Patient recall and appropriate timing for obtaining informed consent for endoscopic procedures

Proctor, Deborah D.; Price, Jammie; Minhas, Balbir S.; Gumber, Subhash C.; E, Christie

doi:10.1016/s0002-9270(99)00052-0

Cited by 5 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is acceptable to delegate tasks to suitable trained and qualified persons. The important point is that the investigating doctor remains responsible for ensuring that there is sufficient time for the patient's questions and for the patient to make an informed decision before the start of any procedure [23] .…”

Section: Informed Consent For Ercp In Practicementioning

confidence: 99%

Complications of ERCP: Ethical Obligations and Legal Consequences

Rácz

Rejchrt

Hassan³

2008

Dig Dis

View full text Add to dashboard Cite

Endoscopic retrograde cholangiopancreatography (ERCP) is a skill and technique demanding high-risk procedure with an overall complication rate of about 5–10%. Pancreatitis remains the most common complication of ERCP, however, bleeding after sphincterotomies, infections and cardiopulmonary complications as well as perforations may also occur. Patient- and procedure-related risk factors of ERCP complications are mainly predictable so that ERCP often can be avoided and substituted for alternative imaging techniques, especially in high-risk patients. Written consent should be obtained for any ERCP to provide documentary evidence that explanation of the proposed procedure and endoscopic treatment was given and that consent was sought and obtained. The investigating doctor remains responsible for ensuring sufficient time for the patient’s questions and to make informed decision before the start of any procedure. The most common legal consequence of an ERCP complication is a civil negligence claim for compensation, however, a clinician may in rare cases be faced with criminal proceedings where there is evidence of gross negligence. Analysis of claims against gastroenterologists suggests the conclusion that ERCP should be done for good indications, by trained endoscopists with standard techniques, with good, documented, patient-informed consent and communication before and after the procedure.

show abstract

Section: Informed Consent For Ercp In Practicementioning

confidence: 99%

Complications of ERCP: Ethical Obligations and Legal Consequences

Rácz

Rejchrt

Hassan³

2008

Dig Dis

View full text Add to dashboard Cite

show abstract

Clinical Outcomes Associated with Attempts to Educate Patients about Lower Endoscopy: A Narrative Review

Coombes

Steiner²,

Bekelman

et al. 2007

J Community Health

View full text Add to dashboard Cite

Patient knowledge about lower endoscopy might have beneficial effects on satisfaction outcomes, pre-procedure anxiety, and adherence, although this is poorly understood. Methods Searching the national and international literature, we reviewed 20 years of observational studies and randomized trials that examine possible relationships between educating patients about lower endoscopy and clinical outcomes. Twenty-three publications were included but their heterogeneity precluded meta-analyses. Standard and modified informed consent procedures and enhanced educational interventions were associated most often with levels of patient knowledge, satisfaction, anxiety, and adherence. Regardless of the approach, a large proportion of patients have poor comprehension of lower endoscopy's risks, benefits, and alternatives; patient satisfaction with information and procedures manifests ceiling effects; only a subset of patients have clinically significant pre-procedure anxiety; and providing written information and reminders may improve procedure adherence. Future work should focus on strategies for improving patient knowledge in the setting of initial screening colonoscopy within open access systems. Patient knowledge of lower endoscopy is often inadequate even though greater knowledge might be associated with better clinical outcomes for certain patient subgroups. Professional societies have an important role to play in endorsing educational strategies and in clarifying and assessing the adequacy of patient knowledge.

show abstract

Risk management for the endoscopy center

Gerstenberger

2002

Gastrointestinal Endoscopy Clinics of North America

View full text Add to dashboard Cite

Patient recall and appropriate timing for obtaining informed consent for endoscopic procedures

Abstract: This study shows that sedation for endoscopic procedures does not interfere with pre-endoscopic informed consent. Informed consent for endoscopic procedures can be obtained at any time before sedation with similar recall.

Cited by 5 publications

References 11 publications

Complications of ERCP: Ethical Obligations and Legal Consequences

Complications of ERCP: Ethical Obligations and Legal Consequences

Clinical Outcomes Associated with Attempts to Educate Patients about Lower Endoscopy: A Narrative Review

Risk management for the endoscopy center

Contact Info

Product

Resources

About