ArticleThe Permanente journal2013
From the patient's perspective: is there a need to improve the quality of informed consent for surgery in training hospitals?
Article in The Permanente journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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The trial behind it
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Who cites it
9 citing papers in PubMed.
- Article
- Informed Consent in Shoulder and Elbow Surgery.Cureus · 2025Review
- Patient experience and decisional satisfaction with the informed consent process for elective gynecologic surgeries: A cross-sectional study.Annals of medicine and surgery (2012) · 2022Article
- Confidence level, challenges, and obstacles faced by orthopedic residents in obtaining informed consent.Journal of orthopaedic surgery and research · 2021Article
- Infringement of the right to surgical informed consent: negligent disclosure and its impact on patient trust in surgeons at public general hospitals - the voice of the patient.BMC medical ethics · 2019Article
- Article
- 'All by myself': interns' reports of their experiences taking consent in Irish hospitals.Irish journal of medical science · 2019Article
- How Does the Patient React After Reading the Informed Consent Form of a Gynecological Surgery? A Qualitative Study.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018Article
- Doctors' perspectives of informed consent for non-emergency surgical procedures: a qualitative interview study.Health expectations : an international journal of public participation in health care and health policy · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study was performed to evaluate the presurgical informed consent process at a training hospital in Jamaica.
methodsA postoperative survey was administered to all consecutive able and willing adult patients who underwent the presurgical informed consent process with surgical residents during a 5-week period. Information was collected on patient demographics and patients' perception and satisfaction with the informed consent process.
resultsThere were 210 surveys completed. Patients were unaware of the training status of the physician involved with their presurgical informed consent process in 48% of cases. Nineteen (9%) patients were instructed to sign a consent document without any discussion. An attempt was made to secure a signature after some discussion with the remaining 191 patients. Patients reported that details of the operation were discussed 74% of the time; potential benefits of the surgery, 72% of the time; potential morbidity, 84% of the time; potential mortality, 19% of the time; predicted postoperative course, 49% of the time; projected recovery, 26% of the time; and other treatment options, 33% of the time. Forty-five patients believed that they were instructed to sign the consent document with minimal discussion. At termination of the consent process, only 70% of the 210 patients reported that they signed the consent form voluntarily. Overall, 67% of patients thought the current informed consent process was unsatisfactory.
conclusionThe current informed consent process in use in the surgical training program at the University Hospital of the West Indies requires improvement to meet expected ethical and legal standards.
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