ArticleIrish journal of medical science
Documentation of do-not-resuscitate orders in an Irish hospital.
Article in Irish journal of medical science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Do not attempt cardiopulmonary resuscitation practice and policy in Ireland: a mixed-methods study of service user and advocacy group perspectives.Health research policy and systems · 2025Article
- Resuscitation decisions in Irish long-stay units.Irish journal of medical science · 2009Article
- CPR or DNR? End-of-life decision in Korean cancer patients: a single center's experience.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2006Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSome studies have suggested that do-not-resuscitate (DNR) decisions are often documented poorly in European countries.
aimTo examine the use and documentation of DNR orders in a large Irish teaching hospital.
methodsResuscitation status of all inpatients on a single day was determined using interviews with nursing staff and examination of the nursing and medical case notes.
resultsSeventeen (3.5%) of 485 patients were identified as not for resuscitation. There was written confirmation of the DNR order in the nursing notes for 14 (82%) and in the medical notes for 15 (88%) patients; in two cases, it was reported that doctors were reluctant to write down the agreed decision. Documentation of DNR orders was by consultant (7), registrar (7) and intern (1). Discussion with patient (2), family (10) or both (1) was recorded in 14 cases.
conclusionThe majority of DNR orders were clearly documented by senior doctors and had been discussed with the patient or with the relatives. A number of problems were identified that might be avoided by development of guidelines regarding use and documentation of DNR orders.
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