Fleischman Mark, Garcia Carlos
Department of Dermatology, University of Oklahoma Health Sciences Center, 619 NE 13th Street, Oklahoma City, OK 73104, USA.
Dermatol Surg. 2003 Sep;29(9):952-5; discussion 955. doi: 10.1046/j.1524-4725.2003.29251.x.
The issue of informed consent retention has not been previously addressed in dermatology literature. Several studies in other fields of medicine have shown that retention rates are below 50%.
To determine the percentage of complications recalled at 20 minutes and at 1 week after the informed consent process.
Eighty-five consecutive patients undergoing Mohs micrographic surgery were given verbal and written instructions, including 10 potential complications. Patients were asked to recall these complications at 20 minutes and at 1 week after the informed consent process.
Overall group retention rate at 20 minutes and at 1 week were 26.5% and 24.4%, respectively.
Patients undergoing elective Mohs micrographic surgery have an overall retention rate of 26.5% just 20 minutes after being informed of 10 possible complications. It is obvious that the informed consent protocol needs additional modalities in order to improve overall retention rates.
皮肤科文献中此前尚未涉及知情同意书留存率的问题。其他医学领域的多项研究表明，留存率低于50%。
确定在知情同意过程后20分钟和1周时能回忆起的并发症百分比。
连续85例接受莫氏显微外科手术的患者接受了口头和书面指导，其中包括10种潜在并发症。在知情同意过程后20分钟和1周时，要求患者回忆这些并发症。
总体而言，20分钟和1周时的留存率分别为26.5%和24.4%。
接受择期莫氏显微外科手术的患者在被告知10种可能并发症后仅20分钟，总体留存率为26.5%。显然，知情同意方案需要增加其他方式以提高总体留存率。
