Jornal de Pediatria
Print version ISSN 0021-7557
FLORENCE, Luiz Guilherme Araujo et al. Do not resuscitate orders: practice vs. medical record notes. J. Pediatr. (Rio J.) [online]. 2009, vol.85, n.4, pp. 369-372. ISSN 0021-7557. http://dx.doi.org/10.1590/S0021-75572009000400017.
OBJECTIVE: To evaluate the accuracy of pediatric patients' death records of a tertiary care center, comparing these records with data from a previous study. METHODS: Death records entered on the medical charts of non-resuscitated patients between 1999 and 2001 were compared with the medical procedure during cardiac arrest, which was described based on the Utstein-style guidelines. Our results were compared (using the chi-square test for equality of distributions) with the results of a previous study, which revealed a significant discrepancy between the medical procedure and the death record entered on the medical chart. RESULTS: The data analysis revealed agreement between the medical procedure and the medical record notes in 86.5% of the cases. The agreement rate in the previous study was only 27.5%. CONCLUSIONS: There was a significant reduction of discrepancy between the medical procedure during a cardiac arrest and the death record entered on the medical chart.
Keywords : Do-not-resuscitate orders; ethics; cardiopulmonary resuscitation.