PDF(Pubmed)
Abstract：
UNASSIGNED: In recent times, clinical negligence claims against National Health Service hospitals have doubled, with 8% of claims being made due to \"failure to warn/informed consent.\" This study aimed to assess the current compliance of the neurosurgical division within a large tertiary neuroscience center with the national legal framework and professional guidelines around the issue of surgical consent and to develop strategies to improve the consent process.
UNASSIGNED: Electronic patient records (EPR) were accessed to collect demographic data and information regarding the surgical procedures. Telephone questionnaires were carried out. Neurosurgical registrars were interviewed. The author met with the trust\'s Legal team, the neuropsychology lead, and the trust\'s consent lead.
UNASSIGNED: Fifty-eight patients were included in the analysis. Of the respondents to the questionnaire, 98% felt that they were adequately informed during the consent process. When consenting patients, all registrars felt that they explained the reason for the procedure, detailed benefits, and major risks, including uncommon and rare risks. However, 50% admitted to not specifically discussing the postoperative recovery time or alternatives. Only 15% admitted to documenting on the EPR or through a letter to the patient\'s General Practitioner.
UNASSIGNED: Informed consent is a delicate moment of communication between a clinician and the patient. Regular training and good communication skills help staff to focus on the most relevant aspects of consent, which should be delivered in an appropriate environment and with family support. Audio-visual aids can support the process but do not replace good communication.
UNASSIGNED: Electronic patient records (EPR) were accessed to collect demographic data and information regarding the surgical procedures. Telephone questionnaires were carried out. Neurosurgical registrars were interviewed. The author met with the trust\'s Legal team, the neuropsychology lead, and the trust\'s consent lead.
UNASSIGNED: Fifty-eight patients were included in the analysis. Of the respondents to the questionnaire, 98% felt that they were adequately informed during the consent process. When consenting patients, all registrars felt that they explained the reason for the procedure, detailed benefits, and major risks, including uncommon and rare risks. However, 50% admitted to not specifically discussing the postoperative recovery time or alternatives. Only 15% admitted to documenting on the EPR or through a letter to the patient\'s General Practitioner.
UNASSIGNED: Informed consent is a delicate moment of communication between a clinician and the patient. Regular training and good communication skills help staff to focus on the most relevant aspects of consent, which should be delivered in an appropriate environment and with family support. Audio-visual aids can support the process but do not replace good communication.
摘要：
■最近，针对国家卫生服务医院的临床过失索赔增加了一倍，8%的索赔是由于“未能警告/知情同意”而提出的。“这项研究旨在评估大型三级神经科学中心神经外科部门目前对手术同意问题的国家法律框架和专业指南的依从性，并制定改善同意程序的策略。
■电子病历(EPR)被访问以收集有关外科手术的人口统计数据和信息。进行了电话问卷调查。神经外科注册人员接受了采访。提交人会见了信托的法律团队，神经心理学的领导，和信托的同意线索。
■58名患者被纳入分析。在问卷的受访者中，98％的人认为他们在同意过程中得到了充分的信息。当患者同意时，所有注册服务商都认为他们解释了该程序的原因，详细的好处，和主要风险，包括不常见和罕见的风险。然而,50%承认没有具体讨论术后恢复时间或替代方案。只有15％的人承认通过EPR记录或通过给患者的全科医生的信。
■知情同意是临床医生和患者之间沟通的微妙时刻。定期培训和良好的沟通技巧有助于员工专注于最相关的同意方面，应在适当的环境和家庭支持下交付。视听辅助工具可以支持该过程，但不能取代良好的沟通。
■电子病历(EPR)被访问以收集有关外科手术的人口统计数据和信息。进行了电话问卷调查。神经外科注册人员接受了采访。提交人会见了信托的法律团队，神经心理学的领导，和信托的同意线索。
■58名患者被纳入分析。在问卷的受访者中，98％的人认为他们在同意过程中得到了充分的信息。当患者同意时，所有注册服务商都认为他们解释了该程序的原因，详细的好处，和主要风险，包括不常见和罕见的风险。然而,50%承认没有具体讨论术后恢复时间或替代方案。只有15％的人承认通过EPR记录或通过给患者的全科医生的信。
■知情同意是临床医生和患者之间沟通的微妙时刻。定期培训和良好的沟通技巧有助于员工专注于最相关的同意方面，应在适当的环境和家庭支持下交付。视听辅助工具可以支持该过程，但不能取代良好的沟通。
