Ahmad Riaz, Shobaki Sultan, Etezadi Vahid, Raju Selvi, Case Ruth
Department of Orthopaedics, Weston General Hospital, 4 Staff Residences, Uphill Road South, Uphill, Weston-Super-Mare, BS23 4TQ, UK.
Int Orthop. 2009 Oct;33(5):1311-3. doi: 10.1007/s00264-009-0767-4. Epub 2009 Apr 4.
Health professionals have a legal and ethical obligation to obtain a valid consent before any procedure. The aim of this study was to assess the adequacy of consent for treatment of distal radius fractures. It also outlines potential improvements that could be made. A study of patients undergoing treatment for distal radius fracture was undertaken. We analysed the risks and complications recorded on the consent form. The common recorded risks were infection (95.6%), vascular injuries (77.8%), nerve injuries (66.7%) and stiffness (42.2%); 31.1% of the consent forms had abbreviations. Junior doctors who consented the patients performed 6.7% of the procedures. The poor documentation of risks or complications indicates that patients are not given appropriate information to ensure that the consent is valid. Proper documentation and refining of consent forms is mandatory to ensure that all major risks are understood by patients. This could go a long way in preventing litigation.
医疗专业人员在进行任何手术前都有法律和道德义务获得有效的同意。本研究的目的是评估桡骨远端骨折治疗同意书的充分性。它还概述了可以做出的潜在改进。对接受桡骨远端骨折治疗的患者进行了一项研究。我们分析了同意书上记录的风险和并发症。常见记录的风险有感染（95.6%）、血管损伤（77.8%）、神经损伤（66.7%）和僵硬（42.2%）；31.1%的同意书有缩写。为患者签署同意书的初级医生实施了6.7%的手术。风险或并发症记录不完善表明患者没有得到适当的信息以确保同意是有效的。必须妥善记录并完善同意书，以确保患者了解所有主要风险。这在很大程度上有助于预防诉讼。
