Open AccessEvaluation of the Interrater Reliability of End-of-Life Medical Orders in the Physician Orders for Life-Sustaining Treatment Form
Author(s) -
Gustavo Bigaton Lovadini,
Fernanda Bono Fukushima,
João Francisco Lindenberg Schoueri,
Roberto dos Reis,
Cecília Guimarães Ferreira Fonseca,
Jahaira Jeanainne Casanova Rodriguez,
Cauana Silva Coelho,
Adriele Ferreira Neves,
Aniela Maria Rodrigues,
Marina Marques,
Alessandro Ferrari Jacinto,
Karen Harrison Dening,
Rick Bassett,
Alvin H. Moss,
Karl Steinberg,
Edison Iglesias de Oliveira Vidal
Publication year - 2019
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2019.2036
Subject(s) - inter rater reliability , medicine , reliability (semiconductor) , family medicine , pediatrics , psychology , rating scale , developmental psychology , power (physics) , physics , quantum mechanics
Key Points Question What is the interrater reliability of medical treatment orders documented in the Physician Orders for Life-Sustaining Treatment form? Findings In this cross-sectional study of interviews with 64 patients and decision-making surrogates in Brazil, the κ statistics for cardiopulmonary resuscitation, level of medical intervention, and artificially administered nutrition were high. However, disagreement in at least 1 order for life-sustaining treatment was found in 5 cases. Meaning The findings support the Physician Orders for Life-Sustaining Treatment paradigm as a means to translate patients’ values and preferences of care at the end of life into medical orders and stress the importance of frequently reviewing the content of the Physician Orders for Life-Sustaining Treatment form to ensure it reflects current preferences.
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