'All by myself': interns' reports of their experiences taking consent in Irish hospitals.

Abstract:

BACKGROUND:Obtaining patient consent is a fundamental process in surgical practice and is integral in respecting and safeguarding patient autonomy. It has been reported that the task of consenting patients frequently lies with junior doctors, who have the least experience of the procedure. AIM:To examine the role of interns in the consent process in the Irish context as well as to identify their concerns. METHODS:A 12-point questionnaire, assessing interns' experience with surgical consent, was circulated to interns in three Irish university teaching hospitals based in different geographical locations. Interns who had never worked in a surgical team were excluded from the analysis. RESULTS:Out of 104 interns, 60 interns returned questionnaires. Of these, 58 (96.7%) had consented a patient for a surgical procedure. Forty-four interns (73.3%) had never been supervised by a senior doctor. Of the 58 interns who had obtained surgical consent, six interns (10.3%) reported knowledge of 'all' the steps of the procedure. Only five interns (8.6%) reported that they were aware of all the risks of the procedures and 34 interns (58.6%) reported they knew 'most' of the risks. Twenty-five interns (43%) reported that they had, at some point, been explained the risks of the procedures by a senior colleague. CONCLUSION:The majority of interns reported that they had taken consent for a procedure without full knowledge of the procedure and its complications. Supervision or instruction from a senior colleague was reported by a minority.

journal_name

Ir J Med Sci

authors

Heaney RM,Murray M,Heaney AM,Doherty EM

doi

10.1007/s11845-018-1782-5

subject

Has Abstract

pub_date

2019-02-01 00:00:00

pages

259-263

issue

1

eissn

0021-1265

issn

1863-4362

pii

10.1007/s11845-018-1782-5

journal_volume

188

pub_type

杂志文章
  • Biophysical fetal assessment--the Rotunda experience.

    abstract::The evaluation of fetal health using ultrasound to establish a biophysical profile in the Rotunda Hospital in 1987 is reported. The corrected perinatal mortality rate fell from 10.0 in 1986 to 6.9 per 1,000 for babies over 500g and from 5.9 in 1986 to 3.4 for babies over 1,000g. This was achieved without significant a...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02984636

    authors: Gaughan B

    更新日期:1989-07-01 00:00:00

  • Isolated pulmonary valve endocarditis: a rare or an underdiagnosed disease?

    abstract::A 48 year old patient with resistant coeliac disease developed prolonged unexplained pyrexia after surgery for small bowel volvulus. Despite extensive investigations and intensive antibiotic therapy, he deteriorated and died eight weeks postoperatively and significant isolated pulmonary valve endocarditis was discover...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02967092

    authors: Cherukuri AK,Maloney M,O'Briain DS,Weir DG

    更新日期:1994-11-01 00:00:00

  • Taurine attenuates radiation-induced lung fibrosis in C57/Bl6 fibrosis prone mice.

    abstract:INTRODUCTION:The amino acid taurine has an established role in attenuating lung fibrosis secondary to bleomycin-induced injury. This study evaluates taurine's effect on TGF-beta1 expression and the development of lung fibrosis after single-dose thoracic radiotherapy. METHODS:Four groups of C57/Bl6 mice received 14 Gy ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0389-2

    authors: Robb WB,Condron C,Moriarty M,Walsh TN,Bouchier-Hayes DJ

    更新日期:2010-03-01 00:00:00

  • Correlation between BIS and GCS in patients suffering from head injury.

    abstract:OBJECTIVES AND BACKGROUND:Glasgow coma scale (GCS) is considered an important parameter to predict the clinical outcome in head injury; however, in some cases such as the use of sedative drugs the estimate of GCS would not be precise. Bispectral index (BIS) is an electrophysiological parameter to determine the clinical...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-011-0768-3

    authors: Ebtehaj M,Yaqubi S,Seddighi AS,Seddighi A,Yazdi Z

    更新日期:2012-03-01 00:00:00

  • Idiopathic mesenteric thrombosis following caesarean section.

    abstract::Mesenteric venous thrombosis, "the great mimicker", is a very rare disorder in pregnancy and the puerperium, particularly when not associated with any pre-existing thrombophilia or autoimmune states. We describe a patient requiring a resection of 150 cm of gangrenous small bowel after uncomplicated elective Caesarean ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02945845

    authors: McGurgan P,Holohan M,McKenna P,Gorey TF

    更新日期:1999-07-01 00:00:00

  • Weekend surgical handover enhances early management of acute clinical changes using a red flag system.

