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Informed consent for invasive procedures in the emergency department
Max M Feinstein1, Janet Adegboye2, Joshua D Niforatos3
1Department of Anesthesiology, Mount Sinai Hospital, New York, NY, USA.
The American Journal of Emergency Medicine
|February 11, 2020
Summary
Informed consent in the emergency department (ED) requires careful consideration of patient capacity and decision-making. This review summarizes key themes in ED informed consent research, including education and surrogate decision-making.
Area of Science:
- Medical Ethics
- Emergency Medicine
- Informed Consent Research
Background:
- Informed consent in the emergency department (ED) presents unique ethical and medical challenges.
- Patient capacity and emergent conditions necessitate nuanced approaches to decision-making.
- Understanding stakeholder experiences is crucial for improving ED informed consent practices.
Purpose of the Study:
- To conduct a narrative review summarizing existing research on informed consent for procedures in the emergency department.
- To identify and categorize the primary themes and outcomes addressed in the literature.
Main Methods:
- A systematic literature search was performed using Medline, Cochrane database, and Clinicaltrials.gov.
- Inclusion criteria focused on studies where informed consent in the ED was a primary outcome.
- Data extracted included study details, participant types, and primary outcomes.
Main Results:
- Fifteen articles were included in the final review.
- Common themes identified were medical education (7/15), surrogate decision-making (5/15), and patient understanding (4/15).
- Community notification was the least frequently addressed theme (1/15).
Conclusions:
- Research on informed consent in the ED covers diverse aspects of the process.
- This review synthesizes the current body of work on informed consent for emergency procedures.
- Further research may be needed to address less common themes like community notification.
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