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Electronic Screening of Dictated Reports to Identify Patients with Do-Not-Resuscitate Status
Author(s) -
Dominik Aronsky,
Evelyn Kasworm,
Jay A. Jacobson,
Peter J. Haug,
Nathan C. Dean
Publication year - 2004
Publication title -
journal of the american medical informatics association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.614
H-Index - 150
eISSN - 1527-974X
pISSN - 1067-5027
DOI - 10.1197/jamia.m1518
Subject(s) - medicine , do not resuscitate , cardiopulmonary resuscitation , chart , resuscitation orders , medical record , power of attorney , emergency medicine , do not resuscitate order , medical emergency , documentation , intensive care medicine , resuscitation , health care , surgery , computer science , statistics , mathematics , economics , economic growth , programming language
Do-not-resuscitate (DNR) orders and advance directives are increasingly prevalent and may affect medical interventions and outcomes. Simple, automated techniques to identify patients with DNR orders do not currently exist but could help avoid costly and time-consuming chart review. This study hypothesized that a decision to withhold cardiopulmonary resuscitation would be included in a patient's dictated reports. The authors developed and validated a simple computerized search method, which screens dictated reports to detect patients with DNR status.

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