Hospitalists frequently do not discuss code status with patients
Hospitalist Leadership Connection, November 30, 2010
A new study finds that hospitalist attending physicians do not discuss code status, such as CPR directives, with 66% of seriously ill patients, according to “Code status discussions between attending hospitalist physicians and medical patients at hospital admission,” published in the November Journal of General Internal Medicine.
Researchers at the University of California, San Francisco, Division of Hospital Medicine, recorded patient admissions and transcribed the conversations between hospitalist attending physicians and patients. They found that although physicians were more likely to discuss code status with seriously ill patients, they did not have this conversation with every patient. In addition, the median length of time for the code status discussion was only one minute, the conversation often included medical jargon, and physicians did not encourage patient autonomy, as recommended by bioethical and professional associations.
“Local and national guidelines, research, and clinical practice changes are needed to clarify and systematize with whom and how CPR is discussed at hospital admission,” states the study.
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