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INFORMED CONSENT FOR VASCULAR INTERVENTION IS IMPROVED BY DEPARTMENTAL AUDIT
Author(s) -
Lewis D. R.,
Carter K.,
Frampton C.,
Buckenham T. M.,
Roake J. A.
Publication year - 2007
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1111/j.1445-2197.2007.04123_2.x
Subject(s) - medicine , audit , informed consent , documentation , radiological weapon , vascular surgery , medical record , family medicine , medical emergency , surgery , alternative medicine , cardiac surgery , accounting , pathology , computer science , business , programming language
Aim To re‐audit documentation of consent in patients undergoing vascular procedures. Method A retrospective audit of elective vascular admissions from October 2005–2006 was undertaken to assess the impact of a previous audit (2005). Clinic letters, handwritten entries and consent forms were scrutinised and data collated on which doctors took consent, when consent was obtained, what details of the consent process were documented and whether additional information was made available. Results 99 notes were reviewed. For patients undergoing vascular surgery the consent form was signed by a consultant in 16 (32%) cases compared to 2 (4%) in the previous audit (p < 0.013). Significantly more vascular radiological consent forms were signed by a consultant (43) compared with surgical consent forms (16) (p < 0.001). Documentation that the risks of surgery had been discussed with the patient was present in 31 (62%) surgical notes. For radiological consent documentation, 34 (69.4%) patient notes recorded procedural risk. 22 (44.9%) of the vascular radiological patients had such risks documented in their outpatient notes by a vascular surgeon compared with 1 (2%) (p < 0.001) in the previous audit. Additional written information was given to 7 (14%) of the vascular surgical patients which was similar to the previous audit. Conclusions Significant improvements have been made since the previous audit with more surgical consultants signing the consent forms and increased documentation of the nature of radiological procedures and risks discussed in outpatient clinics. From the current audit provision of additional written information (patient information sheets) was an area identified for future improvement.