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Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital
AIM: The purpose of this clinical audit was to determine how accurately documentation of anticipatory Not for Resuscitation (NFR) orders takes place in a major metropolitan teaching hospital of Australia. MATERIALS AND METHODS: Retrospective hospital-based study. Independent case reviewers using a q...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3098542/ https://www.ncbi.nlm.nih.gov/pubmed/21633620 http://dx.doi.org/10.4103/0973-1075.78448 |
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author | Salins, Naveen Sulakshan Jansen, Wendy |
author_facet | Salins, Naveen Sulakshan Jansen, Wendy |
author_sort | Salins, Naveen Sulakshan |
collection | PubMed |
description | AIM: The purpose of this clinical audit was to determine how accurately documentation of anticipatory Not for Resuscitation (NFR) orders takes place in a major metropolitan teaching hospital of Australia. MATERIALS AND METHODS: Retrospective hospital-based study. Independent case reviewers using a questionnaire designed to study NFR documentation reviewed documentation of NFR in 88 case records. RESULTS: Prognosis was documented in only 40% of cases and palliative care was offered to two-third of patients with documented NFR. There was no documentation of the cardiopulmonary resuscitation (CPR) process or outcomes of CPR in most of the cases. Only in less than 50% of cases studied there was documented evidence to suggest that the reason for NFR documentation was consistent with patient’s choices. CONCLUSION: Good discussion, unambiguous documentation and clinical supervision of NFR order ensure dignified and quality care to the dying. |
format | Text |
id | pubmed-3098542 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-30985422011-06-01 Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital Salins, Naveen Sulakshan Jansen, Wendy Indian J Palliat Care Original Article AIM: The purpose of this clinical audit was to determine how accurately documentation of anticipatory Not for Resuscitation (NFR) orders takes place in a major metropolitan teaching hospital of Australia. MATERIALS AND METHODS: Retrospective hospital-based study. Independent case reviewers using a questionnaire designed to study NFR documentation reviewed documentation of NFR in 88 case records. RESULTS: Prognosis was documented in only 40% of cases and palliative care was offered to two-third of patients with documented NFR. There was no documentation of the cardiopulmonary resuscitation (CPR) process or outcomes of CPR in most of the cases. Only in less than 50% of cases studied there was documented evidence to suggest that the reason for NFR documentation was consistent with patient’s choices. CONCLUSION: Good discussion, unambiguous documentation and clinical supervision of NFR order ensure dignified and quality care to the dying. Medknow Publications 2011 /pmc/articles/PMC3098542/ /pubmed/21633620 http://dx.doi.org/10.4103/0973-1075.78448 Text en © Indian Journal of Palliative Care http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Salins, Naveen Sulakshan Jansen, Wendy Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital |
title | Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital |
title_full | Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital |
title_fullStr | Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital |
title_full_unstemmed | Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital |
title_short | Clinical Audit on Documentation of Anticipatory “Not for Resuscitation” Orders in a Tertiary Australian Teaching Hospital |
title_sort | clinical audit on documentation of anticipatory “not for resuscitation” orders in a tertiary australian teaching hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3098542/ https://www.ncbi.nlm.nih.gov/pubmed/21633620 http://dx.doi.org/10.4103/0973-1075.78448 |
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