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Letter to the Editor| Volume 18, ISSUE 2, P184-186, February 01, 2017

The Realities of Operationalizing MOLST Forms in Emergency Situations

      The goal of “Decisions by Default: Incomplete and Contradictory MOLST in Emergency Care” was to provide insight into the unintended consequences that may arise when emergency medicine providers are called upon to interpret and act upon MOLST (New York State's POLST paradigm) forms that are incomplete or contain potential inconsistencies.
      • Clemency B.
      • Cordes C.C.
      • Lindstrom H.A.
      • et al.
      Decisions by default: Incomplete and contradictory MOLST in emergency care.
      We have been pleased by the overwhelmingly positive feedback we have received since the electronic publication of our article. We hope the article will contribute to a thoughtful, respectful dialogue about the potential implications of incomplete and inconsistent MOLST forms in the emergency setting.
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      References

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        • Cordes C.C.
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        Decisions by default: Incomplete and contradictory MOLST in emergency care.
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        Response to Clemency et al: Significant errors, gaps in MOLST process, & opportunities for improvement with eMOLST.
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      1. eMOLST Application Tutorials. Community-Wide End-of-Life/Palliative Care Advisory Group. Available at: https://www.compassionandsupport.org/index.php/for_professionals/molst_training_center/emolst. Accessed November 28, 2016.

      Linked Article

      • Response to Clemency et al: Significant Errors, Gaps in MOLST Process, and Opportunities for Improvement With eMOLST
        Journal of the American Medical Directors AssociationVol. 18Issue 2
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          We appreciate the interest of Clemency et al and JAMDA in both the National Physician Orders for Life-Sustaining Treatment (POLST) Paradigm and New York's Medical Orders for Life-Sustaining Treatment (MOLST) Program. As we lead the MOLST Program in New York State, we recognize the challenges with paper completion of both the New York MOLST form and POLST Paradigm forms in other states. We also appreciate the authors' attempts to document errors in MOLST completion. Accurate documentation of the errors frequently found in paper completion of New York MOLST forms or POLST Paradigm forms reinforces the need for a standardized approach to end-of-life discussion.
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