Kinsey CM, Lamb CR, Reed MF, Abouzgheib WB, Kaplan PV, Marrujo GX, Johnstone DW, Gasparri MG, Meade AA, Hergott CA, Reddy C, Mularski RA, Case AH, Makani SS, Shepherd RW, Chen B, Holt GE, Martel S. Improving Lung Function in Severe Heterogenous Emphysema with the Spiration Valve System (EMPROVE). A Multicenter, Open-Label Randomized Controlled Clinical Trial. Am J Respir Crit Care Med. 2019 12 01; 200(11):1354-1362. PMID: 31365298; PMCID: PMC6884033.
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    21. Artis KA, Dweik RA, Patel B, Weiss CH, Wilson KC, Gagliardi AR, Huckson S, Nothacker M, Adhikari NKJ, Kajdacsy-Balla Amaral AC, Barbash IJ, Carlos WG, Costa DK, Metersky ML, Mularski RA, Sjoding MW, Thomson CC, Hyzy RC. Performance Measure Development, Use, and Measurement of Effectiveness Using the Guideline on Mechanical Ventilation in Acute Respiratory Distress Syndrome. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2019 12; 16(12):1463-1472. PMID: 31774323; PMCID: PMC6956829.
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    22. Gould MK, Smith-Bindman R, Kelly K, Altman DE, Barjaktarevic I, Creekmur B, de Bie E, Dyer DS, Mortani Barbosa EJ, Mularski RA, Qi L, Vaszar LT, Yu S, Miglioretti DL. Methods for the Watch the Spot Trial. A Pragmatic Trial of More- versus Less-Intensive Strategies for Active Surveillance of Small Pulmonary Nodules. Ann Am Thorac Soc. 2019 12; 16(12):1567-1576. PMID: 31314549.
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    23. Wang MC, Johnson D, Glass D, Martel H, Mularski RA, Bellows J. Assessing End-of-Life Care across Settings in an Integrated Health Care Delivery System. J Palliat Med. 2020 06; 23(6):825-828. PMID: 31660780.
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    24. Long AC, Brumback LC, Curtis JR, Avidan A, Baras M, De Robertis E, Efferen L, Engelberg RA, Kross EK, Michalsen A, Mularski RA, Sprung CL, Worldwide End-of-Life Practice for Patients in ICUs (WELPICUS) Investigators. Agreement With Consensus Statements on End-of-Life Care: A Description of Variability at the Level of the Provider, Hospital, and Country. Crit Care Med. 2019 10; 47(10):1396-1401. PMID: 31305497; PMCID: PMC7446953.
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    25. Nguyen HQ, Mularski RA, Edwards PE, Lynn J, Machado MT, McBurnie MA, McMullen C, Mittman BS, Reinke LR, Shen E, Wang SE, Werch HS, HomePal Research Group. Protocol for a Noninferiority Comparative Effectiveness Trial of Home-Based Palliative Care (HomePal). J Palliat Med. 2019 09; 22(S1):20-33. PMID: 31486724.
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    26. Aschmann HE, Boyd CM, Robbins CW, Mularski RA, Chan WV, Sheehan OC, Wilson RF, Bennett WL, Bayliss EA, Yu T, Leff B, Armacost K, Glover C, Maslow K, Mintz S, Puhan MA. Balance of benefits and harms of different blood pressure targets in people with multiple chronic conditions: a quantitative benefit-harm assessment. BMJ Open. 2019 08 30; 9(8):e028438. PMID: 31471435; PMCID: PMC6720326.
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    27. Bennett WL, Aschmann HE, Puhan MA, Robbins CW, Bayliss EA, Wilson R, Mularski RA, Chan WV, Leff B, Sheehan O, Glover C, Maslow K, Armacost K, Mintz S, Boyd CM. A benefit-harm analysis of adding basal insulin vs. sulfonylurea to metformin to manage type II diabetes mellitus in people with multiple chronic conditions. J Clin Epidemiol. 2019 09; 113:92-100. PMID: 31059802.
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    28. Wang SE, Liu IA, Lee JS, Khang P, Rosen R, Reinke LF, Mularski RA, Nguyen HQ. End-of-Life Care in Patients Exposed to Home-Based Palliative Care vs Hospice Only. J Am Geriatr Soc. 2019 Mar 04. PMID: 30830695.
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    29. Griffith MF, Feemster LC, Donovan LM, Spece LJ, Krishnan JA, Lindenauer PK, McBurnie MA, Mularski RA, Au DH. Poor Metered-Dose Inhaler (MDI) Technique Is Associated with Overuse of Inhaled Corticosteroids in COPD. Ann Am Thorac Soc. 2019 Feb 14. PMID: 30763114.
