腹腔镜胆囊切除术同意程序的差异。
Variations in consenting practice for laparoscopic cholecystectomy.
作者信息
Chen A M, Leff D R, Simpson J, Chadwick S J D, McDonald P J
机构信息
Department of Gastroenterology, North West London Hospitals NHS Trust, London, UK.
出版信息
Ann R Coll Surg Engl. 2006 Sep;88(5):482-5. doi: 10.1308/003588406X114857.
INTRODUCTION
To compare the variations in consenting practice amongst trainees and consultant surgeons for laparoscopic cholecystectomy with specific reference to the documentation of significant risks of surgery.
PATIENTS AND METHODS
A proforma was devised which included significant and/or commonly recognised complications of laparoscopic cholecystectomy. This was then cross-referenced with the consent forms for the 80 patients included in the study and the documented risks explained in each case were noted.
RESULTS
The results showed that there is considerable variation between the three grades of clinicians involved in obtaining a patient's consent for laparoscopic cholecystectomy. There was a clear difference in emphasis of the significant complications depending on the seniority of the consenter. Over 80% of the consents in this study were still being obtained by junior staff.
CONCLUSIONS
More often than not, patients are not provided with consistent information to make an informed choice. We suggest that a preprinted consent form will provide a more uniform approach to consenting practice for laparoscopic cholecystectomy.
引言
比较实习医生和顾问外科医生在腹腔镜胆囊切除术同意程序上的差异，特别提及手术重大风险的记录情况。
患者与方法
设计了一份包含腹腔镜胆囊切除术重大和/或常见并发症的表格。然后将其与该研究中80例患者的同意书进行交叉对照，并记录每种情况下所解释的记录风险。
结果
结果显示，参与获取患者腹腔镜胆囊切除术同意书的三个级别临床医生之间存在相当大的差异。根据同意者的资历，在重大并发症的强调方面存在明显差异。本研究中超过80%的同意书仍由初级工作人员获取。
结论
通常情况下，患者没有得到一致的信息来做出明智的选择。我们建议，预先印制的同意书将为腹腔镜胆囊切除术的同意程序提供更统一的方法。
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