96 Promoting Goal-Concordant Care in the Emergency Department: A Quality Improvement Initiative that Promotes Adherence With Prior Do Not Attempt Resuscitation Orders

Abstract

Do Not Attempt Resuscitation (DNAR) orders from prior POLST (Physician Orders for Life Sustaining Treatment) or clinical encounters are not durable in the electronic health record (EHR) from one hospital encounter to the next. When a patient with any prior code status order re-presents to the ED, the code status in the EHR defaults to “full code.” Prior code status orders should be validated and new orders should be entered for every new encounter to ensure goal concordant care. However, adherence with this patient-centric best practice is inconsistent.