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    30. Press VG, Au DH, Bourbeau J, Dransfield MT, Gershon AS, Krishnan JA, Mularski RA, Sciurba FC, Sullivan J, Feemster LC. Reducing Chronic Obstructive Pulmonary Disease Hospital Readmissions. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2019 Feb; 16(2):161-170. PMID: 30707066.
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    31. Feemster LC, Saft HL, Bartlett SJ, Parthasarathy S, Barnes T, Calverley P, Curtis JR, Hickam DH, Mularski RA, Au DH, Chlan LL, Reinke LF, Cooke CR, Cox CE, Krishnan JA, Rubin E, Shah S, Sullivan DR, Kross EK. Patient-centered Outcomes Research in Pulmonary, Critical Care, and Sleep Medicine. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2018 Sep; 15(9):1005-1015. PMID: 30168741.
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    32. Blagev DP, Collingridge DS, Rea S, Press VG, Churpek MM, Carey K, Mularski RA, Zeng S, Arjomandi M. Stability of Frequency of Severe Chronic Obstructive Pulmonary Disease Exacerbations and Health Care Utilization in Clinical Populations. Chronic Obstr Pulm Dis. 2018 Jun 20; 5(3):208-220. PMID: 30584584.
      Citations:    
    33. Blagev DP, Collingridge DS, Rea S, Horne BD, Press VG, Churpek MM, Carey KA, Mularski RA, Zeng S, Arjomandi M. The Laboratory-Based Intermountain Validated Exacerbation (LIVE) Score Identifies Chronic Obstructive Pulmonary Disease Patients at High Mortality Risk. Front Med (Lausanne). 2018; 5:173. PMID: 29942803.
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    34. Donovan LM, Rise PJ, Carson SS, Feemster LC, Griffith MF, Kapur VK, Krishnan JA, Lindenauer PK, Mularski RA, Naureckas ET, Palen BN, Parsons EC, Spece LJ, Vitiello MV, Au DH. Sleep Disturbance in Smokers with Preserved Pulmonary Function and with Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2017 Dec; 14(12):1836-1843. PMID: 28825846.
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    35. Mularski RA. Advancing a Common Understanding and Approach to Dyspnea Management. Consensus Proposal for the Chronic Breathlessness Syndrome. Ann Am Thorac Soc. 2017 Jul; 14(7):1108-1110. PMID: 28665707.
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    36. Bennett WL, Robbins CW, Bayliss EA, Wilson R, Tabano H, Mularski RA, Chan WV, Puhan M, Yu T, Leff B, Li T, Dickersin K, Glover C, Maslow K, Armacost K, Mintz S, Boyd CM. Engaging Stakeholders to Inform Clinical Practice Guidelines That Address Multiple Chronic Conditions. J Gen Intern Med. 2017 Aug; 32(8):883-890. PMID: 28349409.
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    37. Melzer AC, Ghassemieh BJ, Gillespie SE, Lindenauer PK, McBurnie MA, Mularski RA, Naureckas ET, Vollmer WM, Au DH. Patient characteristics associated with poor inhaler technique among a cohort of patients with COPD. Respir Med. 2017 02; 123:124-130. PMID: 28137488.
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    38. Hansen L, Rosenkranz SJ, Mularski RA, Leo MC. Family Perspectives on Overall Care in the Intensive Care Unit. Nurs Res. 2016 Nov/Dec; 65(6):446-454. PMID: 27801715.
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    39. Weiss CH, Krishnan JA, Au DH, Bender BG, Carson SS, Cattamanchi A, Cloutier MM, Cooke CR, Erickson K, George M, Gerald JK, Gerald LB, Goss CH, Gould MK, Hyzy R, Kahn JM, Mittman BS, Mosesón EM, Mularski RA, Parthasarathy S, Patel SR, Rand CS, Redeker NS, Reiss TF, Riekert KA, Rubenfeld GD, Tate JA, Wilson KC, Thomson CC. An Official American Thoracic Society Research Statement: Implementation Science in Pulmonary, Critical Care, and Sleep Medicine. Am J Respir Crit Care Med. 2016 10 15; 194(8):1015-1025. PMID: 27739895.
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    40. Fellows JL, Mularski RA, Leo MC, Bentz CJ, Waiwaiole LA, Francisco MC, Funkhouser K, Stoney CM. Referring Hospitalized Smokers to Outpatient Quit Services: A Randomized Trial. Am J Prev Med. 2016 10; 51(4):609-19. PMID: 27647061.
