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Psychiatrists' documentation of informed consent: a representative survey
Debbie Schachter1, Irwin Kleinman
1Child, Youth and Family Program, Centre for Addiction and Mental Health, Toronto, Ontario. Debbie_Schachter@camh.net
Summary
Psychiatrists should document informed consent in patient records. Younger psychiatrists report more documentation of the informed consent process than older psychiatrists, though most favor recording it.
Area of Science:
- Medical Documentation
- Informed Consent
- Psychiatry
Background:
- Informed consent is a cornerstone of ethical medical practice.
- Documentation of the informed consent process ensures patient autonomy and legal protection.
Purpose of the Study:
- To review psychiatrists' documentation practices for informed consent.
- To assess Canadian psychiatrists' attitudes toward documenting informed consent.
Main Methods:
- A stratified random sample of Ontario psychiatrists was surveyed.
- A mailed self-report questionnaire was used to collect data.
Main Results:
- The response rate was 72%.
- 63% of psychiatrists routinely documented the informed consent process.
- Younger psychiatrists reported higher rates of documentation compared to older psychiatrists.
Conclusions:
- Significant differences exist in self-reported documentation behaviors between younger and older psychiatrists.
- Psychiatrists are encouraged to consistently document the informed consent process in clinical records.
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