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Variation in do not attempt cardiopulmonary resuscitation orders and emergency care and treatment plan use in English acute hospitals : a national survey
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Hawkes, Claire, Couper, Keith, Griffin, James M., Skilton, Emma and Perkins, Gavin D. (2018) Variation in do not attempt cardiopulmonary resuscitation orders and emergency care and treatment plan use in English acute hospitals : a national survey. In: ERC congress, Italy, 20-22 Sep 2018. Published in: Resuscitation, 130 (Supplement 1). doi:10.1016/j.resuscitation.2018.07.282 ISSN 0300-9572.
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Official URL: http://dx.doi.org/10.1016/j.resuscitation.2018.07....
Abstract
Purpose of the study
Variation in the recording of DNACPR decisions between healthcare organisations creates policy and communication challenges when patients are transferred between organisations. A recent UK stud y identified the need for a nationwide system to record resuscitation decisions alongside other treatment escalation decisions. The development of the UK - based Recommended Summary for Emergency care and Treatment Plan (ReSPECT) process was a response to this need. ReSPECT has been available to healthcare organisations to adoption since Spring 2017. The purpose of this study was to record current variation in the way in which DNACPR decisions are recorded in UK hospitals and identify the current uptake of the ReSPECT process.
Materials and methods
We conducted an online survey between October 2017 and March 2018 of all UK adult NHS hospitals participating in the National Cardiac Arrest Audit (NCAA). Descriptive statistics were used to report the results.
Results
Of the 187 hospitals surveyed, 114 (61%) responded. Most hospitals reported using a DNACPR form (n=57, 50%). Other hospitals used either a DNACPR form with separate treatment escalation plan (n=35, 31%), an ECTP or DNACPR form combined with a treatment escalation plan (n=20, 18%), or another system (n=2, 2%). In total, 8 hospitals (7%) were using the ReSPECT system.
Conclusions
There is variation in the way in which DNACPR decisions are recorded in UK hospitals. To date, only a small number of hospitals have implemented the ReSPECT process
| Item Type: | Conference Item (Poster) | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > RC Internal medicine | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||
| Library of Congress Subject Headings (LCSH): | Cardiac resuscitation -- Standards -- England, CPR (First aid) | ||||||
| Journal or Publication Title: | Resuscitation | ||||||
| Publisher: | Elsevier Ireland Ltd | ||||||
| ISSN: | 0300-9572 | ||||||
| Official Date: | 10 September 2018 | ||||||
| Dates: |
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| Volume: | 130 | ||||||
| Number: | Supplement 1 | ||||||
| Article Number: | e132 | ||||||
| DOI: | 10.1016/j.resuscitation.2018.07.282 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 30 November 2018 | ||||||
| Date of first compliant Open Access: | 10 September 2019 | ||||||
| Conference Paper Type: | Poster | ||||||
| Title of Event: | ERC congress | ||||||
| Type of Event: | Other | ||||||
| Location of Event: | Italy | ||||||
| Date(s) of Event: | 20-22 Sep 2018 |
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