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    41. Melzer AC, Feemster LC, Crothers K, Carson SS, Gillespie SE, Henderson AG, Krishnan JA, Lindenauer PK, McBurnie MA, Mularski RA, Naureckas ET, Pickard AS, Au DH. Respiratory and Bronchitic Symptoms Predict Intention to Quit Smoking among Current Smokers with, and at Risk for, Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2016 09; 13(9):1490-6. PMID: 27268422.
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    42. Mularski RA, Hansen L, Rosenkranz SJ, Leo MC, Nagy P, Asch SM. Medical Record Quality Assessments of Palliative Care for Intensive Care Unit Patients. Do They Match the Perspectives of Nurses and Families? Ann Am Thorac Soc. 2016 05; 13(5):690-8. PMID: 27144795.
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    43. Guirguis-Blake JM, Senger CA, Webber EM, Mularski RA, Whitlock EP. Screening for Chronic Obstructive Pulmonary Disease: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2016 Apr 05; 315(13):1378-93. PMID: 27046366.
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    44. Wilson KC, Gould MK, Krishnan JA, Boyd CM, Brozek JL, Cooke CR, Douglas IS, Goodman RA, Joo MJ, Lareau S, Mularski RA, Patel MR, Rosenfeld RM, Shanawani H, Slatore C, Sockrider M, Sufian B, Thomson CC, Wiener RS. An Official American Thoracic Society Workshop Report. A Framework for Addressing Multimorbidity in Clinical Practice Guidelines for Pulmonary Disease, Critical Illness, and Sleep Disorders. Ann Am Thorac Soc. 2016 Mar; 13(3):S12-21. PMID: 26963362.
      Citations:    
    45. Currow DC, Abernethy AP, Allcroft P, Banzett RB, Bausewein C, Booth S, Carrieri-Kohlman V, Davidson P, Disler R, Donesky D, Dudgeon D, Ekstrom M, Farquhar M, Higginson I, Janssen D, Jensen D, Jolley C, Krajnik M, Laveneziana P, McDonald C, Maddocks M, Morelot-Panzini C, Moxham J, Mularski RA, Noble S, O'Donnell D, Parshall MB, Pattinson K, Phillips J, Ross J, Schwartzstein RM, Similowski T, Simon ST, Smith T, Wells A, Yates P, Yorke J, Johnson MJ. The need to research refractory breathlessness. Eur Respir J. 2016 Jan; 47(1):342-3. PMID: 26721965.
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    46. Bender BG, Krishnan JA, Chambers DA, Cloutier MM, Riekert KA, Rand CS, Schatz M, Thomson CC, Wilson SR, Apter A, Carson SS, George M, Gerald JK, Gerald L, Goss CH, Okelo SO, Mularski RA, Nguyen HQ, Patel MR, Szefler SJ, Weiss CH, Wilson KC, Freemer M. American Thoracic Society and National Heart, Lung, and Blood Institute Implementation Research Workshop Report. Ann Am Thorac Soc. 2015 Dec; 12(12):S213-21. PMID: 26653201.
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    47. Richman PS, Saft HL, Messina CR, Berman AR, Selecky PA, Mularski RA, Ray DE, Ford DW. Palliative and end-of-life educational practices in US pulmonary and critical care training programs. J Crit Care. 2016 Feb; 31(1):172-7. PMID: 26507641.
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    48. Stefan MS, Au DH, Mularski RA, Krishnan JA, Naureckas ET, Carson SS, Godwin P, Priya A, Pekow PS, Lindenauer PK. Hospitalist attitudes toward the assessment and management of dyspnea in patients with acute cardiopulmonary diseases. J Hosp Med. 2015 Nov; 10(11):724-30. PMID: 26199095.
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    49. Mularski RA, Rocker G. Managing dyspnea in advanced chronic obstructive pulmonary disease: balancing all the evidence. Ann Am Thorac Soc. 2015 Jul; 12(7):978-80. PMID: 26203609.
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    50. Come CE, Kramer MR, Dransfield MT, Abu-Hijleh M, Berkowitz D, Bezzi M, Bhatt SP, Boyd MB, Cases E, Chen AC, Cooper CB, Flandes J, Gildea T, Gotfried M, Hogarth DK, Kolandaivelu K, Leeds W, Liesching T, Marchetti N, Marquette C, Mularski RA, Pinto-Plata VM, Pritchett MA, Rafeq S, Rubio ER, Slebos DJ, Stratakos G, Sy A, Tsai LW, Wahidi M, Walsh J, Wells JM, Whitten PE, Yusen R, Zulueta JJ, Criner GJ, Washko GR. A randomised trial of lung sealant versus medical therapy for advanced emphysema. Eur Respir J. 2015 Sep; 46(3):651-62. PMID: 25837041.
