Fay Xiangzhen Li1, Shireen Anne Nah1, Yee Low2. 1. KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. 2. KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. Electronic address: low.yee@kkh.com.sg.
Abstract
BACKGROUND/ PURPOSE: The purpose of this study was to evaluate parental retention of possible surgical complications in children undergoing emergency laparoscopic appendectomy. METHODS: A prospective pilot study involving parents whose children had emergency laparoscopic appendectomy was performed. Parents were counseled regarding 7 potential complications of laparoscopic appendectomy. They were asked to recall this list immediately after the consent process (immediate recall, IR) and before discharge from inpatient stay (delayed recall, DR). A score (0-7) was awarded indicating the number of correct answers. For each recall, parents were also reminded on complications they omitted (prompted recall). One surgeon administered all consents in person. Demographic data were collected. Data were reported as median (range). RESULTS: Twenty-one mothers and 10 fathers were recruited, aged 42 years (30-54). Nine (29%) had university or post-graduate education. Score for IR was 2 (0-6). Five (16%) parents scored 0. Upon prompting after IR, 20 (65%) parents had no impression of at least 1 complication. Score for DR was 2 (0-7), while 7 (23%) parents scored 0. At prompting after DR, 25 (81%) had no memory of at least one complication. Eight (26%) demonstrated improved DR scores. Scores were not affected by patient demographics or time between interviews. CONCLUSIONS: There is poor parental retention of information provided during operative consent. Hence, proper documentation of this process is essential.
BACKGROUND/ PURPOSE: The purpose of this study was to evaluate parental retention of possible surgical complications in children undergoing emergency laparoscopic appendectomy. METHODS: A prospective pilot study involving parents whose children had emergency laparoscopic appendectomy was performed. Parents were counseled regarding 7 potential complications of laparoscopic appendectomy. They were asked to recall this list immediately after the consent process (immediate recall, IR) and before discharge from inpatient stay (delayed recall, DR). A score (0-7) was awarded indicating the number of correct answers. For each recall, parents were also reminded on complications they omitted (prompted recall). One surgeon administered all consents in person. Demographic data were collected. Data were reported as median (range). RESULTS: Twenty-one mothers and 10 fathers were recruited, aged 42 years (30-54). Nine (29%) had university or post-graduate education. Score for IR was 2 (0-6). Five (16%) parents scored 0. Upon prompting after IR, 20 (65%) parents had no impression of at least 1 complication. Score for DR was 2 (0-7), while 7 (23%) parents scored 0. At prompting after DR, 25 (81%) had no memory of at least one complication. Eight (26%) demonstrated improved DR scores. Scores were not affected by patient demographics or time between interviews. CONCLUSIONS: There is poor parental retention of information provided during operative consent. Hence, proper documentation of this process is essential.
Authors: Christopher J Doig; Stacey A Page; Jessica L McKee; Ernest E Moore; Fikri M Abu-Zidan; Rosemary Carroll; John C Marshall; Peter D Faris; Matti Tolonen; Fausto Catena; Federico Cocolini; Massimo Sartelli; Luca Ansaloni; Sam F Minor; Bruno M Peirera; Jose J Diaz; Andrew W Kirkpatrick Journal: World J Emerg Surg Date: 2019-08-05 Impact factor: 5.469
Authors: Jeremy Furyk; Kris McBain-Rigg; Bronia Renison; Kerrianne Watt; Richard Franklin; Theophilus I Emeto; Robin A Ray; Franz E Babl; Stuart Dalziel Journal: BMC Med Ethics Date: 2018-11-20 Impact factor: 2.652