Faculty of Life Sciences & Medicine, King's College London, Guy's Campus, Great Maze Pond, London SE1 1UL, United Kingdom.
Department of Oral and Maxillofacial Surgery Great Western Hospitals, NHS Foundation Trust, Marlborough Road, Swindon SN3 6BB, United Kingdom.
Br J Oral Maxillofac Surg. 2023 Nov;61(9):628-630. doi: 10.1016/j.bjoms.2023.07.018. Epub 2023 Aug 19.
Obtaining informed consent is essential for any medical or dental procedure. Dentoalveolar surgery poses numerous risks due to the complex environment and anatomy of the oral cavity. Failure to seek and correctly document consent may lead to claims in negligence, as demonstrated by the increasing litigation in OMFS. We audited dentoalveolar surgery consent forms at two different UK OMFS units and found that many forms failed to document important material risks associated with procedures. In an attempt to improve the consent process, we developed a standardised form containing a list of risks for dentoalveolar surgery that can be affixed to the consent form. We suggest other OMFS units adopt this form to standardise the consent process and optimise patient care while protecting clinicians from medico-legal claims.
获得知情同意是任何医疗或牙科程序的必要条件。由于口腔环境和解剖结构复杂，齿槽外科手术存在诸多风险。如果未能寻求并正确记录同意书，可能会导致医疗过失索赔，颌面外科手术领域的诉讼不断增加就是明证。我们审核了两家不同的英国颌面外科手术单位的齿槽外科手术同意书，发现许多同意书未能记录与手术相关的重要实质性风险。为了改善同意书流程，我们开发了一份标准化表格，其中包含一份可附加在同意书的齿槽外科手术风险清单。我们建议其他颌面外科手术单位采用这种表格来标准化同意书流程，优化患者护理，同时保护临床医生免受医疗法律索赔。