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    51. Criner GJ, Bourbeau J, Diekemper RL, Ouellette DR, Goodridge D, Hernandez P, Curren K, Balter MS, Bhutani M, Camp PG, Celli BR, Dechman G, Dransfield MT, Fiel SB, Foreman MG, Hanania NA, Ireland BK, Marchetti N, Marciniuk DD, Mularski RA, Ornelas J, Road JD, Stickland MK. Executive summary: prevention of acute exacerbation of COPD: American College of Chest Physicians and Canadian Thoracic Society Guideline. Chest. 2015 Apr; 147(4):883-893. PMID: 25320966.
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    52. Criner GJ, Bourbeau J, Diekemper RL, Ouellette DR, Goodridge D, Hernandez P, Curren K, Balter MS, Bhutani M, Camp PG, Celli BR, Dechman G, Dransfield MT, Fiel SB, Foreman MG, Hanania NA, Ireland BK, Marchetti N, Marciniuk DD, Mularski RA, Ornelas J, Road JD, Stickland MK. Prevention of acute exacerbations of COPD: American College of Chest Physicians and Canadian Thoracic Society Guideline. Chest. 2015 Apr; 147(4):894-942. PMID: 25321320.
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    53. Prieto-Centurion V, Rolle AJ, Au DH, Carson SS, Henderson AG, Lee TA, Lindenauer PK, McBurnie MA, Mularski RA, Naureckas ET, Vollmer WM, Joese BJ, Krishnan JA. Multicenter study comparing case definitions used to identify patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2014 Nov 01; 190(9):989-95. PMID: 25192554.
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    54. Sprung CL, Truog RD, Curtis JR, Joynt GM, Baras M, Michalsen A, Briegel J, Kesecioglu J, Efferen L, De Robertis E, Bulpa P, Metnitz P, Patil N, Hawryluck L, Manthous C, Moreno R, Leonard S, Hill NS, Wennberg E, McDermid RC, Mikstacki A, Mularski RA, Hartog CS, Avidan A. Seeking worldwide professional consensus on the principles of end-of-life care for the critically ill. The Consensus for Worldwide End-of-Life Practice for Patients in Intensive Care Units (WELPICUS) study. Am J Respir Crit Care Med. 2014 Oct 15; 190(8):855-66. PMID: 25162767.
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    55. Wood DE, Nader DA, Springmeyer SC, Elstad MR, Coxson HO, Chan A, Rai NS, Mularski RA, Cooper CB, Wise RA, Jones PW, Mehta AC, Gonzalez X, Sterman DH. The IBV Valve trial: a multicenter, randomized, double-blind trial of endobronchial therapy for severe emphysema. J Bronchology Interv Pulmonol. 2014 Oct; 21(4):288-97. PMID: 25321447.
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    56. Lin FJ, Pickard AS, Krishnan JA, Joo MJ, Au DH, Carson SS, Gillespie S, Henderson AG, Lindenauer PK, McBurnie MA, Mularski RA, Naureckas ET, Vollmer WM, Lee TA. Measuring health-related quality of life in chronic obstructive pulmonary disease: properties of the EQ-5D-5L and PROMIS-43 short form. BMC Med Res Methodol. 2014 Jun 16; 14:78. PMID: 24934150.
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    57. Wiener RS, Ouellette DR, Diamond E, Fan VS, Maurer JR, Mularski RA, Peters JI, Halpern SD. An official American Thoracic Society/American College of Chest Physicians policy statement: the Choosing Wisely top five list in adult pulmonary medicine. Chest. 2014 Jun; 145(6):1383-1391. PMID: 24889436.
      Citations:    
    58. Daugherty SE, Wahba S, Fleurence R. Patient-powered research networks: building capacity for conducting patient-centered clinical outcomes research. J Am Med Inform Assoc. 2014 Jul-Aug; 21(4):583-6. PMID: 24821741.
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    59. Kahn JM, Gould MK, Krishnan JA, Wilson KC, Au DH, Cooke CR, Douglas IS, Feemster LC, Mularski RA, Slatore CG, Wiener RS. An official American thoracic society workshop report: developing performance measures from clinical practice guidelines. Ann Am Thorac Soc. 2014 May; 11(4):S186-95. PMID: 24828810.
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    60. Saft HL, Richman PS, Berman AR, Mularski RA, Kvale PA, Ray DE, Selecky P, Ford DW, Asch SM. Impact of critical care medicine training programs' palliative care education and bedside tools on ICU use at the end of life. J Grad Med Educ. 2014 Mar; 6(1):44-9. PMID: 24701309.
