Inadequate resuscitation documentation in older patients' clinical case notes
This research examined the quality of resuscitation decisions documented in the clinical notes of 99 older patients within 48 h of admission. Only 34 had current documentation that was frequently inconsistent and ambiguous, leaving patients at risk of receiving inappropriate and unwanted resuscitati...
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Veröffentlicht in: | Internal medicine journal 2014-01, Vol.44 (1), p.93-96 |
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description | This research examined the quality of resuscitation decisions documented in the clinical notes of 99 older patients within 48 h of admission. Only 34 had current documentation that was frequently inconsistent and ambiguous, leaving patients at risk of receiving inappropriate and unwanted resuscitation. Clear guidelines with community input to guide the implementation and documentation of end‐of‐life decisions are essential. |
doi_str_mv | 10.1111/imj.12328 |
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H.</creator><creatorcontrib>Brown, M. ; Ruberu, R. ; Thompson, C. H.</creatorcontrib><description>This research examined the quality of resuscitation decisions documented in the clinical notes of 99 older patients within 48 h of admission. Only 34 had current documentation that was frequently inconsistent and ambiguous, leaving patients at risk of receiving inappropriate and unwanted resuscitation. Clear guidelines with community input to guide the implementation and documentation of end‐of‐life decisions are essential.</description><identifier>ISSN: 1444-0903</identifier><identifier>EISSN: 1445-5994</identifier><identifier>DOI: 10.1111/imj.12328</identifier><identifier>PMID: 24450525</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject>advance care directive ; Aged ; aged care ; Aged, 80 and over ; Cardiopulmonary Resuscitation ; Decision Making ; Documentation ; Emergency Service, Hospital ; Female ; Heart Arrest ; Hospital Records - standards ; Hospitals, Teaching - organization & administration ; Humans ; Inpatients ; Male ; Medical Audit ; resuscitation order ; Resuscitation Orders ; South Australia ; Terminal Care ; Terminology as Topic</subject><ispartof>Internal medicine journal, 2014-01, Vol.44 (1), p.93-96</ispartof><rights>2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians</rights><rights>2014 The Authors; Internal Medicine Journal © 2014 Royal Australasian College of Physicians.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3638-ceb82e95eaf63cd94edcdc066004b13a3027555cb276beed69c28eaa9dce440d3</citedby><cites>FETCH-LOGICAL-c3638-ceb82e95eaf63cd94edcdc066004b13a3027555cb276beed69c28eaa9dce440d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fimj.12328$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fimj.12328$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24450525$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brown, M.</creatorcontrib><creatorcontrib>Ruberu, R.</creatorcontrib><creatorcontrib>Thompson, C. H.</creatorcontrib><title>Inadequate resuscitation documentation in older patients' clinical case notes</title><title>Internal medicine journal</title><addtitle>Intern Med J</addtitle><description>This research examined the quality of resuscitation decisions documented in the clinical notes of 99 older patients within 48 h of admission. Only 34 had current documentation that was frequently inconsistent and ambiguous, leaving patients at risk of receiving inappropriate and unwanted resuscitation. Clear guidelines with community input to guide the implementation and documentation of end‐of‐life decisions are essential.</description><subject>advance care directive</subject><subject>Aged</subject><subject>aged care</subject><subject>Aged, 80 and over</subject><subject>Cardiopulmonary Resuscitation</subject><subject>Decision Making</subject><subject>Documentation</subject><subject>Emergency Service, Hospital</subject><subject>Female</subject><subject>Heart Arrest</subject><subject>Hospital Records - standards</subject><subject>Hospitals, Teaching - organization & administration</subject><subject>Humans</subject><subject>Inpatients</subject><subject>Male</subject><subject>Medical Audit</subject><subject>resuscitation order</subject><subject>Resuscitation Orders</subject><subject>South Australia</subject><subject>Terminal Care</subject><subject>Terminology as Topic</subject><issn>1444-0903</issn><issn>1445-5994</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtPwzAQhC0E4lE48AdQbsAhrd-Jj1BBKGpBSCCOlmNvJZc8SpwI-u8JpHBjL7uz-mYOg9ApwWPSz8SXqzGhjKY76JBwLmKhFN_9uXmMFWYH6CiEFcYkYYrvowPaQ1hQcYgWs8o4eO9MC1EDoQvWt6b1dRW52nYlVFvlq6guHDTRutf9N5xHtvCVt6aIrAkQVXUL4RjtLU0R4GS7R-jl9uZ5ehfPH7PZ9GoeWyZZGlvIUwpKgFlKZp3i4KyzWEqMeU6YYZgmQgib00TmAE4qS1MwRjkLnGPHRuhiyF039XsHodWlDxaKwlRQd0ETrqhURErZo5cDaps6hAaWet340jQbTbD-bk_37emf9nr2bBvb5SW4P_K3rh6YDMCHL2Dzf5KeLe5_I-PB4UMLn38O07xpmbBE6NeHTLPrFD9ld5l-Yl_dlIl3</recordid><startdate>201401</startdate><enddate>201401</enddate><creator>Brown, M.</creator><creator>Ruberu, R.</creator><creator>Thompson, C. H.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201401</creationdate><title>Inadequate resuscitation documentation in older patients' clinical case notes</title><author>Brown, M. ; Ruberu, R. ; Thompson, C. H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3638-ceb82e95eaf63cd94edcdc066004b13a3027555cb276beed69c28eaa9dce440d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>advance care directive</topic><topic>Aged</topic><topic>aged care</topic><topic>Aged, 80 and over</topic><topic>Cardiopulmonary Resuscitation</topic><topic>Decision Making</topic><topic>Documentation</topic><topic>Emergency Service, Hospital</topic><topic>Female</topic><topic>Heart Arrest</topic><topic>Hospital Records - standards</topic><topic>Hospitals, Teaching - organization & administration</topic><topic>Humans</topic><topic>Inpatients</topic><topic>Male</topic><topic>Medical Audit</topic><topic>resuscitation order</topic><topic>Resuscitation Orders</topic><topic>South Australia</topic><topic>Terminal Care</topic><topic>Terminology as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brown, M.</creatorcontrib><creatorcontrib>Ruberu, R.</creatorcontrib><creatorcontrib>Thompson, C. 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H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inadequate resuscitation documentation in older patients' clinical case notes</atitle><jtitle>Internal medicine journal</jtitle><addtitle>Intern Med J</addtitle><date>2014-01</date><risdate>2014</risdate><volume>44</volume><issue>1</issue><spage>93</spage><epage>96</epage><pages>93-96</pages><issn>1444-0903</issn><eissn>1445-5994</eissn><abstract>This research examined the quality of resuscitation decisions documented in the clinical notes of 99 older patients within 48 h of admission. Only 34 had current documentation that was frequently inconsistent and ambiguous, leaving patients at risk of receiving inappropriate and unwanted resuscitation. Clear guidelines with community input to guide the implementation and documentation of end‐of‐life decisions are essential.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24450525</pmid><doi>10.1111/imj.12328</doi><tpages>4</tpages></addata></record> |
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subjects | advance care directive Aged aged care Aged, 80 and over Cardiopulmonary Resuscitation Decision Making Documentation Emergency Service, Hospital Female Heart Arrest Hospital Records - standards Hospitals, Teaching - organization & administration Humans Inpatients Male Medical Audit resuscitation order Resuscitation Orders South Australia Terminal Care Terminology as Topic |
title | Inadequate resuscitation documentation in older patients' clinical case notes |
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