Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Informed Consent powerpoint


Published on

Published in: Health & Medicine, Business
  • Be the first to comment

Informed Consent powerpoint

  1. 1. Reminders Turn off all pagers, cell phones, and computers during this educational session. You are required to participate in the group debriefing session when you have completed the Standardized Patient (SP) encounter. Please complete the “Pre-Program Self Assessment: Confidence Level” form
  2. 2. Informed Consent Module development supported by a grant from thePicker Institute / Gold Foundation 2010 Challenge Grant
  3. 3. Learning Objectives Describe the basic principles of shared decision- making Demonstrate key elements of the informed consent conversation Identify some potential challenges in the informed consent conversation 3
  4. 4. Expected Outcome Obtain informed consent consistent with professional standards and shared decision-making principles 4
  5. 5. Informed Consent Conversation 5
  6. 6. What did you think? 6
  7. 7. Setting the Environment Provide privacy Introduce self Determine who else should be present Ensure no interruptions Provide comfortable space Create welcoming environment. 7
  8. 8. Shared Decision-making Overview Identify that problem requires a shared decision- making process. Assess the patient’s information preferences and level of involvement in decision-making. Discuss management options and patient’s wishes. Confirm patient’s understanding and choice. 8
  9. 9. D-H Informed Consent Policy Overview Remember to perform hand hygiene Conversation  Introduce yourself & explain why you are there  Verify patient’s identity  Use plain language & avoid medical jargon  Discuss:  nature & purpose of procedure  risks, expected benefits  possible alternatives,  right to refuse treatment & possible consequences of refusal  Check for understanding 9
  10. 10. D-H Informed Consent Policy Overview Documentation includes both:  Consent Form:  Provider’s signature signifies that the conversation took place  Patient’s signature indicates consent & questions were solicited & answered  Must be dated & timed  Valid for 90 days  Recurring procedures-valid for one year  Note in record:  Summary of the conversation  Risks & benefits  Alternatives  Special circumstances or concerns  Patient decision regarding procedure / intervention 10
  11. 11. Challenges What are some challenges you have seen in obtaining informed consent? 11
  12. 12. Common Challenges: Incapacitated or Incompetent Patient Is there an Advance Directive? If not, who is legal next of kin? Is there time to go through guardianship process? Is the procedure urgent? Care Management can help! ALWAYS do what is in best interest of the patient! 12
  13. 13. Common Challenges: Treatment Refusal Competent patients have right to refuse interventions Confirm patient’s capacity to understand  Get help from another physician  Consider psychiatry consult  Consider ethics committee consult Medical staff provides medical information Involve Care Management as needed  Financial assistance 13
  14. 14. Common Challenges: Language Barrier Use an Interpreter unless patient refuses  Interpreter Coordinator may be reached at ext. 5-5792 during daytime hours (8am-5pm)  Call on-call Care Management staff during nights and weekends If patient refuses an interpreter, a family member may be used  Physician may request interpreter if uncomfortable 14
  15. 15. Consents for Minors Parents must legally consent for their children under 18 years of age Important to have assent from the adolescent patient 15
  16. 16. Partnering with Patients to Improve Safety Hand hygiene Two patient identifiers  Inpatient  Outpatient Verify  Procedure  Site Time out 16
  17. 17. What’s Next? Expectations Reminders(Mahmud, 2008) 17
  18. 18. References1. Pellerin M, Elwyn G, Rousseau M, Stacey D, Robitaille H, Legare F. Toward Shared Decision Making: Using the OPTION Scale to Analyze Resident-Patient Consultations in Family Medicine. Acad Med. 2011;86(8):1010-1018.2. Weiss BD. Removing Barriers to Better, Safer Care, Health Literacy and Patient Safety: Help Patients Understand, Manual for Clinicians. 2nd ed. American Medical Association Foundation and American Medical Association. 2007; Accessed December 15, 2009.3. Dartmouth Hitchcock Medical Center (DHMC). Informed Consent (Policy No. OCA.0007). DHMC Clinical Operations Policy Library. 2011; Accessed November 18, 2011.4. Henry Ford Health System Department of Medical Education. Informed Consent. [DVD]. Detroit, MI: Henry Ford Health System; 2009.5. Henry Ford Health System Department of Medical Education. Sharing Bad News. [DVD]. Detroit, MI: Henry Ford Health System; 2009.6. Mahmud A. File: Serious Discussion image by Ashfaq.JPG. Dhaka University Institute of Fine Arts; 2008. Wikimedia Commons. Accessed December 6, 2010.7. Wind LA, Van Dalen J, Muijtjens AMM, Rethans JJ. Assessing Simulated Patients in an Educational Setting: The MaSP (Maastricht Assessment of Simulated Patients). Medical Education, 39-44; 2004. 18