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    61. Mularski RA, Reinke LF. Reply: Episodic breathlessness: a clinically relevant and rising issue. Ann Am Thorac Soc. 2014 Feb; 11(2):274-5. PMID: 24575999.
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    62. Wysham NG, Mularski RA, Schmidt DM, Nord SC, Louis DL, Shuster E, Curtis JR, Mosen DM. Long-term persistence of quality improvements for an intensive care unit communication initiative using the VALUE strategy. J Crit Care. 2014 Jun; 29(3):450-4. PMID: 24456811.
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    63. Carson SS, Goss CH, Patel SR, Anzueto A, Au DH, Elborn S, Gerald JK, Gerald LB, Kahn JM, Malhotra A, Mularski RA, Riekert KA, Rubenfeld GD, Weaver TE, Krishnan JA. An official American Thoracic Society research statement: comparative effectiveness research in pulmonary, critical care, and sleep medicine. Am J Respir Crit Care Med. 2013 Nov 15; 188(10):1253-61. PMID: 24160906.
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    64. Ganzini L, Rakoski A, Cohn S, Mularski RA. Family members' views on the benefits of harp music vigils for terminally-ill or dying loved ones. Palliat Support Care. 2015 Feb; 13(1):41-4. PMID: 24128665.
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    65. Mularski RA, Reinke LF, Carrieri-Kohlman V, Fischer MD, Campbell ML, Rocker G, Schneidman A, Jacobs SS, Arnold R, Benditt JO, Booth S, Byock I, Chan GK, Curtis JR, Donesky D, Hansen-Flaschen J, Heffner J, Klein R, Limberg TM, Manning HL, Morrison RS, Ries AL, Schmidt GA, Selecky PA, Truog RD, Wang AC, White DB. An official American Thoracic Society workshop report: assessment and palliative management of dyspnea crisis. Ann Am Thorac Soc. 2013 Oct; 10(5):S98-106. PMID: 24161068.
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    66. Lindenauer PK, Grosso LM, Wang C, Wang Y, Krishnan JA, Lee TA, Au DH, Mularski RA, Bernheim SM, Drye EE. Development, validation, and results of a risk-standardized measure of hospital 30-day mortality for patients with exacerbation of chronic obstructive pulmonary disease. J Hosp Med. 2013 Aug; 8(8):428-35. PMID: 23913593.
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    67. Krishnan JA, Lindenauer PK, Au DH, Carson SS, Lee TA, McBurnie MA, Naureckas ET, Vollmer WM, Mularski RA. Stakeholder priorities for comparative effectiveness research in chronic obstructive pulmonary disease: a workshop report. Am J Respir Crit Care Med. 2013 Feb 01; 187(3):320-6. PMID: 23155144.
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    68. Slatore CG, Hansen L, Ganzini L, Press N, Osborne ML, Chesnutt MS, Mularski RA. Communication by nurses in the intensive care unit: qualitative analysis of domains of patient-centered care. Am J Crit Care. 2012 Nov; 21(6):410-8. PMID: 23117904.
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    69. Needle JS, Mularski RA, Nguyen T, Fromme EK. Influence of personal preferences for life-sustaining treatment on medical decision making among pediatric intensivists. Crit Care Med. 2012 Aug; 40(8):2464-9. PMID: 22809913.
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    70. Fellows JL, Mularski R, Waiwaiole L, Funkhouser K, Mitchell J, Arnold K, Luke S. Health and economic effects from linking bedside and outpatient tobacco cessation services for hospitalized smokers in two large hospitals: study protocol for a randomized controlled trial. Trials. 2012 Aug 01; 13:129. PMID: 22853325.
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    71. Hazelhurst B, McBurnie MA, Mularski RA, Puro JE, Chauvie SL. Automating care quality measurement with health information technology. Am J Manag Care. 2012 Jun; 18(6):313-9. PMID: 22774999.
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    72. Mularski RA, McBurnie MA, Lindenauer PK, Lee TA, Vollmer WM, Au DH, Carson SS, Krishnan JA. Comparative effectiveness research in chronic obstructive pulmonary disease. J Comp Eff Res. 2012 Jan; 1(1):71-82. PMID: 23105965.
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    73. Mularski KS, Yeh CP, Bains JK, Mosen DM, Hill AK, Mularski RA. Pharmacist glycemic control team improves quality of glycemic control in surgical patients with perioperative dysglycemia. Perm J. 2012; 16(1):28-33. PMID: 22529756.