    abstract:INTRODUCTION:Recent implementation of the European Working Time Directive in Ireland has resulted in a change from thetraditional model of patient care to a system characterised by shift work among clinicians. Effective handover ofpatient information is essential for transfer of responsibility between clinicians and ma...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-017-1675-z

    authors: White-Gibson A,Manole C,Kearney D,Kavanagh D

    更新日期:2018-05-01 00:00:00

  • Exploration of the acute scrotum: a retrospective analysis of 100 consecutive cases.

    abstract:BACKGROUND:Acute scrotal pain is a common urological emergency. Urgent exploration is the standard means of management, as no investigation can confidently exclude torsion of testis from the differential diagnoses. In our department, all patients up to the age of 40 years, presenting with acute scrotal pain undergo eme...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03173885

    authors: Hegarty PK,Walsh E,Corcoran MO

    更新日期:2001-07-01 00:00:00

  • Methods of recording theatre activity across publicly funded hospitals in Ireland.

    abstract:BACKGROUND:A review of theatre activity in all Health Service Executive (HSE) hospitals in Cork and Kerry in 2008 required a manual extraction of theatre activity data from largely paper-based log books. A key data management recommendation suggested that "a standardised computerised theatre log book system be develope...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1030-y

    authors: Cronin J,Healy O,Hegarty H,Murray D

    更新日期:2014-09-01 00:00:00

  • Hypersplenism is related to age of onset of liver disease.

    abstract:BACKGROUND:The aim of this study was to investigate whether hypersplenism is related to the age of onset of liver disease. METHODS:Hypersplenism was assessed in 84 consecutive cirrhotic patients attending a university hospital liver clinic. RESULTS:Hypersplenism was present in 78% of patients and severe in 39%. Sever...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-007-0089-8

    authors: McCormick PA,Walker S,Benepal R

    更新日期:2007-12-01 00:00:00

  • Parent-child relationships in gender identity disorder.

    abstract:OBJECTIVE:To describe the relationship between parents with gender identity disorder (GID) and their child(ren) as described by the parent and to understand how being a parent affects transitioning from one gender to the other. METHODS:Fourteen parents with GID underwent a semi-structured interview and completed the I...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1003-1

    authors: Church HA,O'Shea D,Lucey JV

    更新日期:2014-06-01 00:00:00

  • Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

    abstract:BACKGROUND:Medication discrepancies at the time of hospital discharge are common and can result in error, patient/carer inconvenience or patient harm. Providing accurate medication information to the next care provider is necessary to prevent adverse events. AIMS:To investigate the quality and consistency of medicatio...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0142-2

    authors: Grimes T,Delaney T,Duggan C,Kelly JG,Graham IM

    更新日期:2008-06-01 00:00:00

  • 'Breaking up is hard to do': perspectives of general practitioners and patients towards removals from GP lists.

    abstract:BACKGROUND:The numbers of removals of patients from General Practitioner lists in Ireland is increasing and is a cause for some concern. AIMS:To examine the views of both general practitioners and patients toward removals of patients from general practitioner lists. METHODS:Questionnaire survey to general practitione...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-007-0062-6

    authors: Clarke M,Whitford DL,O'Reilly F

    更新日期:2007-09-01 00:00:00

  • Anticholinesterases and the cholinergic link hypothesis with reference to the rabbit ear artery.

    abstract::1. Constrictor responses of the isolated perfused rabbit ear artery to electrical stimulation and to intraluminally applied noradrenaline and histamine have been studied before and after addition to the perfusate of the anticholinesterases neostigmine and physostigmine. 2. Both neostigmine (6×10(-5)-2.4×10(-4) mol/l) ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02939056

    authors: Wallace WF,Hobbs FM,Mock GR

    更新日期:1975-12-01 00:00:00

  • The microbiology of bacterial peritonitis due to appendicitis in children.

    abstract:AIM:The aim of this study was to investigate the microbiology of secondary bacterial peritonitis due to appendicitis and the appropriateness of current antimicrobial practice in one institution. METHODS:A 14-year retrospective single-centre study of 69 consecutive paediatric patients (age 1-14 years) with appendicitis...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1055-2

    authors: Obinwa O,Casidy M,Flynn J

    更新日期:2014-12-01 00:00:00

  • The cervical spine of professional front-row rugby players: correlation between degenerative changes and symptoms.

