Compliance With Do-Not-Resuscitate Orders for Hospitalized Patients Transported to Radiology Departments
Heffner, John E.
Annals of Internal Medicine. 1998 Nov 15; 129(10): 801-805.
BACKGROUND: Little is known about the effectiveness of do-not-resuscitate (DNR) orders during transport of hospitalized patients away from their rooms. OBJECTIVE: To determine compliance with DNR orders in radiology departments. DESIGN: Observational study. SETTING: 248 hospital-based radiology departments. PARTICIPANTS: 248 radiology department representatives. MEASUREMENTS: 10-item questionnaire examining the response of radiology personnel to patients with DNR orders who experience cardiopulmonary arrest. RESULTS: Written DNR protocols and structured procedures for communicating DNR status were used by 18.5% (CI, 13.7% to 23.4%) and 18.1% (CI, 13.3% to 23.0%) of departments, respectively. Medical chart review was the only source of information on DNR status for 41.5% (CI, 35.4% to 47.7%) of departments. It was found that 20.2% of respondents (CI, 15.2% to 25.2%) would resuscitate patients with DNR orders and that 38.3% (CI, 32.3% to 44.4%) had resuscitated patients with DNR orders in the past. CONCLUSIONS: Most radiology departments do not have formal procedures to prevent patients from undergoing unwanted or inappropriate resuscitative interventions, and DNR orders are frequently overruled.
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Heffner, John E.; Barbieri, Celia; Fracica, Phil; Brown, Lee K. (1998-05-25)BACKGROUND: Do-not-resuscitate (DNR) orders for critically ill patients are frequently miscommunicated between attending physicians, house staff, and nurses. A computer-based system was developed to improve the communication ...