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    74. Marciniuk DD, Goodridge D, Hernandez P, Rocker G, Balter M, Bailey P, Ford G, Bourbeau J, O'Donnell DE, Maltais F, Mularski RA, Cave AJ, Mayers I, Kennedy V, Oliver TK, Brown C. Managing dyspnea in patients with advanced chronic obstructive pulmonary disease: a Canadian Thoracic Society clinical practice guideline. Can Respir J. 2011 Mar-Apr; 18(2):69-78. PMID: 21499589.
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    75. Gillespie CT, Sterman DH, Cerfolio RJ, Nader D, Mulligan MS, Mularski RA, Musani AI, Kucharczuk JC, Gonzalez HX, Springmeyer SC. Endobronchial valve treatment for prolonged air leaks of the lung: a case series. Ann Thorac Surg. 2011 Jan; 91(1):270-3. PMID: 21172529.
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    76. Mosen DM, Schatz M, Gold R, Mularski RA, Wong WF, Bellows J. Medication use, emergency hospital care utilization, and quality-of-life outcome disparities by race/ethnicity among adults with asthma. Am J Manag Care. 2010 Nov; 16(11):821-8. PMID: 21348553.
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    77. Krishnan JA, Mularski RA. Acting on comparative effectiveness research in COPD. JAMA. 2010 Jun 16; 303(23):2409-10. PMID: 20551414.
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    78. Kahn JM, Scales DC, Au DH, Carson SS, Curtis JR, Dudley RA, Iwashyna TJ, Krishnan JA, Maurer JR, Mularski R, Popovich J, Rubenfeld GD, Sinuff T, Heffner JE. An official American Thoracic Society policy statement: pay-for-performance in pulmonary, critical care, and sleep medicine. Am J Respir Crit Care Med. 2010 Apr 01; 181(7):752-61. PMID: 20335385.
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    79. Heffner JE, Mularski RA, Calverley PM. COPD performance measures: missing opportunities for improving care. Chest. 2010 May; 137(5):1181-9. PMID: 20348199.
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    80. Mahler DA, Selecky PA, Harrod CG, Benditt JO, Carrieri-Kohlman V, Curtis JR, Manning HL, Mularski RA, Varkey B, Campbell M, Carter ER, Chiong JR, Ely EW, Hansen-Flaschen J, O'Donnell DE, Waller A. American College of Chest Physicians consensus statement on the management of dyspnea in patients with advanced lung or heart disease. Chest. 2010 Mar; 137(3):674-91. PMID: 20202949.
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    81. Mularski RA, Campbell ML, Asch SM, Reeve BB, Basch E, Maxwell TL, Hoverman JR, Cuny J, Clauser SB, Snyder C, Seow H, Wu AW, Dy S. A review of quality of care evaluation for the palliation of dyspnea. Am J Respir Crit Care Med. 2010 Mar 15; 181(6):534-8. PMID: 20056904.
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    82. Seow H, Snyder CF, Mularski RA, Shugarman LR, Kutner JS, Lorenz KA, Wu AW, Dy SM. A framework for assessing quality indicators for cancer care at the end of life. J Pain Symptom Manage. 2009 Dec; 38(6):903-12. PMID: 19775860.
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    83. Brown LK, Angus DC, Marin MG, Balmes JR, Barker AF, Ewart G, Halbower AC, Lutz PO, Mularski RA, Nathanson IT, Sanders MH, Stewart GL, Upson DJ. An official American thoracic society statement: position statement on ATS activities for the promotion of respiratory and sleep/wake health and the care of the critically ill in the United States. Am J Respir Crit Care Med. 2009 Nov 15; 180(10):1023-9. PMID: 19897774.
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    84. Hazlehurst B, McBurnie M, Mularski R, Puro J, Chauvie S. Automating quality measurement: a system for scalable, comprehensive, and routine care quality assessment. AMIA Annu Symp Proc. 2009 Nov 14; 2009:229-33. PMID: 20351855.
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    85. Mularski RA, Munjas BA, Lorenz KA, Sun S, Robertson SJ, Schmelzer W, Kim AC, Shekelle PG. Randomized controlled trial of mindfulness-based therapy for dyspnea in chronic obstructive lung disease. J Altern Complement Med. 2009 Oct; 15(10):1083-90. PMID: 19848546.
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    86. Seow H, Snyder CF, Shugarman LR, Mularski RA, Kutner JS, Lorenz KA, Wu AW, Dy SM. Developing quality indicators for cancer end-of-life care: proceedings from a national symposium. Cancer. 2009 Sep 01; 115(17):3820-9. PMID: 19514090.
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    87. Pasero C, Puntillo K, Li D, Mularski RA, Grap MJ, Erstad BL, Varkey B, Gilbert HC, Medina J, Sessler CN. Structured approaches to pain management in the ICU. Chest. 2009 Jun; 135(6):1665-1672. PMID: 19497902.