    abstract:BACKGROUND:Injuries to the cervical spine (C-spine) are among the most serious in rugby and are well documented. Front-row players are particularly at risk due to repetitive high-intensity collisions in the scrum. AIM:This study evaluates degenerative changes of the C-spine and associated symptomatology in front-row r...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0432-3

    authors: Hogan BA,Hogan NA,Vos PM,Eustace SJ,Kenny PJ

    更新日期:2010-06-01 00:00:00

  • Analysing the Society for Vascular Surgery and American Association for Vascular Surgery scoring systems for outcomes post-endovascular aortic repair.

    abstract:BACKGROUND AND AIMS:Assess the association between the Society for Vascular Surgery/American Association for Vascular Surgery (SVS/AVSS) (Rutherford et al., J Vasc Surg 26: 517-38, 1997; Chaikof et al., J Vasc Surg 35:1061-6, 2002) medical comorbidity scoring scheme (MCS), and the global scoring system (GS) and major m...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02160-y

    authors: Canning P,Doherty G,Tawfick W,Cîndea CN,Hynes N,Sultan S

    更新日期:2020-08-01 00:00:00

  • Effect of exogenous collagen I on tissue repair in the rabbit ear and regeneration of the rat liver.

    abstract::Collagen type I from rat tail was tested for its effect on wound healing of 6 male rabbits and on the regeneration of liver after partial hepatectomy in 15 male rats. It had a negligible effect on the rate of wound healing and a statistically significant acceleratory effect on regeneration of the rat liver. ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02942070

    authors: Whyte K

    更新日期:1989-11-01 00:00:00

  • The ratio of hemoglobin to red cell distribution width predicts survival in patients with gastric cancer treated by neoadjuvant FLOT: a retrospective study.

    abstract:BACKGROUND:Hemoglobin (HB) and red cell distribution width (RDW) are known to be prognostic in many cancer types. The HB-RDW ratio (HRR) is a new biomarker that has been shown to be predictive in some cancer types. However, the prognostic significance of HRR in patients with gastric cancer (GC) is unknown. AIMS:In thi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-019-02153-x

    authors: Yılmaz A,Mirili C,Tekin SB,Bilici M

    更新日期:2020-02-01 00:00:00

  • Imported childhood malaria: the Dublin experience, 1999-2006.

    abstract:AIMS:Imported childhood malaria has never been studied in Ireland. We aimed to document the incidence and species of malaria in children presenting to paediatric hospitals in Dublin and to examine management and outcome measures. METHODS:Subjects were identified through laboratory archives from the three paediatric ho...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0343-3

    authors: Leahy TR,Malikiwi A,Cafferkey M,Butler KM

    更新日期:2009-09-01 00:00:00

  • A novel technique for repair of iatrogenic tracheal tear complicating three-stage oesophagectomy.

    abstract::We report a rare case of iatrogenic tracheal tear during a three-stage oesophagectomy in a 76-year-old woman and review current literature. The tear occurred due to trauma from a double lumen endotracheal tube. We used a novel technique of repairing the tear, which extended to the carina, avoiding a second thoracotomy...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0169-4

    authors: Harney TJ,Condon ET,Lowe D,McAnena OJ

    更新日期:2009-09-01 00:00:00

  • Synchronous sigmoid and caecal cancers together with a primary renal cell carcinoma.

    abstract:BACKGROUND:Multiple primary neoplasms, a common clinical entity, can be classified as synchronous or metachronous. Renal cell carcinoma, in particular, is associated with a high rate of multiple primary neoplasms. METHODS:We report a case of a 67-year-old Caucasian woman, who was admitted with history of bleeding per ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0298-4

    authors: Bhargava A,O'Callaghan M,Abdelhafiz T,Downey P,Nasr A,Nibhraonain S,Davenport C,Donovan MG,Keeling P

    更新日期:2012-06-01 00:00:00

  • Universal precautions--do Irish anaesthetists comply?

    abstract:BACKGROUND:Anaesthetists are at high risk from blood-borne pathogens. Universal Precautions (UP) include the routine use of appropriate barrier precautions and techniques to reduce the likelihood of exposure to blood, body fluids and tissues that may contain pathogens. The compliance of Irish anaesthetists with these p...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF03167699

    authors: O'Rourke N,Bennett M,Porter J,Gallagher DJ,Shorten G

    更新日期:2000-07-01 00:00:00

  • Diosgenin prevents bone loss on retinoic acid-induced osteoporosis in rats.

