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Related Experiment Video

Updated: May 12, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Documenting informed consent in elective hip replacement surgery: a simple change in practice.

Jennifer Isherwood¹, Benjamin Dean, Hemant Pandit

¹Department of Surgery, Nuffield Orthopaedic Centre, Oxford, UK. jisherwood@doctors.org.uk

British Journal of Hospital Medicine (London, England : 2005)

|April 11, 2013

Summary

Introducing procedure-specific complication stickers significantly improved informed consent documentation for hip replacement patients. This simple measure enhanced patient care and satisfaction by ensuring better communication of risks and complications.

Related Experiment Videos

Last Updated: May 12, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Area of Science:

Medical Documentation
Patient Safety
Surgical Consent

Background:

Informed consent is crucial in healthcare, yet documentation of risks and complications can be inadequate.
Failures in documenting informed consent may lead to patient dissatisfaction and litigation.
An initial audit in 2009 highlighted deficiencies in documenting risks for primary hip replacement surgery.

Purpose of the Study:

To evaluate the effectiveness of introducing procedure-specific complication stickers in improving informed consent documentation.
To determine if this intervention led to significant improvements in documenting potential risks and complications for hip replacement patients.
To assess the impact of a simple, low-cost intervention on the quality of informed consent processes.

Main Methods:

A re-audit was conducted on 100 consecutive patients undergoing primary total hip replacement.
Standardized data collection sheets were used to assess consent forms.
The re-audit compared documentation practices before and after the introduction of procedure-specific complication stickers.

Main Results:

The use of procedure-specific complication stickers increased significantly, with 86% of forms utilizing them.
Statistically significant improvements were observed in the documentation of numerous complications, including fracture, neurovascular damage, and implant failure (P<0.0001).
Improvements were noted across a wide range of potential adverse outcomes, from medical complications to long-term issues like pain and stiffness.

Conclusions:

The implementation of procedure-specific complication stickers is a cost-effective and simple method to enhance informed consent documentation.
This intervention demonstrably improved the thoroughness of risk communication for hip replacement surgery.
Embracing such simple measures is vital for advancing patient-focused care and satisfaction within healthcare systems like the NHS.