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Prehospital DNR Orders: What Do Physicians in Washington Know?
dc.contributor.authorSilveira, Maria J.en_US
dc.contributor.authorBuell, Rick A.en_US
dc.contributor.authorDeyo, Richard A.en_US
dc.date.accessioned2010-04-01T15:31:54Z
dc.date.available2010-04-01T15:31:54Z
dc.date.issued2003-10en_US
dc.identifier.citationSilveira, Maria J.; Buell, Rick A.; Deyo, Richard A. (2003). "Prehospital DNR Orders: What Do Physicians in Washington Know?." Journal of the American Geriatrics Society 51(10): 1435-1438. <http://hdl.handle.net/2027.42/66015>en_US
dc.identifier.issn0002-8614en_US
dc.identifier.issn1532-5415en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/66015
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=14511164&dopt=citationen_US
dc.description.abstractTo assess whether physicians know of Washington State's prehospital do-not-resuscitate (DNR) policy, 6 years after its implementation. Design : Cross-sectional survey. Setting : Washington State, April 2001. Participants : Four hundred seventy-one practicing physicians. Measurements : Multivariate logistic regression was used to determine relationships between physician and practice characteristics with knowledge of policies governing advance care planning. Results : Among respondents, 60% did not know that Washington State requires an emergency medical service (EMS)-specific DNR order authored by a physician. Seventy-nine percent did not know that patient-authored advance directives apply only in hospitals and medical offices. Conclusion : The findings in this study suggest that most physicians in Washington State lack knowledge about the documentation needed for EMS personnel to forgo pre-hospital attempts at cardiopulmonary resuscitation. Further study is needed to determine whether physician education or legislative change is necessary.en_US
dc.format.extent72091 bytes
dc.format.extent3110 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Science Incen_US
dc.rights© 2003 by the American Geriatrics Societyen_US
dc.subject.otherDo Not Resuscitate (DNR) Ordersen_US
dc.subject.otherEmergency Medical Services (EMS)en_US
dc.subject.otherAdvance Directivesen_US
dc.subject.otherPrehospital Guidelinesen_US
dc.subject.otherPhysician Survey Introductionen_US
dc.titlePrehospital DNR Orders: What Do Physicians in Washington Know?en_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelGeriatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumGeneral Medicine, Bioethics Program, University of Michigan, Ann Arbor, Michigan ;en_US
dc.contributor.affiliationumVA Health Services Research and Development Service, VA Ann Arbor Healthcare System, Ann Arbor, Michigan ;en_US
dc.contributor.affiliationotherOffice of Emergency Medical and Trauma Prevention, Washington Department of Health, Tacoma, Washington ;en_US
dc.contributor.affiliationotherDepartments of Medicine and Health Services anden_US
dc.contributor.affiliationotherCenter for Cost and Outcomes Research, University of Washington, Seattle, Washington .en_US
dc.identifier.pmid14511164en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/66015/1/j.1532-5415.2003.51462.x.pdf
dc.identifier.doi10.1046/j.1532-5415.2003.51462.xen_US
dc.identifier.sourceJournal of the American Geriatrics Societyen_US
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dc.identifier.citedreference5.  National guidelines for statewide implementation of EMS “do not resuscitate” (DNR) programs. National Association of State Emergency Medical Services Directors (NASEMSD) and the National Association of Emergency Medical Services Physicians (NAEMSP). Prehospital Disaster Med 1994 ; 9 : 137 – 139.en_US
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dc.identifier.citedreference9.  Amendments to the Natural Death Act. 43, Vol. 70, Rev. Code Wash. (ARCW) § 70.122.043 (1992), Title 70. Public Health and Safety, Chapter 70.122. Natural Death Act, § 70.122.043. Annotated Revised Code of Washington, 1992.en_US
dc.identifier.citedreferenceTolle SW, Tilden VP, Nelson CA et al. A prospective study of the efficacy of the physician order form for life-sustaining treatment [see comments]. J Am Geriatr Soc 1998 ; 46 : 1097 – 1102.en_US
dc.identifier.citedreferenceLee MA, Brummel-Smith K, Meyer J et al. Physician orders for life-sustaining treatment (POLST) : Outcomes in a PACE program. Program of all-inclusive care for the elderly. J Am Geriatr Soc 2000 ; 48 : 1219 – 1225.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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