This study was supported by the Robert Wood Johnson Foundation Clinical Scholars Program. The opinions and conclusions are those of the authors, and may not represent those of the Robert Wood Johnson Foundation.
Prehospital DNR Orders: What Do Physicians in Washington Know?
Article first published online: 23 SEP 2003
Journal of the American Geriatrics Society
Volume 51, Issue 10, pages 1435–1438, October 2003
How to Cite
Silveira, M. J., Buell, R. A. and Deyo, R. A. (2003), Prehospital DNR Orders: What Do Physicians in Washington Know?. Journal of the American Geriatrics Society, 51: 1435–1438. doi: 10.1046/j.1532-5415.2003.51462.x
- Issue published online: 23 SEP 2003
- Article first published online: 23 SEP 2003
- do not resuscitate (DNR) orders;
- emergency medical services (EMS);
- advance directives;
- prehospital guidelines;
- physician survey introduction
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.