1. Cardiopulmonary resuscitation discussions with patients admitted to acute oncology wards: A national audit of current practice
- Author
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Cariosa Devlin, Robert A. Watson, Molly Dineen, Andrew Protheroe, Rebecca J. Green, Prakhar Srivastava, Elspeth Cumber, Bethany Chung, Ami Sabharwal, Claire Worrall, Catherine Turberfield, Safia Siddiqui, Emily Bennett, Elizabeth Golding, Abdul Badran, Silvana Wijaya, Ashling Lillis, Daphne Nakakande, and Isabel Tol
- Subjects
Male ,Oncology ,medicine.medical_specialty ,Resuscitation ,Students, Medical ,medicine.medical_treatment ,Audit ,Advance Care Planning ,03 medical and health sciences ,0302 clinical medicine ,Neoplasms ,Oncology Service, Hospital ,Internal medicine ,medicine ,Humans ,In patient ,Cardiopulmonary resuscitation ,National audit ,Resuscitation Orders ,Clinical Audit ,business.industry ,Communication ,Data Collection ,Professional-Patient Relations ,Middle Aged ,Cardiopulmonary Resuscitation ,Hospitalization ,England ,Scotland ,Curative treatment ,Current practice ,030220 oncology & carcinogenesis ,Female ,business ,End-of-life care - Abstract
OBJECTIVES To map current practice regarding discussions around resuscitation across England and Scotland in patients with cancer admitted acutely to hospital and to demonstrate the value of medical students in rapidly collecting national audit data. METHODS Collaborators from the Macmillan medical student network collected data from 251 patient encounters across eight hospitals in England and Scotland. Data were collected to identify whether discussion regarding resuscitation was documented as having taken place during inpatient admission to acute oncology. As an audit standard, it was expected that all patients should be invited to discuss resuscitation within 24 hr of admission. RESULTS Resuscitation discussions were had in 43.1% of admissions and of these 64.0% were within 24 hr; 27.6% of all admissions. 6.5% of patients had a "do not attempt resuscitation" order prior to admission with a difference noted between patients receiving palliative and curative treatment (8.5% and 0.39%, respectively, p
- Published
- 2020