ContextDespite wide promulgation, clinical practice guidelines have had limited effect on
changing physician behavior. Little is known about the process and factors involved in …

Objective. —To examine the association between the use of right heart catheterization (RHC)
during the first 24 hours of care in the intensive care unit (ICU) and subsequent survival, …

ContextClinical practice guidelines (CPGs) have been developed to improve the quality of
health care for many chronic conditions. Pay-for-performance initiatives assess physician …

Objective Transportation of critically ill patients within the hospital poses important risks. We
sought to identify causes, outcomes and contributing factors associated with intra-hospital …

One can classify ways to establish the interpretability of quality-of-life measures as anchor
based or distribution based. Anchor-based measures require an independent standard or …

When I was a house officer another resident failed to identify the electrocardiographic signs
of the pericardial tamponade that would rush the patient to the operating room late that night. …

Objectives : We studied the impact of noncardiac comorbidity on potentially preventable
hospitalizations and mortality in elderly patients with chronic heart failure (CHF). Background : …

Mistakes are inevitable in medicine. To learn how medical mistakes relate to subsequent
changes in practice, we surveyed 254 internal medicine house officers. One hundred fourteen …

Background: Alleviating the problems faced by dying persons and their families has drawn
substantial public attention, but little is known about the experience of dying. Objective: To …

Purpose An essential aspect of patient-centered outcomes research (PCOR) and comparative
effectiveness research (CER) is the integration of patient perspectives and experiences …