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    88. Mularski RA, Puntillo K, Varkey B, Erstad BL, Grap MJ, Gilbert HC, Li D, Medina J, Pasero C, Sessler CN. Pain management within the palliative and end-of-life care experience in the ICU. Chest. 2009 May; 135(5):1360-1369. PMID: 19420206.
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    89. Puntillo K, Pasero C, Li D, Mularski RA, Grap MJ, Erstad BL, Varkey B, Gilbert HC, Medina J, Sessler CN. Evaluation of pain in ICU patients. Chest. 2009 Apr; 135(4):1069-1074. PMID: 19349402.
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    90. Erstad BL, Puntillo K, Gilbert HC, Grap MJ, Li D, Medina J, Mularski RA, Pasero C, Varkey B, Sessler CN. Pain management principles in the critically ill. Chest. 2009 Apr; 135(4):1075-1086. PMID: 19349403.
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    91. Felcher AH, Mularski RA, Mosen DM, Kimes TM, DeLoughery TG, Laxson SE. Incidence and risk factors for venous thromboembolic disease in podiatric surgery. Chest. 2009 Apr; 135(4):917-922. PMID: 19017868.
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    92. Mularski RA. Translating and implementing evidence-based care in the ICU: it's time to value family communication. Chest. 2008 Oct; 134(4):676-8. PMID: 18842906.
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    93. Lanken PN, Terry PB, Delisser HM, Fahy BF, Hansen-Flaschen J, Heffner JE, Levy M, Mularski RA, Osborne ML, Prendergast TJ, Rocker G, Sibbald WJ, Wilfond B, Yankaskas JR. An official American Thoracic Society clinical policy statement: palliative care for patients with respiratory diseases and critical illnesses. Am J Respir Crit Care Med. 2008 Apr 15; 177(8):912-27. PMID: 18390964.
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    94. Mularski RA. The search for a good death--are there quality insights accessible from medical records? Crit Care Med. 2008 Apr; 36(4):1372-3. PMID: 18379275.
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    95. Lorenz KA, Lynn J, Dy SM, Shugarman LR, Wilkinson A, Mularski RA, Morton SC, Hughes RG, Hilton LK, Maglione M, Rhodes SL, Rolon C, Sun VC, Shekelle PG. Evidence for improving palliative care at the end of life: a systematic review. Ann Intern Med. 2008 Jan 15; 148(2):147-59. PMID: 18195339.
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    96. Dy SM, Shugarman LR, Lorenz KA, Mularski RA, Lynn J. A systematic review of satisfaction with care at the end of life. J Am Geriatr Soc. 2008 Jan; 56(1):124-9. PMID: 18031485.
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    97. Mularski RA, Dy SM, Shugarman LR, Wilkinson AM, Lynn J, Shekelle PG, Morton SC, Sun VC, Hughes RG, Hilton LK, Maglione M, Rhodes SL, Rolon C, Lorenz KA. A systematic review of measures of end-of-life care and its outcomes. Health Serv Res. 2007 Oct; 42(5):1848-70. PMID: 17850523.
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    98. Mularski RA, Rosenfeld K, Coons SJ, Dueck A, Cella D, Feuer DJ, Lipscomb J, Karpeh MS, Mosich T, Sloan JA, Krouse RS. Measuring outcomes in randomized prospective trials in palliative care. J Pain Symptom Manage. 2007 Jul; 34(1 Suppl):S7-S19. PMID: 17532180.
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    99. Mularski RA, Asch SM, Shrank WH, Kerr EA, Setodji CM, Adams JL, Keesey J, McGlynn EA. The quality of obstructive lung disease care for adults in the United States as measured by adherence to recommended processes. Chest. 2006 Dec; 130(6):1844-50. PMID: 17167007.
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    100. Mularski RA. Defining and measuring quality palliative and end-of-life care in the intensive care unit. Crit Care Med. 2006 Nov; 34(11 Suppl):S309-16. PMID: 17057592.
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    101. Mularski RA, Curtis JR, Billings JA, Burt R, Byock I, Fuhrman C, Mosenthal AC, Medina J, Ray DE, Rubenfeld GD, Schneiderman LJ, Treece PD, Truog RD, Levy MM. Proposed quality measures for palliative care in the critically ill: a consensus from the Robert Wood Johnson Foundation Critical Care Workgroup. Crit Care Med. 2006 Nov; 34(11 Suppl):S404-11. PMID: 17057606.
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    102. Lorenz KA, Lynn J, Dy S, Wilkinson A, Mularski RA, Shugarman LR, Hughes R, Asch SM, Rolon C, Rastegar A, Shekelle PG. Quality measures for symptoms and advance care planning in cancer: a systematic review. J Clin Oncol. 2006 Oct 20; 24(30):4933-8. PMID: 17050878.
