Soin B, Smellie W A, Thomson H J
Department of Surgery, Addenbrooke's Hospital, Cambridge.
Ann R Coll Surg Engl. 1993 Jan;75(1):62-5.
A questionnaire was given to 37 members of staff of the Department of Surgery, Addenbrooke's Hospital, Cambridge, in order to determine whether their knowledge was adequate to give accurate information to patients regarding operations and thus to obtain properly informed consent for that operation. Each participant was asked to estimate the 24-h and 30-day mortality for five common elective operations. A wide range of answers was given for operations by all groups. Estimates of 24-h mortality after unilateral inguinal herniorrhaphy differed between staff grades by a factor of 3, but estimates of 24-h mortality after thyroidectomy differed by a factor of 100 between consultant surgeons and staff nurses. Our findings suggest that some members of the surgical team have insufficient knowledge about common operations to obtain properly informed consent from patients.
为了确定剑桥阿登布鲁克医院外科部门的37名工作人员是否具备足够的知识，以便能向患者提供有关手术的准确信息，从而获得该手术的适当知情同意，研究人员向他们发放了一份问卷。每位参与者都被要求估计五种常见择期手术的24小时和30天死亡率。所有组对手术的回答范围都很广。不同职级的工作人员对单侧腹股沟疝修补术后24小时死亡率的估计相差3倍，但顾问外科医生和护士对甲状腺切除术后24小时死亡率的估计相差100倍。我们的研究结果表明，手术团队的一些成员对常见手术的了解不足，无法从患者那里获得适当的知情同意。
