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Insight in Information Provision Prior to Obtaining Surgical Informed Consent-by Audiotaping Outpatient Consultations
B B Burger1, M M Veerman2, M A Tellier3
1Department of Plastic Surgery, Isala Hospital Zwolle, Dokter van Heesweg 2, 8025 AB, Zwolle, The Netherlands. berendbburger@gmail.com.
World Journal of Surgery
|September 30, 2018
Summary
Surgical informed consent (SIC) discussions in the Netherlands often lack crucial details on risks and surgeons, despite ample consultation time. Discrepancies between audio recordings and written records highlight significant gaps in patient information delivery.
Area of Science:
- Medical Practice
- Patient Communication
- Surgical Consent
Background:
- Existing literature indicates deficiencies in the patient-informing process before surgical informed consent (SIC).
- This study investigates the current state of SIC practices within the Netherlands.
Purpose of the Study:
- To analyze the effectiveness and content of surgical informed consent discussions.
- To identify variations and discrepancies in SIC delivery and documentation.
Main Methods:
- A prospective, observational, multicenter study involving 41 outpatient consultations for Dupuytren Disease in Dutch hospitals.
- Audio recordings of consultations were analyzed using a checklist, and compared with written patient chart documentation.
- Consultation time dedicated to SIC was also recorded.
Main Results:
- Surgical informed consent discussions occupied 55.6% of consultation time, yet information on treatment risks, postoperative care, and the operating surgeon was minimally addressed.
- Significant discrepancies (59%) were found between audio recordings and written documentation of SIC.
- Variability in the amount and type of information provided was substantial across consultations.
Conclusions:
- Patients receive inadequate information regarding critical aspects of their surgery, including risks and surgeon identity, despite significant time allocation for SIC.
- Discrepancies between documented and actual SIC discussions were noted, particularly in institutions using standardized digital checklists.
- Improvements are needed to ensure comprehensive and accurate patient information during the SIC process.
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