Literature DB >> 31858158

[Analysis of documented informed consent forms for computed tomography : Completeness and data quality in four clinics].

D Vogele1, O Schöffski2, K Efinger3, S A Schmidt4, M Beer4, D Kildal4.   

Abstract

BACKGROUND: Before performing a medical procedure, such as a computed tomography, an obligatory informed consent of the patient and its detailed documentation is necessary.
METHODS: A total of 1424 informed consent forms for contrast-enhanced computed tomography from four clinics with different healthcare levels were analyzed. Informed consent forms were evaluated related to completeness, legibility and quality.
RESULTS: In all, 1110 (77.9%) informed consent forms were sufficiently completed, 267 patients (18.8%) answered the form incompletely and 47 patients (3.3%) returned it without answering a question. Handwritten comments were found in 1391 (97.7%) cases. Thereof, 1329 (93.3%) were graded as detailed comments and 62 (4.4%) as less detailed comments. These comments were well legible in 675 (47.4%) cases, 558 (39.2%) informed consents showed limited legibility and in 158 (11.1%) more than 50% of the comments were unreadable. Signatures were complete in 1374 (96.5%) informed consent forms.
CONCLUSION: The results show a better quality and documentation of informed consent forms for computed tomography obtained by radiology residents compared to radiological specialists. Compared to the radiologists, the non-radiologists performed significantly worse. The establishment of videos and use of digital informed consent forms could provide a possible solution.

Entities:  

Keywords:  Documentation; Handwritten comments; Legibility; Patient briefing; Signature

Mesh:

Year:  2020        PMID: 31858158     DOI: 10.1007/s00117-019-00629-6

Source DB:  PubMed          Journal:  Radiologe        ISSN: 0033-832X            Impact factor:   0.635


  12 in total

1.  Completion of hand-written surgical consent forms is frequently suboptimal and could be improved by using electronically generated, procedure-specific forms.

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4.  [Admissibility of information on diagnostic CT and MRI procedures by MTRA (medical technician radiology assistant)].

Authors:  René T Steinhäuser
Journal:  Rofo       Date:  2011-07-12

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Journal:  Rofo       Date:  2016-02-23

Review 7.  Medical Liability and Patient Law in Germany: Main Features with Particular Focus on Treatments in the Field of Interventional Radiology.

Authors:  S A Sommer; R Geissler; U Stampfl; M B Wolf; B A Radeleff; G M Richter; H-U Kauczor; P L Pereira; C M Sommer
Journal:  Rofo       Date:  2015-12-30

8.  Can the documented patient briefing be carried out with an iPad app?

Authors:  Philipp Martin Schlechtweg; Matthias Hammon; Christian Heberlein; David Giese; Michael Uder; Siegfried Alexander Schwab
Journal:  J Digit Imaging       Date:  2013-06       Impact factor: 4.056

9.  Illegible handwriting in medical records.

Authors:  F Javier Rodríguez-Vera; Y Marín; A Sánchez; C Borrachero; E Pujol
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10.  High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Authors:  Maximilian J Hartel; Lukas P Staub; Christoph Röder; Stefan Eggli
Journal:  BMC Health Serv Res       Date:  2011-08-18       Impact factor: 2.655

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  1 in total

1.  Digitized and structured informed patient consent before contrast-enhanced computed tomography: feasibility and benefits in clinical routine.

Authors:  Markus Kopp; Jan Peter Roth; Frederik Geisler; Sascha Daniel; Theresa Ruettinger; Christoph Treutlein; Eva L Balbach; Rafael Heiss; Matthias Wetzl; Nouhayla El Amrani; Alexander Cavallaro; Michael Uder; Matthias S May
Journal:  Insights Imaging       Date:  2022-10-11
  1 in total

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