Do-not-resuscitate orders, unintended consequences, and the ripple effect.
Do-not-resuscitate orders, unintended consequences, and the ripple effect.
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DOI：
10.1186/cc5687
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
Hemphill JC 3rd
中科院分区：
文献类型：
--
作者：
Hemphill JC 3rd
不复苏 (DNR) 命令通常在重症监护环境中实施，作为临终关怀的前奏。这通常基于对有利结果的假定预后以及对患者、家属甚至医生愿望的解释。虽然 DNR 命令明确仅适用于个别患者，但实施 DNR 命令的医院文化和环境可能会对患者护理的积极性产生总体影响。正如脑出血的例子所示，即使对于没有 DNR 指令的患者，这也可能会意外地影响结果。
Do-not-resuscitate (DNR) orders are commonly implemented in the critical care setting as a prelude to end-of-life care. This is often based on presumed prognosis for favorable outcome and interpretation of patient, family, and even physician wishes. While DNR orders explicitly apply only to an individual patient, the hospital culture and milieu in which DNR orders are implemented could potentially have an overall impact on aggressiveness of care across patients. As illustrated by the example of intracerebral hemorrhage, this may unexpectedly influence outcome even in patients without DNR orders in place.
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影响因子：
8.3
作者：
Hemphill, JC;Bonovich, DC;Johnston, SC
通讯作者：
Johnston, SC
影响因子：
--
作者：
Shepardson, LB;Youngner, SJ;Rosenthal, GE
通讯作者：
Rosenthal, GE
影响因子：
9.9
作者：
Becker, KJ;Baxter, AB;Longstreth, WT
通讯作者：
Longstreth, WT
影响因子：
5.7
作者：
Shepardson, LB;Gordon, HS;Rosenthal, GE
通讯作者：
Rosenthal, GE
DOI：
10.1046/j.1532-5415.2002.50620.x
发表时间：
2002-12-01
影响因子：
6.3
作者：
Beach, MC;Morrison, RS
通讯作者：
Morrison, RS