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Do not attempt cardiopulmonary resuscitation documentation: a quality improvement project

Haire, Ellen, Bralesford, Catherine, Botting, Joanna, Beasant, Elizabeth and Taubert, Mark ORCID: 2023. Do not attempt cardiopulmonary resuscitation documentation: a quality improvement project. BMJ Supportive & Palliative Care 10.1136/spcare-2022-004133

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bstract Objectives This quality improvement project looked at enhancing do not attempt cardiopulmonary resuscitation (DNACPR) documentation in a Welsh National Health Service trust. Methods A full clinical review cycle was carried out, evaluating 50 DNACPR forms in each data collection, totalling 100 forms. The all Wales DNACPR audit template was used to ensure standardised audit criteria. After completion of the first data collection, several changes were introduced: a new version national form was adopted by the trust; a series of education events was launched to improve understanding of the all Wales DNACPR policy. Electronic learning resources, such as the TalkCPR videos and electronic staff record modules, were widely disseminated. Results The evaluation of data demonstrated consistency in completion of forms. The introduction of the new national form in phase 2 of the audit resulted in clearer documentation of discussions held with patients and their significant others and documented reasons why and when conversations had not taken place. Conclusion Documentation of DNACPR discussions in the trust demonstrably improved in several domains. A central electronic record for advance and future care plans, accessible by all relevant healthcare providers, patients and carers, may be an effective way of improving further on the current paper-based model.

Item Type: Article
Date Type: Published Online
Status: Published
Schools: Medicine
Publisher: BMJ Publishing Group
ISSN: 2045-435X
Date of Acceptance: 12 May 2023
Last Modified: 12 Jun 2023 12:15

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