Miles S H, Cranford R, Schultz A L
Ann Intern Med. 1982 May;96(5):660-4. doi: 10.7326/0003-4819-96-5-660.
We present a policy for implementing the do-not resuscitate orders by medical residents in a teaching hospital, and discuss decision making, legal and ethical considerations, the primary physician's responsibility, and record documentation. THe establishment of a policy and procedure for implementing do-not-resuscitate orders resulted in greater consideration of patient and family rights and improved communication and sensitivity in dealing with those concerned with the patient's medical care and welfare.
我们提出了一项教学医院住院医师执行“不要复苏”医嘱的政策,并讨论了决策制定、法律和伦理考量、主治医生的责任以及记录文件。制定一项执行“不要复苏”医嘱的政策和程序,能更充分地考虑患者和家属的权利,并在与关心患者医疗护理和福祉的各方打交道时,改善沟通并提高敏感度。