[Zhang Fei]

From the article:

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At top medical centers including Stanford University School of Medicine, University of Pittsburgh School of Medicine, the State University of New York at Buffalo, and University of Minnesota Medical School, half of doctors (46%) misinterpret DNRs to mean patients want end of life or comfort care only.

DNRs are dangerous for patients with pneumonia, trauma, strokes, vascular problems and other treatable conditions, according to studies in the Archives of Internal Medicine and Critical Care Medicine. An analysis of California hospitals published in the Journal of the American College of Cardiology found that patients had higher death rates in hospitals that encourage DNRs. Amazingly, these hospitals worried that their higher death rates lowered their Medicare quality rankings and reimbursements. They wanted the ranking method changed.

[gas_dr]

And you now see it’s all about the money. I have personally al knowledge of certain practices where numbers are manipulated to remove mortality. The games that are played in the name of metric management are horrifying. I agree with the poster who said have a durable POs who knows your wishes and will advocate for you

[Mom MD]

I call BS. There is a very clear difference between DNR and comfort care and any competent physician let alone nurse knows the difference. Every patient I admit to the hospital I spend time clarifying exactly what their wishes are as should every medical peofessional

[gnawbone]

Not surprising - not a community hospital in the list - you know, where ‘real’ America lives.

I’m familiar with all of those listed (not their policy on DNR), particularly Stanford. Had a friend do a fellowship in cardiac CT/MRI there, unbelievable learning opportunity for him (he is brilliant to begin with) but he couldn’t wait to leave - the liberalism was ridiculous. It was a policy problem - not the staff - most of them are like you and I.