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KMID : 1002520160100030099
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Korean Journal of Health Service Management
2016 Volume.10 No. 3 p.99 ~ p.111
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Development of an Electronic Document for DNR Informed Consent based on the Electronic Medical Record System
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Park Ji-Kyeong
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Abstract
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Objectives : This study developed an iPad-based animation for an electronic informed consent to directly help patients prepare an informed consent. The goal was to raise patients' understanding about the contents contained in a DNR informed consent in the current medical situation in which DNR informed consents are mostly written by a guardian.
Methods : The development of a DNR electronic informed consent was done in 3 stages: analysis, design and development. The analysis stage was done with a survey on the real status of preparing a DNR informed consent in a medical institution. The design stage was done with the contents in the DNR electronic informed consent through a primary and secondary Delphi survey. The development stage created a DNR electronic informed consent and evaluated it through a tertiary Delphi survey.
Results : After evaluating the appropriateness of the composition of the contents, the understanding of the contents, the convenience of use, the reflection of an expert opinion, and the suitability of the application, all had scores higher than 4 points.
Conclusions : The results of this study show that our proposed DNR electronic informed consent can help patients better understanding the contents of a DNR informed consent.
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KEYWORD
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Electronic Informed Consent, Electronic Document, Electronic Medical Record System, Do-Not-Resuscitate
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