Code status and resuscitation options in the electronic health record.
Resuscitation
; 87: 14-20, 2015 Feb.
Article
em En
| MEDLINE
| ID: mdl-25447035
ABSTRACT
AIM:
The advance discussion and documentation of code-status is important in preventing undesired cardiopulmonary resuscitation and related end of life interventions. Code-status documentation remains infrequent and paper-based, which limits its usefulness. This study evaluates a tool to document code-status in the electronic health records at a large teaching hospital, and analyzes the corresponding data.METHODS:
Encounter data for patients admitted to the Medical Center were collected over a period of 12 months (01-APR-2012-31-MAR-2013) and the code-status attribute was tracked for individual patients. The code-status data were analyzed separately for adult and pediatric patient populations. We considered 131,399 encounters for 83,248 adult patients and 80,778 encounters for 55,656 pediatric patients in this study.RESULTS:
71% of the adult patients and 30% of the pediatric patients studied had a documented code-status. Age and severity of illness influenced the decision to document code-status. Demographics such as gender, race, ethnicity, and proximity of primary residence were also associated with the documentation of code-status.CONCLUSION:
Absence of a recorded code-status may result in unnecessary interventions. Code-status in paper charts may be difficult to access in cardiopulmonary arrest situations and may result in unnecessary and unwanted interventions and procedures. Documentation of code-status in electronic records creates a readily available reference for care providers.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Participação do Paciente
/
Ordens quanto à Conduta (Ética Médica)
/
Reanimação Cardiopulmonar
/
Adesão a Diretivas Antecipadas
/
Current Procedural Terminology
Tipo de estudo:
Prognostic_studies
Aspecto:
Ethics
/
Patient_preference
Limite:
Adult
/
Child
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Resuscitation
Ano de publicação:
2015
Tipo de documento:
Article