Informed consent for orthopaedic surgery: A prospective audit

A prospective audit of 76 patients undergoing elective orthopaedic surgery was performed. The aim of this audit was to assess how effectively patients are consented at a busy teaching hospital, and to suggest improvements to the process. Evaluates the level of information attained by patients after giving consent and their overall satisfaction with the process by use of a questionnaire. Results demonstrated that patients were often given incomplete information about their management. Despite this, patients themselves felt that the level of information given to them was appropriate, and allowed them to make an informed decision. Suggests the use of written information sheets and Internet Web sites to supplement the provision of information to patients. These modalities will allow patients to access as much information as they desire, while avoiding any potential anxiety due to provision of excess information.

[1]  D. J. Ferguson,et al.  Informed consent - who knows? Results of a hospital audit project , 2001 .

[2]  J. Mayberry,et al.  Towards better informed consent in endoscopy: a study of information and consent processes in gastroscopy and flexible sigmoidoscopy , 2001, European journal of gastroenterology & hepatology.

[3]  G. Neale Reducing risks in gastroenterological practice , 1998, Gut.

[4]  C. Caddy,et al.  Tax allowance for surgical telescopes , 1997 .

[5]  R. Page,et al.  Informed consent: are we doing enough? , 1997, British journal of plastic surgery.

[6]  M. Walsh,et al.  Informed consent from whom? , 1997, Journal of the Royal College of Surgeons of Edinburgh.

[7]  G C Rinehart,et al.  Computer-based multimedia in plastic surgery education. , 1994, Plastic and reconstructive surgery.

[8]  B. Soin,et al.  Informed consent: a case for more education of the surgical team. , 1993, Annals of the Royal College of Surgeons of England.

[9]  P. Dawes,et al.  Informed consent: the assessment of two structured interview approaches compared to the current approach , 1992, The Journal of Laryngology & Otology.

[10]  L. Rozovsky Consent to treatment. , 1973, British medical journal.

[11]  B. Cassileth,et al.  Informed consent -- why are its goals imperfectly realized? , 1980, The New England journal of medicine.