Educating junior doctors on DNACPR and ceiling of treatment policy improves compliance with form completion and documentation of resuscitation decisions

摘要

IntroductionDo not attempt cardiopulmonary resuscitation (DNACPR) orders areimportant in avoiding inappropriate CPR attempts. Clear and fulldocumentation of decisions about CPR, the reasons for them, andthe discussions with those involved in the decisions, is an essentialpart of high-quality care.1 A new combined Queen Elizabeth HospitalKing’s Lynn DNACPR and Ceiling of Treatment form was implementedin July 2018. A new audit tool was developed by the resuscitationdepartment to ensure accurate completion of DNACPR formswas captured. Subsequent re-audits did not show any significantimprovement in compliance with set standards and in some casesshowed deterioration. Therefore, in January 2019 teaching sessions onthe importance of DNACPR and Ceiling of Treatment documentationwere introduced.