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Current use of procedure specific consent forms for laparoscopic cholecystectomy
1City Hospitals Sunderland NHS Foundation Trust , UK.
Annals of the Royal College of Surgeons of England
|July 3, 2018
Summary
Few National Health Service (NHS) trusts use procedure-specific consent forms (PSCFs) for cholecystectomy, and those that do often lack comprehensive risk details. Standardized PSCFs are recommended to improve patient consent for surgical risks.
Area of Science:
- Surgical Safety
- Informed Consent
- Healthcare Quality Improvement
Background:
- Procedure-specific consent forms (PSCFs) can enhance patient understanding of surgical risks.
- Current practice for cholecystectomy consent within the National Health Service (NHS) is not well-documented.
Purpose of the Study:
- To evaluate the utilization and quality of PSCFs for cholecystectomy in the NHS.
- To compare complications listed on PSCFs with those on the NHS Choices website.
Main Methods:
- A freedom of information request surveyed NHS trusts regarding cholecystectomy PSCF use.
- Complications listed on obtained PSCFs were cross-referenced with the NHS Choices website.
Main Results:
- Only 17% of responding NHS trusts performing cholecystectomies utilize PSCFs.
- 25% of PSCFs included all eight risks listed on the NHS website; listed risks varied widely (4-18).
- Bile duct injury was universally listed, while general anesthetic risk was least frequent (45%).
Conclusions:
- Underutilization and inadequate detail in current PSCFs for cholecystectomy are significant issues.
- A nationally standardized list of complications for PSCFs is recommended to ensure comprehensive informed consent.
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