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Psychiatrists' documentation of informed consent

D Schachter1, I Kleinman

  • 1Department of Psychiatry and Public Health Sciences, University of Toronto, Clarke Division, Ontario.

Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
|December 30, 1998
PubMed
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Psychiatrists often do not document informed consent for antipsychotic medications, with chart reviews showing documentation in only 23% of cases. Improved documentation is crucial as it serves as the sole record of the consent process.

Area of Science:

  • Psychiatry
  • Medical Ethics
  • Health Informatics

Background:

  • Informed consent is a cornerstone of ethical medical practice, particularly for treatments involving significant risks and benefits.
  • Antipsychotic medications are widely used but carry potential side effects, necessitating thorough patient understanding and agreement.
  • The documentation of the informed consent process is vital for legal and ethical accountability.

Purpose of the Study:

  • To assess current psychiatrist attitudes and behaviors regarding informed consent for antipsychotic medication.
  • To evaluate the extent to which the informed consent process for antipsychotic medication is documented in patient records.

Main Methods:

  • A survey of 30 psychiatrists from teaching and non-teaching hospitals was conducted.
Keywords:
Empirical ApproachMental Health TherapiesProfessional Patient Relationship

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  • Participants completed questionnaires on their attitudes and practices related to informed consent documentation.
  • A retrospective review of patient charts was performed to verify documentation rates.

    • Main Results:

    • Psychiatrists reported inconsistent documentation of the informed consent process.
    • Chart reviews indicated that, on average, only 23% of patient charts contained documentation of informed consent.
    • Affiliation with a teaching hospital and frequent reading of medical journals correlated with higher documentation rates.

    Conclusions:

    • Routine documentation of the informed consent process for antipsychotic medication is not consistently practiced by psychiatrists.
    • Enhanced attention to documenting informed consent is recommended, as these records are essential for accountability.
    • The findings highlight a gap in clinical practice regarding the documentation of patient consent for antipsychotic treatments.