Article

Informed consent: a patients' perspective.

Department of Otolaryngology, Head and Neck Surgery, Royal Victoria Eye and Ear Hospital, Adelaide Road, Dublin, Ireland.
The Journal of Laryngology & Otology (Impact Factor: 0.7). 02/2005; 119(1):19-22. DOI: 10.1258/0022215053222860
Source: PubMed

ABSTRACT The medico-legal issues surrounding informed consent are highly topical and contentious. Current attitudes to consent emphasize the high level of 'good medical practice' expected by a 'reasonable patient/parent'. The authors' objectives were to assess the levels of knowledge and information expected by patients and parents, prior to signing consent forms for a surgical procedure. Each patient or parent was asked a series of questions prior to signing a consent form. Answers were recorded on a standard questionnaire. More than 80 per cent of respondents were happy with the information provided in out-patients, however, over half of these could not list even one complication of their operation. Two-thirds of those surveyed sought information elsewhere, while over half expected to be informed of all known complications, even if the rate of complications was less than one per cent. In conclusion, the information provided by surgeons might not meet the expectations of today's informed patients.

0 Followers
 · 
81 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The use of informed consent for surgery or research has been widely studied; however, its use in other areas of clinical practice has received less attention. This study investigates how doctors and nurses understand informed consent in relation to the prescription and administration of medicines in secondary care. It uses a qualitative analysis of semi-structured in-depth interviews with 19 doctors and 6 nurses recruited from various specialties in a teaching hospital. The results indicate a striking gap between official and actual standards of practice. Providing information, assuring adherence and communication about potential treatment harms were raised as key issues instead of the principal goals of informed consent. Rather than simply treating these findings as support for a 'deficit' account of professionalism, the paper concludes that we need a richer and more grounded account of exactly when hospital medication decisions need to be subjected to the highest standards of informed consent.
    Clinical Ethics 03/2007; 2(1):36-41. DOI:10.1258/147775007780267219
  • [Show abstract] [Hide abstract]
    ABSTRACT: The aim of this study was to perform a systematic literature review of risks and medico-legal aspects of endoscopic sinus surgery. The development of sophisticated technologies and instruments for endoscopic sinus surgery (ESS) has caused a dramatic increase in the number of otolaryngologists performing sinus surgery and the number of cases performed. This expansion was accompanied by an increase in malpractice lawsuits. Over the past 20 years, rhinology claims represented 70 % of the total indemnity compensation for otolaryngology claims and ESS was the surgical procedure most often involved. Only then will a careful analysis and assessment of the possible and potential risk factors of ESS, which may mislead the surgeon, allow a correct clinical risk management, with activities and procedures aimed at reducing the possibility of complications that may expose the physician to a malpractice suit.
    Archives of Oto-Rhino-Laryngology 08/2013; 271(8). DOI:10.1007/s00405-013-2652-4 · 1.61 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Um total de 100 pacientes foram entrevistados através da utilização de um questionário padrão antes de qualquer procedimento cirúrgico no departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço do Hospital Universitário da Tribhuvan University entre setembro e novembro de 2006. Todas as questões foram respondidas de forma escrita. Os formulários foram analisados utilizando- se de método manual simples usando freqüência e porcentagem. Resultados: A maioria (96.0%) dos pacientes ficou satisfeita com a informação dos médicos assistentes sobre o procedimento cirúrgico, antes de serem submetidos à cirurgia. Entretanto, 8.0% dos entrevistados procuraram mais informações através da internet, revistas e conversas com pacientes previamente operados. O tempo médio de espera para cirurgia foi de 4.2 meses. Em torno de 77.0% dos pacientes não foram relatadas quaisquer complicações. Informações sobre qualquer complicação cirúrgica conhecida foi solicitada por 90% dos pacientes. Conclusão: As expectativas dos pacientes foram altas e a maioria procurou ser informada acerca de qualquer complicação cirúrgica conhecida. Apesar do questionamento se o termo de consentimento deve conter todas as informações sobre o procedimento cirúrgico, o mesmo deve conter todas as principais complicações cirúrgicas. Palavras-chave: consentimento informado, expectativa, procedimento cirúrgico. SUMMARY Objective: To observe the information expected by patients/caretakers before signing consent form for different ENTsurgical procedures. Methods: Altogether 100 patients were interviewed with a standard questionnaire prior to any surgical procedure in department of ENT and Head and Neck Surgery of TU Teaching Hospital from September to November 2006. All questions were answered in written form. These records were analyzed by simple manual analysis using frequency and percentage. Results: Majority (96.0%) of patients were satisfied with the information given by doctors about their surgical procedure before doing surgery. However, 8.0% respondents looked for further information regarding their surgery in internets, various magazines, and talking to previously operated individuals. The mean waiting time for surgery was 4.2 months. There were 77.0% patients who could not list any complications. Ninety percent want to be informed about all known complications. Conclusion: Patients' expectation was quite high and majority of them wanted to be informed about all known complications. Whether Informed consent should include all the information regarding the surgical procedure is still debatable. However, it must include major complications after surgery.

Full-text

Download
0 Downloads
Available from
Apr 1, 2015