患者权利和同意表格语言关于手术内视听录制
Daniel R S Habib1, Kavita Prasad2, Marina Aweeda2
1Vanderbilt University School of Medicine, Nashville, TN, USA.
Surgical endoscopy
|July 17, 2025
概括
术内记录的知情同意文件往往缺乏有关患者权利和保障的详细信息. 这些文件的阅读水平明显超过了推标准,阻碍了患者的理解.
科学领域:
- 医疗信息学 医疗信息学
- 患者教育 患者教育
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 内部视听录音有助于提高质量,教育和研究.
- 记录的常规使用受到挑战的阻碍,包括缺乏患者沟通指南.
- 没有先前的研究分析了知情同意文件 (ICD) 如何处理手术内视听录音披露.
研究的目的:
- 分析与手术内视听录制相关的信息披露的主题和可读性的程序性同意表.
- 确定常见主题,并评估提供给患者关于记录的信息的语言可访问性.
- 为改善视听录制的知情同意流程的发展提供信息.
主要方法:
- 收集了来自104家美国大规模医院的ICD.
- 评估了医院的人口统计数据,弗莱什-金凯德读数水平和两个独立研究人员确定的记录主题.
- 使用顺序逻辑回归来分析主题分布和阅读水平与医院特征的关联.
主要成果:
- 在104个ICD中,有70个包含有关程序记录的信息.
- 所有形式都讨论了模式,94.3%讨论了目的,54.3%讨论了保障措施,14.3%讨论了患者权利.
- 阅读水平的中位数为15.0 (大学水平);较高的阅读水平和学术地位与更多的子主题相关.
结论:
- 大多数ICD充分涵盖记录方式和目的,但缺乏详细说明患者的保障和权利.
- ICD的中位数阅读水平明显超过了推的六年级到八年级的阅读水平.
- 调查结果强调,需要进行ICD修订,以包括基本主题,并使用易于理解的语言进行手术内记录披露.
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