SP1.6 - To facilitate the consent process efficiency for high volume low complexity cases as part of GIRFT

Abstract

Abstract Background Our department completes a high volume of low complexity surgical cases (appendicectomies, cholecystectomies, inguinal hernia repairs and para-umbilical hernia repairs). Each case must have a completed consent form facilitating autonomous patient informed decision-making. The list of potential risks is key, currently handwritten and not standardised. Get It Right First Time (GIRFT) highlighted the importance of clear risks documentation. (1) The aim of this study is to analyse and evaluate the risks listed in consent forms for these surgeries and their adherence to GIRFT. Method First, thirty-three department members were surveyed for a complete list of risks for each surgery. After seven suggestions a consensus was reached. Second, we prospectively collected data from 05/07/2023 to 12/10/2023, identifying patients undergoing appendicectomies, cholecystectomies, inguinal hernia repairs, para-umbilical hernia repairs and collected risks listed in consent forms, comparing them to the agreed list. Result We identified 24 appendicectomies, 14 cholecystectomies, 14 inguinal hernia repairs, 9 para-umbilical hernia repairs. The mean completeness of the list of risks was: appendicectomies 42% (min: 16%, max: 56%); cholecystectomies 37% (min: 24%, max: 50%); inguinal hernia repairs 45% (min: 28%, max: 56%); para-umbilical hernia repairs 44% (min: 24%, max: 62%). Conclusion Completeness and standardisation of risks in consent forms is vital as highlighted by GIRFT. Current practices limit surgeons in achieving this.