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    Znab259 007

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    Sofyana enumbi
    This document summarizes an audit of consenting practices for patients undergoing surgery for neck of femur fractures. In the initial review, no consent forms documented all approved risks as outlined by the British Orthopaedic Association guidelines. A standardized consent sticker detailing 14 important risks was introduced, which significantly improved documentation of risks when used. Additionally, education on delirium as a risk factor increased its documentation from 2.9% to 51.4% between audit cycles. The audit identified gaps in informed consent processes, though introducing a consent sticker and delirium education helped address these issues.

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    Znab259 007

    Uploaded by

    Sofyana enumbi
    2 views2 pages
    This document summarizes an audit of consenting practices for patients undergoing surgery for neck of femur fractures. In the initial review, no consent forms documented all approved risks as outlined by the British Orthopaedic Association guidelines. A standardized consent sticker detailing 14 important risks was introduced, which significantly improved documentation of risks when used. Additionally, education on delirium as a risk factor increased its documentation from 2.9% to 51.4% between audit cycles. The audit identified gaps in informed consent processes, though introducing a consent sticker and delirium education helped address these issues.

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    znab259.007

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    This document summarizes an audit of consenting practices for patients undergoing surgery for neck of femur fractures. In the initial review, no consent forms documented all approved risks as outlined by the British Orthopaedic Association guidelines. A standardized consent sticker detailing 14 important risks was introduced, which significantly improved documentation of risks when used. Additionally, education on delirium as a risk factor increased its documentation from 2.9% to 51.4% between audit cycles. The audit identified gaps in informed consent processes, though introducing a consent sticker and delirium education helped address these issues.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    2 views2 pages

    Znab259 007

    Uploaded by

    Sofyana enumbi
    This document summarizes an audit of consenting practices for patients undergoing surgery for neck of femur fractures. In the initial review, no consent forms documented all approved risks as outlined by the British Orthopaedic Association guidelines. A standardized consent sticker detailing 14 important risks was introduced, which significantly improved documentation of risks when used. Additionally, education on delirium as a risk factor increased its documentation from 2.9% to 51.4% between audit cycles. The audit identified gaps in informed consent processes, though introducing a consent sticker and delirium education helped address these issues.

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    Abstracts of the 2021 Association of Surgeons in Training International Surgical Conference | vi21

    Downloaded from https://academic.oup.com/bjs/article/108/Supplement_6/znab259.007/6389094 by guest on 20 January 2022


    108 Neck of Femur Fractures: Streamlined Approach to
    Improve Consenting Practices
    O. Brown, A. Gaukroger, M. Raza, R. Sturley, M. Arnander
    St George’s University Hospitals NHS Foundation Trust, London, United
    Kingdom

    Aim: Neck of femur fractures (NOFs) are synonymous with frailty, and
    successful outcomes are achieved with operative fixation. The United
    Kingdom’s General Medical Council guidance governing consent high-
    lights the importance of thorough pre-operative discussion of risk with
    the patient. We aimed to audit consenting practices in NOF patients
    within our unit against the British Orthopaedic Association’s (BOA) cri-
    teria, with the addition of delirium as a risk factor.
    Method: In cycle one all operatively managed NOFs over a two-month
    period in October-November 2019 were retrospectively reviewed.
    Consent forms 1 (CF1) and 4 (CF4) were assessed against BOA-endorsed
    criteria. Our intervention included a standardised sticker detailing 14
    important risks was introduced and a departmental seminar on delir-
    ium. A second cycle was undertaken from August-October 2020 to close
    the audit loop
    Results: No consent form documented all BOA-approved risk factors in
    cycle one (N ¼ 35). Of cycle two’s 35 patients, 70.8% CF1 were completed
    using the novel sticker. All of these had 100% BOA-approved risk docu-
    mentation. Consent forms without the sticker in cycle two documented
    9/14 risks (mean value). No CF4 had any risks documented in either cy-
    cle. Delirium was documented in 51% in total and in 75% patients with
    vi22 | Abstracts of the 2021 Association of Surgeons in Training International Surgical Conference

    CF1. Delirium documentation improved from 2.9% in cycle one to 51.4%


    in cycle two.
    Conclusions: Clear lapses in operative consenting processes were iden-
    tified, especially regarding delirium and CF4 documentation. The intro-
    duction of a novel consent sticker drastically improved compliance
    with BOA guidance for CF1. Recognition and departmental education
    regarding delirium significantly reduced incidence between cycles.

    Downloaded from https://academic.oup.com/bjs/article/108/Supplement_6/znab259.007/6389094 by guest on 20 January 2022

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