Asking key questions in the consent process

Asking key questions in the consent process Chrimes and Marshall highlight in detail the practical complexities of the anaesthetic consent process within current clinical practice . Although consent has been specifically implicated in only 3% of all anaesthesia‐related claims, it is very likely a significant contributor in many other claims . Given the time constraints on my professional practice, there are two key questions I ask during the consent process that invite active patient participation in the consent process rather than their passive involvement. The first is ‘Is there anything else you would like to know?’, which I ask at the end of my pre‐operative assessment and explanations. It is very common for patients to then put forward queries relating to issues not covered before, such as risk of awareness under anaesthesia, allergic reaction, not waking up after general anaesthesia and the actual agents used to give anaesthesia etc.The second question I ask is ‘Are you satisfied with the explanations?’, at the end of sign‐in part of the WHO checklist. Some patients do have questions, often related to the surgical procedure itself and best answered by calling the surgeon into the anaesthetic room. Occasionally, patients refuse to proceed with surgery at this point, reflecting uncertainty in http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Anaesthesia Wiley

Asking key questions in the consent process

Anaesthesia , Volume 73 (4) – Jan 1, 2018

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Publisher
Wiley
Copyright
Copyright © 2018 The Association of Anaesthetists of Great Britain and Ireland
ISSN
0003-2409
eISSN
1365-2044
D.O.I.
10.1111/anae.14265
Publisher site
See Article on Publisher Site

Abstract

Chrimes and Marshall highlight in detail the practical complexities of the anaesthetic consent process within current clinical practice . Although consent has been specifically implicated in only 3% of all anaesthesia‐related claims, it is very likely a significant contributor in many other claims . Given the time constraints on my professional practice, there are two key questions I ask during the consent process that invite active patient participation in the consent process rather than their passive involvement. The first is ‘Is there anything else you would like to know?’, which I ask at the end of my pre‐operative assessment and explanations. It is very common for patients to then put forward queries relating to issues not covered before, such as risk of awareness under anaesthesia, allergic reaction, not waking up after general anaesthesia and the actual agents used to give anaesthesia etc.The second question I ask is ‘Are you satisfied with the explanations?’, at the end of sign‐in part of the WHO checklist. Some patients do have questions, often related to the surgical procedure itself and best answered by calling the surgeon into the anaesthetic room. Occasionally, patients refuse to proceed with surgery at this point, reflecting uncertainty in

Journal

AnaesthesiaWiley

Published: Jan 1, 2018

References

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