Division of Cardiovascular Diseases, Mayo Clinic, Jacksonville, Florida 32224, United States.
Int J Cardiol. 2010 Sep 3;143(3):227-9. doi: 10.1016/j.ijcard.2010.02.046. Epub 2010 Mar 4.
To identify whether our pre-procedure discussion of the risks of transesophageal echocardiography (TEE) as well as documentation in the electronic medical record (EMR) met the standard of care for informed consent.
Questionnaires were mailed to 500 patients who underwent a TEE at the Mayo Clinic Florida (MCF) requesting responses to questions that would identify how well the risks of the TEE procedure were discussed.
A positive response to the questions regarding the risks of TEE ranged from 75 to 95% and adequate documentation in the EMR revealed a 66% compliance rate.
Individual physician and institutional commitment to informed consent at MCF is reflected in the very positive response to our questionnaire for meeting the criteria of informed consent; however, the documentation of the procedure discussion fell below the desired rate.
确定我们在进行经食管超声心动图(TEE)检查前讨论该检查的风险,以及在电子病历(EMR)中记录相关内容的做法是否符合知情同意的标准。
我们向在佛罗里达州梅奥诊所(MCF)接受 TEE 的 500 名患者邮寄了调查问卷,要求他们回答一些问题,以了解 TEE 检查风险的讨论情况。
对 TEE 风险的问题回答为“是”的比例在 75%至 95%之间,而 EMR 中的充分记录显示符合率为 66%。
MCF 每位医生和机构对知情同意的承诺反映在我们对符合知情同意标准的问卷的非常积极的回应中;然而,程序讨论的记录率低于预期。