324 Improving Consenting Practices in a Breast Surgery Unit

Abstract

Abstract Introduction Gaining consent, defined as “the process of providing the information that enables the patient to make a decision to undergo a specific treatment,” is a key part of a patient’s journey when having an operation. Consent forms serve as a significant medico-legal document; it is therefore imperative that they are completed accurately. The aim of this audit was to assess the current consent practice in a breast surgery unit, to monitor compliance with RCS and GMC guidelines and local policy on consent. Method Consent forms for all patients undergoing an operation over a three-week period within the breast surgery unit were reviewed. Data collected included use of abbreviations, patient and surgeon details and adequacy of procedure-specific complications. Interventions were then made in an attempt to improve compliance with guidelines. A repeat audit over another three-week period was performed to assess for improvement. Results The first cycle identified issues including incomplete documentation and inadequate complications listed. Targeted teaching and procedure-specific complication stickers were introduced to improve consent accuracy. Data was collected three-months post-intervention to evaluate for sustained improvement in consenting practices. Correct documentation of essential items (patient and surgeon name) increased from 83% to 100% (p<0.05). Results revealed a statistically significant improvement in consent form accuracy. Use of abbreviations reduced from 14% to 3% and record of procedure-specific risks improved. Conclusions The interventions employed significantly improved consenting practice within our unit. The insight gained from this audit can be applied across other trusts to improve compliance with the consent process.