    abstract:OBJECTIVE:To observe the preventive and therapeutic effects of diosgenin on retinoic acid-induced osteoporosis in rats. METHODS:A total 50 Sprague-Dawley rats were randomly divided into 5 groups: control group, model group (osteoporosis rats), low (10 mg kg(-1)), middle (30 mg kg(-1)), and high-dose diosgenin (90 mg k...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1309-2

    authors: Zhao S,Niu F,Xu CY,Liu Y,Ye L,Bi GB,Chen L,Tian G,Nie TH

    更新日期:2016-08-01 00:00:00

  • Mohs micrographic surgery for periocular skin tumours in Ireland.

    abstract:OBJECTIVE:To describe the shared care and outcomes of patients with periocular skin tumours who underwent Mohs micrographic surgery (MMS) performed by dermatologists, followed by oculoplastic reconstruction undertaken by ophthalmologists at two teaching and one private hospital in Ireland. RESEARCH DESIGN AND METHODS:...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-015-1296-3

    authors: Treacy MP,Wynne NC,Gale JL,Duignan E,Moran B,Flynn AM,Ormond P,Barry R,Khan R,Moriarty P,Cassidy L

    更新日期:2016-11-01 00:00:00

  • Urethral erosion of a bone screw after internal urethrotomy: a rare complication after pelvic trauma.

    abstract:BACKGROUND:Although screw breakage or loosening are rarely encountered, they were reported to occur after instability of the internal fixation. METHODS:A man with a history of traumatic pelvic fracture 6 months ago presented to our clinic with inability to void. An anterior urethral meatotomy was made and a calcified ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-008-0232-1

    authors: Onur R,Yilmaz E,Onur MR,Orhan I

    更新日期:2010-09-01 00:00:00

  • Disordered vascular compliance in haemochromatosis.

    abstract:BACKGROUND:A relationship may exist between body iron stores, endothelial dysfunction and overall cardiovascular risk. AIMS:To compare vascular compliance, biochemical endothelial function and antioxidant status between patients with homozygous hereditary haemochromatosis and healthy controls. METHODS:Haemochromatosi...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-013-1010-2

    authors: Cash WJ,O'Neill S,O'Donnell ME,McCance DR,Young IS,McEneny J,Cadden IS,McDougall NI,Callender ME

    更新日期:2014-06-01 00:00:00

  • Sudden cardiac death in the young: a 1-year post-mortem analysis in the Republic of Ireland.

    abstract:AIMS:A retrospective post-mortem analysis was undertaken to determine the aetiology of sudden cardiac death (SCD) amongst individuals aged

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/s11845-009-0294-8

    authors: Morris VB,Keelan T,Leen E,Keating J,Magee H,O'Neill JO,Galvin J

    更新日期:2009-09-01 00:00:00

  • Granulomatous hepatitis in secondary syphilis.

    abstract::An unusual case of a well-documented granulomatous hepatitis in secondary syphilis in a 47-year-old male is presented. This hepatic pathology in secondary syphilis is summarised, and a review of the literature regarding syphilitic granulomatous hepatitis presented. ...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章,评审

    doi:10.1007/BF02937251

    authors: Murray FE,O'Loughlin S,Dervan P,Lennon JR,Crowe J

    更新日期:1990-02-01 00:00:00

  • Efficacy of combination therapy in non-insulin dependent diabetes mellitus.

    abstract::Secondary failure of oral hypoglycaemic agents raises the dilemma of whether to institute therapy with insulin alone, or in combination. We reviewed our experience of combination therapy following secondary failure of oral hypoglycaemic therapy. Seventeen subjects were receiving combination therapy for 6 months or mor...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02944248

    authors: Griffin ME,Black N,Giblin L,O'Meara NM,Firth RG

    更新日期:1997-10-01 00:00:00

  • Urinary tract infection in general practice: direct antibiotic sensitivity testing as a potential diagnostic method.

    abstract::Direct Antibiotic Sensitivity Testing (DST) is a rapid means of diagnosing urinary tract infection (UTI) and obtaining antibiotic sensitivity patterns of the infecting organisms. In this study 227 urine samples from general practice were analysed using this technique with those obtained using the standard laboratory m...

    journal_title:Irish journal of medical science

    pub_type: 杂志文章

    doi:10.1007/BF02937439

    authors: Scully PG,O'Shea B,Flanagan KP,Falkiner FR

    更新日期:1990-04-01 00:00:00