Improving the informed consent process for otolaryngorhinology surgical procedures

S. H. Chiu, M. Van, S. Majumdar

    Research output: Contribution to journalArticlepeer-review


    Aims: The aim of this audit was to evaluate the informed consent process for both elective and emergency ENT procedures. A procedure-based questionnaire was developed to facilitate patient discussion and validated by surveying the patient regarding elements of the consent process.

    Methods: Fifty-two patients were evaluated over 6 weeks period from October-November 2014. One-hundred patients were evaluated in the re-audit cycle over 8 weeks period from March-May 2017.

    Results: Patients included in the audit project were well explained on the proposed procedure, including the risks and benefits involved, the steps involved in the procedure and post-operative expectations. Re-audit showed that explanation on alternative treatment options has improved significantly from 50% to 70%. Incidence of leaflets given out have increased from 62% to 75% and 100% of the leaflet given out were read. With improved outcome, overall patients' high satisfaction rate has increased from 65% to 85%.

    Conclusions: Informed consent has become a critical component of surgical practice. It guides patient to the right surgical decision, and also to dispel any unrealistic expectations concerning the procedure. The increased use of information leaflets and explanation of alternative management plans have heightened patients' understanding about the proposed procedure and overall patients' satisfaction rate.
    Original languageEnglish
    Article number0485
    Pages (from-to)S57
    Number of pages1
    JournalInternational Journal of Surgery
    Issue numberSupplement 1
    Publication statusPublished - Jul 2018

    ASJC Scopus subject areas

    • Surgery


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