AUDIT OF ENT CONSENT FORMS.ppt
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Transcript of AUDIT OF ENT CONSENT FORMS.ppt
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MR A EL-KHOLYMr S SISTUDr H VADDI
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AIM OF AUDITTo evaluate the appropriateness in filling the
consent forms.To identify and highlight the deficient areas ,
make changes and improve practice.
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METHOD
100 ENT consent forms obtained from the medical records retrospectively and studied.
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CONSENT FORM
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CONSENT FORM contd... 7) Nature of anaesthetic 8) Signature, name, job title of person taking
consent and date of consent 9) Patient’s/Parent’s (in case of children)name,
signature and date of consent 10)Witness’ name, signature and date of consent 11) Interpreter's Name, signature and date. 12) copy of consent accepted by patient – Yes/No 13) confirmation of consent on the day of OP by
operating surgeon.
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ADDRESSOGRAPHAttached on - 97Hand written on - 3
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CONSULTANT’S NAME &TITLE
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NAME OF THE PROCEDURE
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DISCUSSION OF BENEFITS AND SERIOUSLY OCCURING RISKS
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EXTRA PROCEDURES
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INFORMATION LEAFLET 76 out of 100 are routine ENT
procedures with information leaflets available.
44 - recorded to have received 32 - not recorded
24 out of 100 are not routine procedures with Leaflets not available eg;
Excision of thyroglossal cyst, Excision of skin lesions eg;
BCC, sebaceous cysts, keloid scars,
EUA PNS, EUA Ear, Tongue tie release, Removal of grommet, Removal of stone from SMG
duct, Laser turbinectomy
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CONFIRMATION OF CONSENT91 – confirmed on
the day of op 11 – consented the
same day op
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PATIENT COPY 74 patients have
received the patient copy
( 40 marked, 34 not marked)
26 patients didn’t receive
0 – not accepted
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Nature of anaesthetic – recorded in all 100Signed by a health professional in all 100Signed by patient in all 100
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SUMMARYPatient details , Nature of procedure, risks and
benefits, nature of anaesthetic , confirmation of consent, health professional’s signature and patient’s signature have been recorded legibly and appropriately ON ALL 100 consent forms.
24% of patient’s didn’t receive patient copy.In 25 /35 - extra procedures/ blood transfusion –
not markedInformation leaflets are available for 74 / 100 .
44 / 74 were marked to have received the leaflets.
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RECOMMENDATIONSTo print consultant’s name and job title on all
consent formsWhere appropriate the extra procedures box to be
ticked .Information leaflets when available to be given and
marked in the consent forms for all patients.Patient’s copy of consent form to be given and
marked in the consent form for all patients.Prepare information leaflets for uncommon
procedures?
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