Cumplimentación del consentimiento informado en cirugía radioguiada por los servicios de Cirugía General y Medicina Nuclear de una unidad de cirugía radioguiada

IF 1.6 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Revista Espanola De Medicina Nuclear E Imagen Molecular Pub Date : 2023-07-01 DOI:10.1016/j.remn.2023.04.005
P. Jiménez-Granero , J.I. Rayo-Madrid , J.R. Infante-de-la-Torre , J. Serrano-Vicente , A. Martínez-Esteve , A. Baena-García , A. Utrera-Costero , R. Juárez-Vela
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Abstract

Objective

To identify the frequency of errors in the informed consent documents in radioguided surgery in a third level hospital and to detect possible causes or factors associated with a greater risk of error.

Material and method

The informed consents of a total of 369 radioguided surgery interventions, completed by the Nuclear Medicine and General Surgery services, were analyzed, as well as their degree of completion and its correlation with responsible physicians, type of pathology and intervention, waiting time and completion of the consent of the other specialty.

Results

Errors were identified in 22 consent forms for Nuclear Medicine and 71 consent forms for General Surgery. The most common error was the absence of identification of the responsible physician (17 in Nuclear Medicine, 51 in General Surgery), and the second most common was the absence of a document (2 in Nuclear Medicine, 20 in General Surgery). There were significant differences in the errors made depending on the doctor in charge, without finding a significant correlation with the other variables.

Conclusions

The responsible physicians were the main factor associated with a greater risk of error in the completion of informed consent. New studies would be recommended to analyze causal factors and possible interventions to minimize errors.

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在放射制导外科单位的普通外科和核医学服务下完成放射制导外科的知情同意
目的了解某三级医院放射指导手术知情同意文件错误发生的频率,并找出可能导致错误发生风险较大的原因或相关因素。材料与方法分析核医学与普外科科室完成的369例放射引导手术干预的知情同意情况,并分析其知情同意完成程度及其与责任医师、病理类型、干预类型、等待时间、其他专科知情同意完成情况的相关性。结果22份核医学知情同意书和71份普通外科知情同意书存在错误。最常见的错误是缺少负责医师的身份证明(核医学17例,普通外科51例),第二常见的错误是缺少文件(核医学2例,普通外科20例)。根据主治医生的不同,所犯的错误有显著差异,而与其他变量没有发现显著的相关性。结论责任医师是导致知情同意填写错误风险增加的主要因素。建议进行新的研究,分析病因和可能的干预措施,以尽量减少错误。
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来源期刊
Revista Espanola De Medicina Nuclear E Imagen Molecular
Revista Espanola De Medicina Nuclear E Imagen Molecular RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.10
自引率
16.70%
发文量
85
审稿时长
24 days
期刊介绍: The Revista Española de Medicina Nuclear e Imagen Molecular (Spanish Journal of Nuclear Medicine and Molecular Imaging), was founded in 1982, and is the official journal of the Spanish Society of Nuclear Medicine and Molecular Imaging, which has more than 700 members. The Journal, which publishes 6 regular issues per year, has the promotion of research and continuing education in all fields of Nuclear Medicine as its main aim. For this, its principal sections are Originals, Clinical Notes, Images of Interest, and Special Collaboration articles.
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