改善心肺复苏决策的记录及合理性。
Improving the documentation and appropriateness of cardiopulmonary resuscitation decisions.
作者信息
Hignett C L, Forsyth D R, Connor G D
机构信息
Department of Medicine for the Elderly, Addenbrooke's NHS Trust, Cambridge, UK.
出版信息
J R Soc Med. 1995 Mar;88(3):136-40.
A criterion based audit was undertaken, over a 3 year period, to review the appropriateness of the decision to undertake cardiopulmonary resuscitation (CPR) and the recording of resuscitation status in a 112 bedded department of medicine for the elderly. Resuscitation status was not recorded in either nursing or medical notes of patients undergoing CPR during the first two 12 month audit periods, and was recorded in 71% in the final 12 month audit period. The auditors agreed in 91% of cases that CPR was either appropriate or inappropriate. In the third year of audit 40% of decisions to resuscitate were judged inappropriate.
在三年期间进行了一项基于标准的审计，以审查在一个拥有112张床位的老年医学科进行心肺复苏（CPR）决策的适宜性以及复苏状态的记录情况。在前两个为期12个月的审计期间，接受心肺复苏患者的护理记录或病历中均未记录复苏状态，而在最后一个为期12个月的审计期间，这一比例为71%。审计人员在91%的案例中对心肺复苏是否适宜达成了一致意见。在审计的第三年，40%的复苏决策被判定为不适宜。
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