Do admitting teams document patient wishes for care?
Hospitalist Leadership Connection, December 23, 2008
A new study has found that patient care plans were more likely documented by the hospitalist admitting team with informal notations on a chart than by surrogate decision makers. The study, “Factors associated with discussion of care plans and code status at the time of hospital admission: Results from the Multicenter Hospitalist Study” was published in this month’s Journal of Hospital Medicine.
Researchers evaluated data from six teaching hospitals during July 2002 to June 2004. They found that admitting teams were more likely to document care plans within the first 24 hours of hospitalization when patients discussed prehospital wishes, such as do-not-resuscitate orders or do-not-intubate orders. Care plan documentation occurred more than legal care planning, such as power of attorney, according to the study.
“Efforts to improve communication between hospitalists and their patients might target local documentation practices and culture,” states the study abstract.
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