Standardised consent forms on the website of the British Orthopaedic Association

Atrey, Amit; Leslie, Ian; Carvell, John; Gupte, Chinmay; Shepperd, J. A. N.; Powell, J. M.; Gibb, Paul

doi:10.1302/0301-620x.90b4.20497

Cited by 46 publications

(39 citation statements)

References 3 publications

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“…One method to improve these is to convey standardised information using procedure specific consent forms 19 . This approach has been reported to improve recall rates in patients undergoing knee arthroscopy and arthroplasty 20 .…”

Section: Discussionmentioning

confidence: 99%

The influence of process and patient factors on the recall of consent information in mentally competent patients undergoing surgery for neck of femur fractures

Khan

Karuppaiah

Bajwa

2012

annals

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INTRODUCTIONInformed consent is an ethical and legal prerequisite for major surgical procedures. Recent literature has identified ‘poor consent’ as a major cause of litigation in trauma cases. We aimed to investigate the patient and process factors that influence consent information recall in mentally competent patients (abbreviated mental test score [AMTS] ≥6) presenting with neck of femur (NOF) fractures.METHODSA prospective study was conducted at a tertiary unit. Fifty NOF patients (cases) and fifty total hip replacement (THR) patients (controls) were assessed for process factors (adequacy and validity of consent) as well as patient factors (comprehension and retention) using consent forms and structured interview proformas.RESULTSThe two groups were matched for ASA (American Society of Anesthesiologists)grade and AMTS. The consent forms were adequate in both groups but scored poorly for validity in the NOF group. Only 26% of NOF patients remembered correctly what surgery they had while only 48% recalled the risks and benefits of the procedure. These results were significantly poorer than in THR patients (p=0.0001).CONCLUSIONSThis study confirms that NOF patients are poor at remembering the information conveyed to them at the time of consent when compared with THR patients despite being intellectually and physiologically matched. We suggest using pre-printed consent forms (process factors), information sheets and visual aids (patient factors) to improve retention and recall.

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Section: Discussionmentioning

confidence: 99%

The influence of process and patient factors on the recall of consent information in mentally competent patients undergoing surgery for neck of femur fractures

Khan

Karuppaiah

Bajwa

2012

annals

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“…Poor or incomplete documentation during the consent process denies the patient a full understanding of the procedure they are about to undergo, negatively impacting their decision making autonomy (13). This can also then subsequently expose hospitals and doctors to possible litigation (14), (15). Previous reviews of litigation relating to informed consent in the United States found errors in recording the risks of a procedure accounted for up to 70% of complaints alone (16).…”

Section: Introductionmentioning

confidence: 99%

Improving the Hip Fracture Surgical Consenting Process: A Single Centre Multi-Cycle Quality Improvement Process

Singh

Assaf

Bayley

et al. 2020

Preprint

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Background Hip fractures are a common acute trauma presentation that if requiring surgery, should be performed within 48 hours. Consenting the patient is an important element of the pathway from admission to operating theatre and errors can lead to delayed procedures, medico-legal exposure and may represent a loss of patient autonomy. The aim of this project was to evaluate areas for improvement in our consenting process for patients with capacity and trial new strategies to determine which achieved the greatest improvement. Methods Following a baseline measurement (n=24), deficiencies were noted in three key process measures of clarity of documentation, failure to record procedure-specific risks and not offering a copy of the consent form to the patient. Two quality improvement cycles then followed using targeted teaching for doctors performing the consenting process. Results Cycle 1 (n=26) following targeted teaching demonstrated improved clarity, with a reduction in abbreviations from 38% to 20%, while more than doubling the documentation of discussion of key procedure-specific risks from 31% to 72%. More patients were offered a copy of their consent form, rising from 12% to 48%. Cycle 2 (n=24) saw the introduction of pre-printed “risk of procedure” stickers. Although clarity measures continued to improve, improvements in pre-procedure risk documentation remained broadly static while the number of forms being offered to patients starkly declined to 8%. Conclusions Our project would suggest that while pre-printed stickers can be useful memory aids, specific teaching on consenting produces the greatest benefit. The usage of such tools should therefore be limited, as adjuncts only to detailed training.

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“…Pre-printed consent forms for common procedures in orthopaedic surgery have recently been supported by the British Orthopaedic Association 4. Use of pre-printed consent forms has not been widely incorporated into standard practice.…”

Section: Introductionmentioning

confidence: 99%

Is consent for hip fracture surgery for older people adequate? The case for pre-printed consent forms

Rahman¹,

Clamp²,

Hutchinson³

2010

J Med Ethics

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Standardised consent forms on the website of the British Orthopaedic Association

Cited by 46 publications

References 3 publications

The influence of process and patient factors on the recall of consent information in mentally competent patients undergoing surgery for neck of femur fractures

The influence of process and patient factors on the recall of consent information in mentally competent patients undergoing surgery for neck of femur fractures

Improving the Hip Fracture Surgical Consenting Process: A Single Centre Multi-Cycle Quality Improvement Process

Is consent for hip fracture surgery for older people adequate? The case for pre-printed consent forms

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