The effect of dead-on-arrival and emergency department death
Thirty-one trauma centers (48%) reported no DOA patients in 2009, while 6 centers (9%) reported more than 10. Of 224 patients, 14 (6.2%) had a documented time of death of more than 30 minutes after ED arrival despite being recorded as DOA. Forty-one trauma centers (63%) changed rank by three positions or less.
The effect of dead-on-arrival and emergency department death
We investigated the effect of inclusion and exclusion of emergency department (ED) deaths (dead on arrival [DOA] and died in ED [DIE]) on analyses of overall risk-adjusted trauma center performance. Methods: Data for patients admitted to 65 Trauma Quality Improvement Program hospitals during the 2009 calendar year was used.
RMA Procedures - Support - Juniper Networks
Dead on Arrival (DOA) For hardware that is considered Dead On Arrival (DOA) within the first thirty (30) days from the shipment date of product from Juniper Networks manufacturing facilities, Juniper Networks will provide an expedited replacement of the affected field replaceable unit (FRU).
The Effect of Dead-On-Arrival and Emergency Department Death
Within the NTDS data dictionary, the data element ED The primary outcome of interest was death during hos- death has three possible answers: (1) DOA, the patient is declared pitalization, dened as ED discharge disposition of ‘‘death’’ dead on arrival with minimal or no resuscitation attempt (no in- or hospital discharge disposition
Electronic Device Dead On Arrival (DOA) Rates
Sachem. Nov 28, 2006. #5. chergh said: Recently I saw an unsupported statement saying that the industry average for DOA (Dead on Arrival) rates were 2% in the electronics. Does anyone have any information/links on this figure as I would like a comparison figure for my employers DOA rates. We build power inverters for mobile applications.
- What is a death on arrival (DOA)?
- Or more importantly, how should we act?
- Between 10% and 50% of deaths occur before reaching hospitals (1-2). Death on arrival (DoA) can refer to two different patient groups: those who were declared dead upon arrival to an ED with no resuscitation attempt or those who died after failed resuscitation, usually within the first hour of arrival (3).
- How long does a DOA patient die?
- The median time to death for all DOA patients was 4 minutes. However, 14 (6.2%) of 224 patients had a documented time of death >30 minutes after ED arrival despite being recorded as DOA. Five trauma centers had data demonstrating that ≥50% of their reported DOA patients had a recorded time of death more than 30 minutes after presenting to the ED.
- Should DOA and die patients be included in risk-adjusted analysis of mortality?
- Inclusion of DOA and DIE patients in risk-adjusted analysis of mortality is appropriate and eliminates the bias introduced by exclusion of ED deaths owing to misuse of the DOA classification. Prognostic/epidemiologic study, level III. Supplemental digital content is available in the article.
- Why should we use DOA instead of OHCA?
- The use of DOA, rather than OHCA, has important implications for how we think about these patients. The focus shifts to patients who arrive in the emergency department and the subsequent impact on care, particularly for emergency nurses who have a critical role in resuscitation and in sup-porting the families of DOA patients.
- Are emergency department deaths excluded from risk-adjusted trauma center performance?
- In previous analyses, patients who died in the emergency department were excluded. We investigated the effect of inclusion and exclusion of emergency department (ED) deaths (dead on arrival [DOA] and died in ED [DIE]) on analyses of overall risk-adjusted trauma center performance.
- Does inclusion of DOA & die patients affect outlier status?
- In comparison , inclusion of DOA and DIE patients modified the outlier status of 9% of centers, which is less than the 10% rate of such an occurrence happening by chance alone when utilizing a 90% confidence interval (CI).
