high quality Death on Arrival (DoA) Policy America

  • high quality Death on Arrival (DoA) Policy America
  • high quality Death on Arrival (DoA) Policy America
  • high quality Death on Arrival (DoA) Policy America
  • What is a death on arrival (DOA)?
  • Or more importantly, how should we act?
  • Between 10% and 50% of deaths occur before reaching hospitals (1-2). Death on arrival (DoA) can refer to two different patient groups: those who were declared dead upon arrival to an ED with no resuscitation attempt or those who died after failed resuscitation, usually within the first hour of arrival (3).
  • How common is DOA in a high-volume emergency department?
  • In a single, high-volume emergency department in Denmark, Bove et al 1 found that DOA was a common event, occurring daily. The cohort was largely composed of older adults (mean age 71 years) who were found at home by their family members.
  • Should DOA and die patients be included in risk-adjusted analysis of mortality?
  • Inclusion of DOA and DIE patients in risk-adjusted analysis of mortality is appropriate and eliminates the bias introduced by exclusion of ED deaths owing to misuse of the DOA classification. Prognostic/epidemiologic study, level III. Supplemental digital content is available in the article.
  • Are emergency department deaths excluded from risk-adjusted trauma center performance?
  • In previous analyses, patients who died in the emergency department were excluded. We investigated the effect of inclusion and exclusion of emergency department (ED) deaths (dead on arrival [DOA] and died in ED [DIE]) on analyses of overall risk-adjusted trauma center performance.
  • Why should we use DOA instead of OHCA?
  • The use of DOA, rather than OHCA, has important implications for how we think about these patients. The focus shifts to patients who arrive in the emergency department and the subsequent impact on care, particularly for emergency nurses who have a critical role in resuscitation and in sup-porting the families of DOA patients.
  • Who contributed to the study 'dead on arrival'?
  • Authors Martin F Casey and Daniel W Markwalter contributed equally to this work. In this issue of the Journal of Emergency Nursing, Bove et al 1 seek to describe the epidemiological characteristics of patients who were dead on arrival (DOA) in the emergency department.

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