Quality Improvement Clinical Trial
Official title:
Delivering High Quality Documentation on Operative Consent Forms; A UK Major Trauma Centre Quality Improvement Study
A Quality Improvement Project was undertaken to improve the completion of operative consent forms within a UK hospital plastic surgery department. Four weekly interventions were made which were accompanied by four further data collection cycles.
Background Royal College of Surgeons guidelines exist on the importance of full, accurate and
legible completion of consent forms as a key part of the process of gaining informed consent.
In addition to this, consent forms serve as an important medico-legal document to protect
clinicians and patients should problems arise. It is therefore in all parties' interests that
they are correctly completed.
It was noted that consent forms within the Royal London Hospital Plastic Surgery department
were often not correctly completed. A Quality Improvement Project was undertaken to improve
the completion of consent forms within the department.
Materials and Methods Common problem areas on consent forms were identified and QI
methodology was used to design the study including selection of appropriate outcome, process
and balancing measures. Baseline information on completion of: 1) patient details, 2)
consultant details, 3) legibility, 4) use of abbreviations in description of
operation/complications, and 5) patient signatures was collected. Four weekly interventions
were made which were accompanied by four further data collection cycles. A further re-audit
took place 4 months following the completion of the project to establish whether improvements
had been sustained.
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