On-site electronic consent in pediatrics using generic Informed Consent Service (gICS): Creating a specialized setup

Katharina Danhauser1,2, Larissa Dorothea Lina Mantoan1,2, Jule Marie Dittmer1,2

  • 1Department of Pediatrics, Dr. von Hauner Children's Hospital, University Hospital, LMU Munich, Munich, Germany.

PLOS Digital Health
|November 25, 2024
PubMed

Insights

Electronic consent systems significantly reduce errors in pediatric studies. The generic Informed Consent Service (gICS) proved effective in capturing multiple consents for both clinical trials and biobank sample storage.

Area of Science:

  • Clinical Research Informatics
  • Pediatric Biobanking
  • Informed Consent Technology

Background:

  • Informed consent is essential for clinical trials and biobanking, especially in pediatric studies requiring assent from minors and consent from guardians.
  • Electronic consent systems offer potential benefits like error reduction and streamlined documentation of multiple consents.
  • Integrating electronic consent into existing research infrastructure presents challenges.

Purpose of the Study:

  • To evaluate the usability of the generic Informed Consent Service (gICS) for electronic consent in pediatric studies.
  • To assess the integration capabilities of gICS within a multi-user, multi-study research environment.
  • To compare the error rates of electronic versus paper-based consent processes.

Main Methods:

  • A 54-week study involving 1061 children and adolescents (ages 3-17) at a pediatric research setting.
  • Utilized the gICS for electronic consent and assent, with separate paper-based consent for biobanking.
  • Analyzed 2066 total consents/assents (945 paper-based, 1121 electronic).

Main Results:

  • Electronic consent significantly reduced error susceptibility by 94.7% compared to paper-based methods.
  • The gICS system was successfully implemented and integrated into the existing research infrastructure.
  • 1121 electronic consents and 945 paper-based consents were collected, including 348 participants for biobanking.

Conclusions:

  • The gICS is a viable and effective tool for electronic consent in pediatric research, including complex scenarios like biobanking.
  • Electronic consent systems demonstrably improve data integrity and reduce errors in pediatric clinical trials.
  • Successful implementation highlights the potential of gICS for broader application in various research studies.

Related Concept Videos

Nurses' Legal Responsibilities I01:27

Nurses' Legal Responsibilities I

In healthcare, informed consent is a crucial process that involves thoroughly communicating medical treatment options to patients, including benefits, risks, potential side effects, and alternatives. This process enables patients to make well-informed decisions about their care, ensuring they understand the implications of their choices before consenting to or refusing treatment.
The legal responsibilities of a nurse regarding informed consent include the following:
709
Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
797
Ethical Standards I01:25

Ethical Standards I

The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
774
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
824
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
842
Ethical Standards II01:23

Ethical Standards II

Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
647