• Jornal de pediatria · Jul 2009

    Comparative Study

    Do not resuscitate orders: practice vs. medical record notes.

    • Luiz Guilherme Araujo Florence, Cláudio Schvartsman, Eduardo Juan Troster, Pilar Lecussan Gutierrez, and Amélia Gorete Reis.
    • Faculdade de Medicina, Instituto da Criança, Hospital de Clínicas, Universidade de São Paulo, São Paulo, Brazil.
    • J Pediatr (Rio J). 2009 Jul 1; 85 (4): 369-72.

    ObjectiveTo evaluate the accuracy of pediatric patients' death records of a tertiary care center, comparing these records with data from a previous study.MethodsDeath 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.ResultsThe 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%.ConclusionsThere was a significant reduction of discrepancy between the medical procedure during a cardiac arrest and the death record entered on the medical chart.

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