2020
DOI: 10.1001/amajethics.2020.325
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Strategies for Collaborative Consideration of Patients' Resuscitation Preferences

Abstract: Procedural treatment teams encounter patients with preoperative do-not-resuscitate (DNR) orders who are seeking procedural interventions to improve their quality of life. Required reconsideration is the professional discussion standard that seeks to engage patients or their surrogate decision makers in revisiting patient preferences for rescinding or maintaining a DNR order perioperatively. This article canvasses features of a required reconsideration discussion and guidelines for adhering to this standard. Pe… Show more

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Cited by 5 publications
(2 citation statements)
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“…The authors encouraged a shared responsibility for preoperative code status conversations, intraoperative emergency decision-making, disclosures to family, and postoperative outcomes. 26 , 27 , 28 Recent studies have shown that effective multidisciplinary teamwork improves patient safety and highlights the importance of communication skills. 29…”
Section: Discussionmentioning
confidence: 99%
“…The authors encouraged a shared responsibility for preoperative code status conversations, intraoperative emergency decision-making, disclosures to family, and postoperative outcomes. 26 , 27 , 28 Recent studies have shown that effective multidisciplinary teamwork improves patient safety and highlights the importance of communication skills. 29…”
Section: Discussionmentioning
confidence: 99%
“…Additional plans should have included detailed team discussion of potential intraoperative events, with "stopping rules" to limit increasingly futile efforts-for example, no cardiopulmonary resuscitation and a preplanned decision to terminate the procedure if needed. 6 It appears the team developed a plan for surgery but it was not effectively implemented. It is unclear whether this failure was the result of inertia, a breakdown in communication, or inappropriate production pressure.…”
Section: Discussionmentioning
confidence: 99%