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.
1We 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.
- Clemency B.
- Cordes C.C.
- Lindstrom H.A.
- et al.
Decisions by default: Incomplete and contradictory MOLST in emergency care.
J Am Med Dir Assoc. 2017; 18: 35-39
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- Decisions by default: Incomplete and contradictory MOLST in emergency care.J Am Med Dir Assoc. 2017; 18: 35-39
- Response to Clemency et al: Significant errors, gaps in MOLST process, & opportunities for improvement with eMOLST.J Am Med Dir Assoc. 2017; 18: 182-184
- The National Consensus Project for Quality Palliative Care Clinical Practice Guidelines Domain 8: Ethical and legal aspects of care.HEC Forum. 2010; 22: 117-131
- TRIAD VI: How well do emergency physicians understand Physicians Orders for Life Sustaining Treatment (POLST) forms?.J Patient Saf. 2015; 11: 1-8
- POLST: Honoring wishes at the end of life.Health Care Ethics U S A. 2007; 15: 9-11
- The role of advanced practice registered nurses in the completion of physician orders for life-sustaining treatment.J Palliat Med. 2016; ([Epub ahead of print])
- Physician Orders for Life Sustaining treatment in US nursing homes: A case study of CRNP engagement in the care planning process.Nurs Res Pract. 2014; 2014: 761-784
- Use of the physician orders for life-sustaining treatment program in the clinical setting: A systematic review of the literature.J Am Geriatr Soc. 2015; 63: 341-350
- Exploring health care providers' views about initiating end-of-life care communication.Am J Hosp Palliat Care. 2016; ([Epub ahead of print])
- A hospital-based advance care planning intervention for patients with heart failure: A feasibility study.J Palliat Med. 2016; 19: 451-455
- Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life.National Academies Press, Washington, DC2015
- Patient-physician communication about end-of-life care for patients with severe COPD.Eur Respir J. 2004; 24: 200-205
- Key role of social work in effective communication and conflict resolution process: Medical Orders for Life-Sustaining Treatment (MOLST) Program in New York and shared medical decision making at the end of life.J Soc Work End Life Palliat Care. 2011; 7: 56-82
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.
The authors declare no conflicts of interest.
© 2016 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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- Response to Clemency et al: Significant Errors, Gaps in MOLST Process, and Opportunities for Improvement With eMOLSTJournal of the American Medical Directors AssociationVol. 18Issue 2
- PreviewWe 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.