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.
Original language | English (US) |
---|---|
Pages (from-to) | 1435-1438 |
Number of pages | 4 |
Journal | Journal of the American Geriatrics Society |
Volume | 51 |
Issue number | 10 |
DOIs | |
State | Published - Oct 1 2003 |
Externally published | Yes |
Keywords
- Advance directives
- Do not resuscitate (DNR) orders
- Emergency medical services (EMS)
- Physician survey introduction
- Prehospital guidelines
ASJC Scopus subject areas
- Geriatrics and Gerontology