Abstract:
:As the law around surgical consent continues to evolve, surgeons and those in training risk being caught red-faced and defenceless. Despite repeated concerns regarding surgical consent being raised by the General Medical Council of the UK, how much is changing on the National Health Service shop floor? This report investigates the variation between consenting practices for six common general surgical operations in 123 individual operations. Results showed that only 20% of mentioned operative complications for each operation were being documented on >75% of consent forms. The vast majority of mentioned complications were mentioned inconsistently, leading to patients being given grossly varying information preoperatively. Reassuringly, only 4.1% of consent procedures were done by those not in core surgical training (junior resident) or above, but nonetheless significant omissions were observed. When consenting a patient for an emergency exploratory laparotomy, an operation carrying a 14% chance of death, a risk of death was only documented in 28% of cases. Trainees failed to document the possibility of an orchidectomy in 30% of scrotal exploration cases. Data showed that complication incidences were only documented for 0.004% of the 721 complications mentioned in total, and a consent process was documented in the chronological notes in only 38% of cases. Seventy-seven per cent of surgical trainees surveyed across four UK deaneries stated that they would strongly support an online and mobile consenting resource detailing the recommended mentionable risks and incidences. Is it time for the traditional consenting approach to give way to an evidence-based gold standard?
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Loughran Ddoi
10.1136/medethics-2013-101931subject
Has Abstractpub_date
2015-02-01 00:00:00pages
206-10issue
2eissn
0306-6800issn
1473-4257pii
medethics-2013-101931journal_volume
41pub_type
杂志文章,评审abstract::Children participating in clinical research may show signs of discomfort, discontent, dissent and so on, that cannot be solved by comforting the child. When, and on what ground, should such signs lead to the decision to withdraw the child from the trial? In order to adequately protect children participating in clinica...
journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101987
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2012-101057
更新日期:2013-04-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2007.022038
更新日期:2008-06-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 历史文章,杂志文章
doi:10.1136/jme.5.2.76
更新日期:1979-06-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章,评审
doi:10.1136/jme.2003.007054
更新日期:2004-04-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.036293
更新日期:2011-02-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2019-105935
更新日期:2020-07-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.038356
更新日期:2011-04-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2002.002915
更新日期:2004-06-01 00:00:00
abstract::Perimortem gamete retrieval has been a possibility for several decades. It involves the surgical extraction of gametes which can then be cryo-preserved and stored for future use. Usually, the request for perimortem gamete retrieval is made by the patient's partner after the patient himself, or herself, has lost the ca...
journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2013-101727
更新日期:2015-06-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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journal_title:Journal of medical ethics
pub_type: 评论,杂志文章
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journal_title:Journal of medical ethics
pub_type: 传,历史文章,杂志文章
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2010.038901
更新日期:2011-05-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2006.019661
更新日期:2008-01-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2007.023226
更新日期:2008-09-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/medethics-2017-104503
更新日期:2018-08-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
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更新日期:1997-06-01 00:00:00
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journal_title:Journal of medical ethics
pub_type: 杂志文章
doi:10.1136/jme.2008.026559
更新日期:2009-04-01 00:00:00