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Checklist to improve informed consent process in pediatric surgery: A pilot study.

Mohammed Firdouse1, Amy Wajchendler2, Martin Koyle3

  • 1Faculty of Medicine, University of Toronto, Toronto, ON.

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Summary

A new checklist standardizes surgical informed consent by improving surgeon explanations of treatments and outcomes. However, it did not significantly impact patient satisfaction or anxiety levels.

Keywords:
ChecklistCommunicationInformed consentPatient satisfactionPediatric surgery

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Area of Science:

  • Medical Education
  • Surgical Safety
  • Patient Communication

Background:

  • Standardizing the surgical informed consent process is crucial for patient safety and ethical practice.
  • Current methods of informed consent may lack consistency, potentially leading to variations in patient understanding and satisfaction.

Purpose of the Study:

  • To develop and validate a checklist aimed at standardizing the surgical informed consent process.
  • To assess the impact of the checklist on the quality of information provided during consent and on patient/guardian satisfaction and anxiety levels.

Main Methods:

  • A checklist was developed based on a literature review.
  • Surgical consent procedures in general surgery and urology were observed before and after checklist implementation.
  • Patients/guardians completed satisfaction questionnaires, and healthcare professionals were interviewed about the checklist's utility.

Main Results:

  • The checklist significantly increased the frequency of surgeons explaining alternative treatments, the role of trainees, and the outcomes of not pursuing surgery.
  • Patient/guardian satisfaction scores showed a significant increase in general surgery but not in urology or overall.
  • No significant changes were observed in patient/guardian anxiety levels across all groups post-intervention.

Conclusions:

  • The developed checklist effectively aids in standardizing the surgical informed consent process.
  • While the checklist improved the comprehensiveness of information provided, it did not significantly alter patient/guardian satisfaction or anxiety levels.