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J Am Geriatr Soc. 2003 Oct;51(10):1435-8.

Prehospital DNR orders: what do physicians in Washington know?

Author information

1
General Medicine, Bioethics Program, University of Michigan, Ann Arbor, Michigan, USA. mariajs@umich.edu

Abstract

OBJECTIVES:

To 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.

PMID:
14511164
[Indexed for MEDLINE]
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