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    103. Mularski RA, Osborne ML. Palliative care and intensive care unit care: preadmission assessment #122. J Palliat Med. 2006 Oct; 9(5):1204-5. PMID: 17040158.
      Citations:    
    104. Mularski RA, Osborne ML. Palliative care and intensive care unit care: daily intensive care unit care plan checklist #123. J Palliat Med. 2006 Oct; 9(5):1205-6. PMID: 17040159.
      Citations:    
    105. Mularski RA, White-Chu F, Overbay D, Miller L, Asch SM, Ganzini L. Measuring pain as the 5th vital sign does not improve quality of pain management. J Gen Intern Med. 2006 Jun; 21(6):607-12. PMID: 16808744.
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    106. Lorenz K, Lynn J, Dy S, Hughes R, Mularski RA, Shugarman LR, Wilkinson AM. Cancer care quality measures: symptoms and end-of-life care. Evid Rep Technol Assess (Full Rep). 2006 May; (137):1-77. PMID: 17764216.
      Citations:    
    107. Mularski RA, Grazer RE, Santoni L, Strother JS, Bizovi KE. Treatment advice on the internet leads to a life-threatening adverse reaction: hypotension associated with Niacin overdose. Clin Toxicol (Phila). 2006; 44(1):81-4. PMID: 16496499.
      Citations:    
    108. Shrank WH, Kutner JS, Richardson T, Mularski RA, Fischer S, Kagawa-Singer M. Focus group findings about the influence of culture on communication preferences in end-of-life care. J Gen Intern Med. 2005 Aug; 20(8):703-9. PMID: 16050878.
      Citations:    
    109. Mularski RA, Heine CE, Osborne ML, Ganzini L, Curtis JR. Quality of dying in the ICU: ratings by family members. Chest. 2005 Jul; 128(1):280-7. PMID: 16002947.
      Citations:    
    110. Lorenz KA, Lynn J, Morton SC, Dy SM, Shugarman LM, Wilkinson A, Mularski RA, Sun VC, Hughes RG, Rhodes SL, Maglione M, Hilton LK, Rolon C, Shekelle PG. Methodological approaches for a systematic review of end-of-life care. J Palliat Med. 2005; 8 Suppl 1:S4-11. PMID: 16499467.
      Citations:    
    111. Lorenz K, Lynn J, Morton SC, Dy S, Mularski R, Shugarman L, Sun V, Wilkinson AM, Maglione M, Shekelle PG. End-of-life care and outcomes. Evid Rep Technol Assess (Summ). 2004 Dec; (110):1-6. PMID: 15649108.
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    112. Mularski R, Curtis JR, Osborne M, Engelberg RA, Ganzini L. Agreement among family members in their assessment of the Quality of Dying and Death. J Pain Symptom Manage. 2004 Oct; 28(4):306-15. PMID: 15471648.
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    113. Mularski RA. Pain management in the intensive care unit. Crit Care Clin. 2004 Jul; 20(3):381-401, viii. PMID: 15183209.
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    114. Mularski RA, Osborne ML. End-of-life care in the critically ill geriatric population. Crit Care Clin. 2003 Oct; 19(4):789-810, viii. PMID: 14601720.
      Citations:    
    115. Mularski RA, Bascom P, Osborne ML. Educational agendas for interdisciplinary end-of-life curricula. Crit Care Med. 2001 Feb; 29(2 Suppl):N16-23. PMID: 11228568.
      Citations:    
    116. Mularski RA, Sippel JM, Osborne ML. Pneumoperitoneum: a review of nonsurgical causes. Crit Care Med. 2000 Jul; 28(7):2638-44. PMID: 10921609.
      Citations:    
    117. Mularski RA, Ciccolo ML, Rappaport WD. Nonsurgical causes of pneumoperitoneum. West J Med. 1999 Jan; 170(1):41-6. PMID: 9926735.
      Citations:    
    118. Dillavou ED, Anderson LR, Bernert RA, Mularski RA, Hunter GC, Fiser SM, Rappaport WD. Lower extremity iatrogenic nerve injury due to compression during intraabdominal surgery. Am J Surg. 1997 Jun; 173(6):504-8. PMID: 9207163.
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    119. Fox KA, Mularski RA, Sarfati MR, Brooks ME, Warneke JA, Hunter GC, Rappaport WD. Aspiration pneumonia following surgically placed feeding tubes. Am J Surg. 1995 Dec; 170(6):564-6; discussion 566-7. PMID: 7492001.
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