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首页> 外文期刊>European journal of gastroenterology and hepatology >An audit of informed consent in gastroscopy: investigation of a hospital's informed consent procedure in endoscopy by assessing current practice.
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An audit of informed consent in gastroscopy: investigation of a hospital's informed consent procedure in endoscopy by assessing current practice.

机译：胃镜检查中知情同意书的审核：通过评估当前做法，调查医院内窥镜检查中的知情同意书程序。

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OBJECTIVE: To investigate, by assessing current practice, whether a UK general hospital's informed consent procedure in endoscopy was implemented for all patients, because informed consent is central to the proper conduct of endoscopic procedures. METHODS: A retrospective study of patients' medical notes, in which information written on the UK National Health Service (NHS) consent form and on a departmental leaflet on the gastroscopy procedure completed by the patient was assessed. Sampling began from 9 October 2003 until 100 patients were recorded. For each patient's record, a data collection sheet was completed. RESULTS: Of the 67 patient records assessed (33 were unavailable), all contained the NHS consent form with signatures from the practitioner and patient. The departmental leaflet was present for only 31 patients, and of these, 20 had a signature from the patient and one leaflet had a signature from the practitioner. The multiple choice test was completed for 28 of the 31 departmental leaflets and full marks were awarded for 17 of 28. Although 11 patients answered one or more questions incorrectly, a discussion of the correct answers was only found in two records. CONCLUSION: To achieve improved performance, a training/induction programme should explain the informed consent procedure and its importance. This should be supported by 'booster' training sessions to avoid the emergence of bad practice. These sessions should take advantage of evidence-based medicine via feedback from audits and discussions of litigation cases. Departmental leaflets and NHS consent forms should also be provided in other languages.
机译：目的：通过评估目前的实践情况，调查是否对所有患者均实施了英国综合医院的内镜检查知情同意程序，因为知情同意对于正确实施内窥镜检查至关重要。方法：回顾性研究患者的医疗记录，其中评估了在英国国家卫生局（NHS）同意书上以及部门完成的胃镜检查程序的部门传单上写的信息。从2003年10月9日开始取样，直到记录了100名患者。对于每个患者的记录，已完成数据收集表。结果：在评估的67位患者记录中（33位不可用），所有都包含NHS同意书，并附有从业者和患者的签名。部门传单仅针对31名患者，其中20份来自患者签名，一张传单具有从业者签名。在31个部门的传单中，有28个完成了多项选择测试，在28个中，有17个获得了满分。尽管11名患者错误地回答了一个或多个问题，但只有两个记录对正确答案进行了讨论。结论：为了获得更好的绩效，培训/入职计划应说明知情同意程序及其重要性。这应该辅以“助推器”培训课程，以免出现不良做法。这些会议应通过审计和诉讼案件讨论的反馈来利用循证医学。部门传单和NHS同意书也应以其他语言提供。

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