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- M O Fitzpatrick, K Goyal, and P Barlow.
- Department of Neurosurgery, Southern General Hospital NHS Trust, Glasgow.
- Scot Med J. 1999 Apr 1; 44 (2): 47-8.
AbstractIn a previous paper on mortality audit we reported on the use of treatment limiting decisions (TLDs) in a neurosurgical unit in the year 1988. In this paper we compare the findings of a similar audit for 1997. It appears that our unit's policy of openly discussing all TLDs in patients who die had led to such decisions being made at a more appropriate stage in the patient's illness. Regular review of TLDs is probably helpful in increasing the confidence of clinicians to make these difficult decisions openly and timeously.
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