Re-emerging Covid-19: Covid-19 specific consent in emergency and trauma surgery is here to stay longer.
EAES Academy. Kumar D. 07/05/22; 363200; P264
Mr. Dileep Kumar
Contributions
Contributions
Abstract
Background:
Covid-19 has been proven to be additional peri-operative risk factor associated with significant increased risk of morbidity and mortality. GMC in light of Montgomery case, recommends discussing all material risks with patients during consent process. NHS Tayside introduced Covid-19 specific consent forms during the first wave, which was well utilized in elective surgery but was variably used across all surgical specialties during emergency and trauma surgery. This poses significant risk of clinical negligence and possible litigation.
Aim: This study reviews compliance of Covid-19 specific consent in emergency and trauma surgery, identifies factors for poor compliances and set processes to improve compliance.
Methods:
This is prospective audit of Covid-19 specific consent for all emergency and trauma cases performed on CEPOD list for 1 week in Ninewells hospital, NHS Tayside. Outcomes of poor compliance analyzed and 3 step intervention made, including sharing outcomes with relevant surgical departments, ensuring availability of Covid-19 specific consent forms by stapling it with generic consent forms and making changes in CEPOD theatre booking form to ensure all adult patients (18 & above) have Covid-19 specific consent at the time of theatre booking. We re-audited our practice and seen massive increase in compliance.
Results:
During first audit cycle we 92 patients were operated on CEPOD list and 81(88%) were enrolled for the study. 27 out of 81(33.3%) had Covid-19 related risk mentioned on routine form and only 1 patient had Covid-19 specific consent. We discussed the findings in Clinical effectiveness meeting and identified lack of insight, poor availability of consent forms and lack of supervision being main reasons of poor compliance. We shared the outcomes with all surgical departments to increase awareness, ensured availability of Covid-19 specific consent forms and made Covid-19 consent mandatory for CEPOD theatre booking. During second prospective audit cycle, 81 patients operated ,72(88.8%) had Covid-19 consent, 2 patients had AWI and 1 child.
Conclusion:
Covid-19 specific consent is mandatory in current ongoing pandemic and simple 3-step process of informing, helping and policing can improve compliance.
Covid-19 has been proven to be additional peri-operative risk factor associated with significant increased risk of morbidity and mortality. GMC in light of Montgomery case, recommends discussing all material risks with patients during consent process. NHS Tayside introduced Covid-19 specific consent forms during the first wave, which was well utilized in elective surgery but was variably used across all surgical specialties during emergency and trauma surgery. This poses significant risk of clinical negligence and possible litigation.
Aim: This study reviews compliance of Covid-19 specific consent in emergency and trauma surgery, identifies factors for poor compliances and set processes to improve compliance.
Methods:
This is prospective audit of Covid-19 specific consent for all emergency and trauma cases performed on CEPOD list for 1 week in Ninewells hospital, NHS Tayside. Outcomes of poor compliance analyzed and 3 step intervention made, including sharing outcomes with relevant surgical departments, ensuring availability of Covid-19 specific consent forms by stapling it with generic consent forms and making changes in CEPOD theatre booking form to ensure all adult patients (18 & above) have Covid-19 specific consent at the time of theatre booking. We re-audited our practice and seen massive increase in compliance.
Results:
During first audit cycle we 92 patients were operated on CEPOD list and 81(88%) were enrolled for the study. 27 out of 81(33.3%) had Covid-19 related risk mentioned on routine form and only 1 patient had Covid-19 specific consent. We discussed the findings in Clinical effectiveness meeting and identified lack of insight, poor availability of consent forms and lack of supervision being main reasons of poor compliance. We shared the outcomes with all surgical departments to increase awareness, ensured availability of Covid-19 specific consent forms and made Covid-19 consent mandatory for CEPOD theatre booking. During second prospective audit cycle, 81 patients operated ,72(88.8%) had Covid-19 consent, 2 patients had AWI and 1 child.
