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Related Experiment Videos

Pre-printed 'do not attempt resuscitation' forms improve documentation?

Nick Castle1, Robert Owen, Gary Kenward

  • 1Nurse Consultant in Emergency Care, Frimley Park hospital, Portsmouth Road, Camberley, Surrey, UK. nic4healths@aol.com

Resuscitation
|October 29, 2003
PubMed
Summary
This summary is machine-generated.

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Implementing a pre-printed Do Not Attempt Resuscitation (DNAR) form significantly improved the documentation of DNAR orders in hospital patients. However, the form did not enhance patient involvement in the decision-making process.

Area of Science:

  • Medical Documentation
  • Patient Care Quality
  • End-of-Life Care

Background:

  • Accurate documentation of Do Not Attempt Resuscitation (DNAR) orders is crucial for ensuring patients die peacefully without inappropriate interventions.
  • Previous observations indicated poor documentation practices related to DNAR orders.

Purpose of the Study:

  • To evaluate the impact of introducing a pre-printed DNAR form on the quality of documentation for DNAR orders.
  • To assess whether the pre-printed form influenced patient involvement in DNAR decision-making.

Main Methods:

  • A retrospective audit of adult patient records (>18 years) who died during hospital admission without resuscitation was conducted.
  • Identical research questions were applied 12 months apart, before and after the implementation of a new resuscitation policy including a pre-printed DNAR form.

Related Experiment Videos

Main Results:

  • The pre-printed DNAR form significantly improved documentation clarity, decision dates, clinician signatures, identification of senior clinicians, and justification for DNAR decisions (P<0.05).
  • No significant improvement was observed in patient involvement in the DNAR decision-making process (P=0.348).

Conclusions:

  • A pre-printed DNAR form is an effective tool for significantly enhancing the documentation of DNAR orders.
  • The implementation of pre-printed DNAR forms has a limited impact on increasing patient engagement in end-of-life care decisions.