Leveraging the Benefits of Mobile Technology to Improve the Efficacy of the Consent-To-Treatment Process

Chhin, Veng; Roussos, Jerry; Terry, M; Foxcroft, Sophie

doi:10.1016/j.jmir.2015.12.006

Cited by 3 publications

(2 citation statements)

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“…Electronic health records are now the norm, and interactions between patients and providers increasingly are electronic. Implementing electronic consenting (e-consent) for procedures, health information exchanges and other clinical purposes represents another opportunity for automation 4. While consent processes are designed to protect patient rights and assure the integrity of ethical principles,5 6 paper-based consents can suffer from quality and efficiency problems.…”

Section: Introductionmentioning

confidence: 99%

“…Implementing electronic consenting (e-consent) for procedures, health information exchanges and other clinical purposes represents another opportunity for automation. 4 While consent processes are designed to protect patient rights and assure the integrity of ethical principles, 5 6 paper-based consents can suffer from quality and efficiency problems. For example, paper forms can be illegible, incomplete or lost, which creates rework and delays.…”

Section: Introductionmentioning

confidence: 99%

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Electronic consent in clinical care: an international scoping review

Chimonas

Lipitz‐Snyderman

Matsoukas

et al. 2023

BMJ Health Care Inform

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ObjectiveDigital technologies create opportunities for improvement of consenting processes in clinical care. Yet little is known about the prevalence, characteristics or outcomes of shifting from paper to electronic consenting, or e-consent, in clinical settings. Thus questions remain around e-consent’s impact on efficiency, data integrity, user experience, care access, equity and quality. Our objective was to scope all known findings on this critical topic.Materials and methodsThrough an international, systematic scoping review, we identified and assessed all published findings on clinical e-consent in the scholarly and grey literatures, including consents for telehealth encounters, procedures and health information exchanges. From each relevant publication, we abstracted data on study design, measures, findings and other study features.Main outcome measuresMetrics describing or evaluating clinical e-consent, including preferences for paper versus e-consenting; efficiency (eg, time, workload) and effectiveness (eg, data integrity, care quality). User characteristics were captured where available.ResultsA total of 25 articles published since 2005, most from North America or Europe, report on the deployment of e-consent in surgery, oncology and other clinical settings. Experimental designs and other study characteristics vary, but nearly all focus on procedural e-consents. Synthesis reveals relatively consistent findings around improved efficiency and data integrity with, and user preferences for, e-consent. Care access and quality issues are less frequently explored, with disparate findings.Discussion and conclusionThe literature is nascent and largely focused on issues that are immediate and straightforward to measure. As virtual care pathways expand, more research is urgently needed to ensure that care quality and access are advanced, not compromised, by e-consent.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Electronic consent in clinical care: an international scoping review

Chimonas

Lipitz‐Snyderman

Matsoukas

et al. 2023

BMJ Health Care Inform

View full text Add to dashboard Cite

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Electronic Surgical Consent Delivery Via Patient Portal to Improve Perioperative Efficiency

Trang,

Decker,

Gonzalez

et al. 2024

JAMA Surg

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ImportanceMany health systems use electronic consent (eConsent) for surgery, but few have used surgical consent functionality in the patient portal (PP). Incorporating the PP into the consent process could potentially improve efficiency by letting patients independently review and sign their eConsent before the day of surgery.ObjectiveTo evaluate the association of eConsent delivery via the PP with operational efficiency and patient engagement.Design, Setting, and ParticipantsThis mixed-methods study consisted of a retrospective quantitative analysis (February 8 to August 8, 2023) and a qualitative analysis of semistructured patient interviews (December 1, 2023, to January 31, 2024) of adult surgical patients in a health system that implemented surgical eConsent. Statistical analysis was performed between September 1, 2023, and June 6, 2024.Main Outcomes and MeasuresPatient demographics, efficiency metrics (first-start case delays), and PP access logs were analyzed from electronic health records. Qualitative outcomes included thematic analysis from semistructured patient interviews.ResultsIn the PP-eligible cohort of 7672 unique patients, 8478 surgical eConsents were generated (median [IQR] age, 58 [43-70] years; 4611 [54.4%] women), of which 5318 (62.7%) were signed on hospital iPads and 3160 (37.3%) through the PP. For all adult patients who signed an eConsent using the PP, patients waited a median (IQR) of 105 (17-528) minutes to view their eConsent after it was electronically pushed to their PP. eConsents signed on the same day of surgery were associated with more first-start delays (odds ratio, 1.59; 95% CI, 1.37-1.83; P &lt; .001). Themes that emerged from patient interviews included having a favorable experience with the PP, openness to eConsent, skimming the consent form, and the importance of the discussion with the surgeon.Conclusions and RelevanceThese findings suggest that eConsent incorporating PP functionality may reduce surgical delays and staff burden by allowing patients to review and sign before the day of surgery. Most patients spent minimal time engaging with their consent form, emphasizing the importance of surgeon-patient trust and an informed consent discussion. Additional studies are needed to understand patient perceptions of eConsent, PP, and barriers to increased uptake.

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