BACKGROUND Care plans for patients with do-not-resuscitate (DNR) orders often fail to define limits other than cardiopulmonary resuscitation and fail to address other patient care needs. We studied the explicitness and comprehensiveness of care plans for patients with DNR orders and what factors were associated with this aspect of the quality of their care. METHODS A cross-sectional study was...

BACKGROUND Interdisciplinary rounding is used to establish and communicate patient care goals and monitor progress toward goal attainment. This study describes staff satisfaction and process outcomes associated with respiratory therapist (RT)-led interdisciplinary rounds in the neonatal ICU. We hypothesized improved staff satisfaction, execution of orders within 30 min of order entry into the e...

OBJECTIVES Physician Orders for Life-Sustaining Treatment (POLST) need to be complete and consistent to allow health care personnel to honor patient preferences in a time of emergency. The purpose of our study was to evaluate the quality of POLST completion to guide treatment for level of medical intervention. DESIGN, SETTING, AND PARTICIPANTS This cross-sectional study combined data from the...

Abstract We explore the relationship between weighted path orders and (monotonic) semantic orders. Our findings reveal that can be considered instances of a variant comprise order pairs. This observation leads to generalization does not impose simplicity on their underlying algebras. As result, generalized version is capable proving termination term rewrite systems beyond realm simple terminati...

• Objective: To decrease medication errors that occur during the transfer of patients from a surgical intensive care unit (ICU) by institution of a computerized medication reconciliation tool. • Design: Prospective cohort study. • Setting and participants: Patients admitted to a 16-bed surgical ICU in an academic medical center. • Measurement: Proportion of medical records with at least 1 error...

The Physician Orders for Life-Sustaining Treatment (POLST) Paradigm is designed to improve end-of-life care by converting patients' treatment preferences into medical orders that are transferable throughout the health care system. It was initially developed in Oregon, but is now implemented in multiple states with many others considering its use. An observational study was conducted in order to...