Conclusion:
Covid-19 specific consent is mandatory in current ongoing pandemic and simple 3-step process of informing, helping and policing can improve compliance.
Background:
Covid-19 has been proven to be additional peri-operative risk factor associated with significant increased risk of morbidity and mortality. GMC in light of Montgomery case, recommends discussing all material risks with patients during consent process. NHS Tayside introduced Covid-19 specific consent forms during the first wave, which was well utilized in elective surgery but was variably used across all surgical specialties during emergency and trauma surgery. This poses significant risk of clinical negligence and possible litigation.
Aim: This study reviews compliance of Covid-19 specific consent in emergency and trauma surgery, identifies factors for poor compliances and set processes to improve compliance.
Methods:
This is prospective audit of Covid-19 specific consent for all emergency and trauma cases performed on CEPOD list for 1 week in Ninewells hospital, NHS Tayside. Outcomes of poor compliance analyzed and 3 step intervention made, including sharing outcomes with relevant surgical departments, ensuring availability of Covid-19 specific consent forms by stapling it with generic consent forms and making changes in CEPOD theatre booking form to ensure all adult patients (18 & above) have Covid-19 specific consent at the time of theatre booking. We re-audited our practice and seen massive increase in compliance.
Results:
During first audit cycle we 92 patients were operated on CEPOD list and 81(88%) were enrolled for the study. 27 out of 81(33.3%) had Covid-19 related risk mentioned on routine form and only 1 patient had Covid-19 specific consent. We discussed the findings in Clinical effectiveness meeting and identified lack of insight, poor availability of consent forms and lack of supervision being main reasons of poor compliance. We shared the outcomes with all surgical departments to increase awareness, ensured availability of Covid-19 specific consent forms and made Covid-19 consent mandatory for CEPOD theatre booking. During second prospective audit cycle, 81 patients operated ,72(88.8%) had Covid-19 consent, 2 patients had AWI and 1 child.
Conclusion:
Covid-19 specific consent is mandatory in current ongoing pandemic and simple 3-step process of informing, helping and policing can improve compliance.
Covid-19 has been proven to be additional peri-operative risk factor associated with significant increased risk of morbidity and mortality. GMC in light of Montgomery case, recommends discussing all material risks with patients during consent process. NHS Tayside introduced Covid-19 specific consent forms during the first wave, which was well utilized in elective surgery but was variably used across all surgical specialties during emergency and trauma surgery. This poses significant risk of clinical negligence and possible litigation.
Aim: This study reviews compliance of Covid-19 specific consent in emergency and trauma surgery, identifies factors for poor compliances and set processes to improve compliance.
Methods:
This is prospective audit of Covid-19 specific consent for all emergency and trauma cases performed on CEPOD list for 1 week in Ninewells hospital, NHS Tayside. Outcomes of poor compliance analyzed and 3 step intervention made, including sharing outcomes with relevant surgical departments, ensuring availability of Covid-19 specific consent forms by stapling it with generic consent forms and making changes in CEPOD theatre booking form to ensure all adult patients (18 & above) have Covid-19 specific consent at the time of theatre booking. We re-audited our practice and seen massive increase in compliance.
Results:
During first audit cycle we 92 patients were operated on CEPOD list and 81(88%) were enrolled for the study. 27 out of 81(33.3%) had Covid-19 related risk mentioned on routine form and only 1 patient had Covid-19 specific consent. We discussed the findings in Clinical effectiveness meeting and identified lack of insight, poor availability of consent forms and lack of supervision being main reasons of poor compliance. We shared the outcomes with all surgical departments to increase awareness, ensured availability of Covid-19 specific consent forms and made Covid-19 consent mandatory for CEPOD theatre booking. During second prospective audit cycle, 81 patients operated ,72(88.8%) had Covid-19 consent, 2 patients had AWI and 1 child.
Conclusion:
Covid-19 specific consent is mandatory in current ongoing pandemic and simple 3-step process of informing, helping and policing can improve compliance.
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