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Can a Checklist Improve the Informed Consent Process?

Eric Shirley1, Veronica H Mai2, Kevin M Neal3

  • 1Orthopaedics, Naval Medical Center Portsmouth, Portsmouth, USA.

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|March 11, 2021
PubMed
Summary
This summary is machine-generated.

An informed consent checklist for pediatric orthopedic surgery did not improve patient understanding or satisfaction. The study found the checklist may even negatively impact the family

Keywords:
checklistinformed consentshared decision making

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Area of Science:

  • Pediatric Surgery
  • Informed Consent Process
  • Patient Experience

Background:

  • Informed consent is crucial for patient understanding but often inadequate.
  • A novel checklist was developed to identify comprehension gaps in surgical consent.

Purpose of the Study:

  • To evaluate the impact of an informed consent checklist on family knowledge, satisfaction, experience, and decisional conflict.
  • To determine if a checklist improves the pediatric surgical informed consent process.

Main Methods:

  • Prospective randomized study comparing a checklist group to a traditional appointment group.
  • Families of pediatric orthopedic patients were randomized.
  • Outcomes measured included knowledge, satisfaction, experience, and decisional conflict.

Main Results:

  • No significant differences were found in satisfaction, decisional conflict, or knowledge between the groups.
  • The traditional group reported a more relaxed patient experience than the checklist group.
  • The checklist did not enhance, and potentially worsened, the consent experience for some families.

Conclusions:

  • The informed consent checklist did not improve the understanding or experience of families undergoing pediatric orthopedic surgery.
  • Alternative methods are needed to optimize the informed consent process.
  • The checklist approach may negatively affect the family's perception of the consent experience.