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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.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
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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