由放射引导手术单位的普通外科和核医学服务部门完成放射引导手术的知情同意书

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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引用次数: 0

摘要

目的确定三级医院放射引导手术中知情同意书错误的频率,并找出可能的原因或与更大错误风险相关的因素。材料和方法对核医学和普通外科服务机构完成的369项放射引导手术干预的知情同意书进行分析,并将表格的完成程度及其与责任医生、病理类型、干预和等待时间的相关性与另一专业的同意书完成情况进行比较。结果核医学的22份同意书和普通外科的71份同意书存在错误。最常见的错误是没有确定责任医生的身份(核医学17人,普通外科51人),第二常见的是没有文件(核医学2人,普通科20人)。根据主治医生的不同,所犯的错误存在显著差异,与其他变量没有显著相关性。结论责任医师是知情同意书填写错误风险较大的主要因素。需要进一步的研究来分析因果因素和可能的干预措施,以最大限度地减少错误。
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Completion of the informed consent in radioguided surgery by the General Surgery and Nuclear Medicine services of a radioguided surgery unit

Objective

To identify the frequency of errors in 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 methods

Informed consent forms of a total of 369 radioguided surgery interventions, completed by the Nuclear Medicine and General Surgery services, were analyzed, and the degree of completion of the forms and its correlation with the physicians responsible, type of pathology, intervention, and waiting time were compared with the completion of consent by another specialty.

Results

Errors were identified in 22 consent forms from Nuclear Medicine and 71 from General Surgery. The most common error was the absence of identification of the physician responsible (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, with no significant correlation with the other variables.

Conclusions

The physicians responsible were the main factor associated with a greater risk of error in the completion of informed consent forms. Further studies are needed to analyze the causal factors and possible interventions to minimize errors.

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