1
40
2
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Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2017.02.007" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2017.02.007</a>
Pages
983–985
Issue
7
Volume
35
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Transfer of DNR orders to the ED from extended care facilities.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
2017-07
Subject
The topic of the resource
*Advance Directives; *Critical Illness; *Health Services for the Aged; *Skilled Nursing Facilities; 80 and over; 80 and Over; Advance Directives; Aged; Coding – Administration; Coding – Standards; Critical Illness; Do-not-resuscitate; Emergency Medical Services – Administration; Emergency Medical Services/*organization & administration; Emergency Service; EMS; Extended care facilities; Female; Forms and Records Control/*organization & administration/standards; Health Services for the Aged; Hospital; Human; Humans; Length of Stay; Male; Medical Records – Statistics and Numerical Data; Medical Records/*statistics & numerical data; Middle Age; Middle Aged; Ohio; Outcome Assessment; Outcome Assessment (Health Care); Patient Advocacy; Physicians; Prospective Studies; Resuscitation Orders; Skilled Nursing Facilities
Creator
An entity primarily responsible for making the resource
McQuown Colleen M; Frey Jennifer A; Amireh Ahmad; Chaudhary Ali
Description
An account of the resource
PURPOSE/OBJECTIVE: With an elderly and chronically ill patient population visiting the emergency department, it is important to know patients' wishes regarding care preferences and advanced directives. Ohio law states DNR orders must be transported with the patient when they leave an extended care facility (ECF). We reviewed the charts of ECF patients to evaluate which patients presenting to the ED had their DNR status recognized by the physician and DNR orders that were made during their hospital stay. METHODS: We prospectively enrolled patients presenting from ECFs to the ED, blinding the treating team to the purpose. We did a chart review for the presence of a DNR form, demographic data and acknowledgement of the DNR forms. RESULTS: Fifty patients were enrolled in this study. The mean age was 77.6years and 56% were female. Twenty-eight percent had a DNR order transported to the ED, but 68% had a DNR preference noted in their ECF notes. Registration only noted an advanced directive on 32% of patients (p=0.09). Eighteen percent had a DNR noted by the ED physician (p=0.42). Sixteen percent of patients had a DNR order written by an ED physician while 28% had a DNR order written by a non-ED physician during their inpatient evaluation. Thirty percent had a palliative care consult while in the hospital, but there was no significant association between DNR from the ECF and these consults. CONCLUSIONS: Hospital staff did a poor job of noting DNR preferences and ECFs were inconsistent with sending Ohio DNR forms.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2017.02.007" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2017.02.007</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Advance Directives
*Critical Illness
*Health Services for the Aged
*Skilled Nursing Facilities
2017
80 and over
Advance Directives
Aged
Amireh Ahmad
Chaudhary Ali
Coding – Administration
Coding – Standards
Critical Illness
Do-not-resuscitate
Emergency Medical Services – Administration
Emergency Medical Services/*organization & administration
Emergency Service
EMS
Extended care facilities
Female
Forms and Records Control/*organization & administration/standards
Frey Jennifer A
Health Services for the Aged
Hospital
Human
Humans
Length of Stay
Male
McQuown Colleen M
Medical Records – Statistics and Numerical Data
Medical Records/*statistics & numerical data
Middle Age
Middle Aged
Ohio
Outcome Assessment
Outcome Assessment (Health Care)
Patient Advocacy
Physicians
Prospective Studies
Resuscitation Orders
Skilled Nursing Facilities
The American journal of emergency medicine
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.ajem.2015.12.070" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.ajem.2015.12.070</a>
Pages
531–535
Issue
3
Volume
34
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Outcomes of non-STEMI patients transported by emergency medical services vs private vehicle.
Publisher
An entity responsible for making the resource available
The American journal of emergency medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
2016-03
Subject
The topic of the resource
*Electrocardiography; 80 and over; 80 and Over; Adult; Age Distribution; Aged; Comparative Studies; Demography; Electrocardiography; Emergency Medical Services – Methods; Emergency Medical Services – Statistics and Numerical Data; Emergency Medical Services/methods/*statistics & numerical data; Evaluation Research; Female; Hospital Mortality; Human; Humans; Length of Stay – Statistics and Numerical Data; Length of Stay/statistics & numerical data; Male; Medical Records – Statistics and Numerical Data; Medical Records/statistics & numerical data; Middle Age; Middle Aged; Multicenter Studies; Myocardial Infarction – Diagnosis; Myocardial Infarction – Mortality; Myocardial Infarction – Therapy; Myocardial Infarction/diagnosis/*mortality/therapy; Ohio; Ohio/epidemiology; Outcome Assessment – Statistics and Numerical Data; Outcome Assessment (Health Care)/*statistics & numerical data; Retrospective Design; Retrospective Studies; Severity of Illness Index; Severity of Illness Indices; Time Factors; Transportation of Patients – Methods; Transportation of Patients – Statistics and Numerical Data; Transportation of Patients/*methods/*statistics & numerical data; Trauma Centers – Statistics and Numerical Data; Trauma Centers/statistics & numerical data; Validation Studies
Creator
An entity primarily responsible for making the resource
Bhalla Mary Colleen; Frey Jennifer; Dials Sarah; Baughman Kristin
Description
An account of the resource
BACKGROUND: Non-ST-segment elevation myocardial infarctions (NSTEMIs) are more common but less studied than ST-segment elevation myocardial infarctions (STEMIs) treated by emergency medical services (EMS). OBJECTIVE: The purpose of this study was to evaluate the differences in baseline characteristics and outcomes of NSTEMI patients when arriving by EMS vs self-transport. METHODS: We performed a retrospective medical record review of 96 EMS patients and 96 self-transport patients with the diagnosis of NSTEMI based on billing code. RESULTS: The mean age of patients arriving by EMS was 75 vs 65 years for self-transport patients (P
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.ajem.2015.12.070" target="_blank" rel="noreferrer noopener">10.1016/j.ajem.2015.12.070</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Electrocardiography
2016
80 and over
Adult
Age Distribution
Aged
Baughman Kristin
Bhalla Mary Colleen
Comparative Studies
Demography
Department of Family & Community Medicine
Dials Sarah
Electrocardiography
Emergency Medical Services – Methods
Emergency Medical Services – Statistics and Numerical Data
Emergency Medical Services/methods/*statistics & numerical data
Evaluation Research
Female
Frey Jennifer
Hospital Mortality
Human
Humans
Length of Stay – Statistics and Numerical Data
Length of Stay/statistics & numerical data
Male
Medical Records – Statistics and Numerical Data
Medical Records/statistics & numerical data
Middle Age
Middle Aged
Multicenter Studies
Myocardial Infarction – Diagnosis
Myocardial Infarction – Mortality
Myocardial Infarction – Therapy
Myocardial Infarction/diagnosis/*mortality/therapy
NEOMED College of Medicine
Ohio
Ohio/epidemiology
Outcome Assessment – Statistics and Numerical Data
Outcome Assessment (Health Care)/*statistics & numerical data
Retrospective Design
Retrospective Studies
Severity of Illness Index
Severity of Illness Indices
The American journal of emergency medicine
Time Factors
Transportation of Patients – Methods
Transportation of Patients – Statistics and Numerical Data
Transportation of Patients/*methods/*statistics & numerical data
Trauma Centers – Statistics and Numerical Data
Trauma Centers/statistics & numerical data
Validation Studies