The research to practice continuum: Development of an evidence-based visual aid to improve informed consent for procedural sedation

M Fernanda Bellolio, Lucas Oliveira J E Silva, Henrique Alencastro Puls, Ian G Hargraves, Daniel Cabrera, M Fernanda Bellolio, Lucas Oliveira J E Silva, Henrique Alencastro Puls, Ian G Hargraves, Daniel Cabrera

Abstract

In order to fully participate in informed consent, patients must understand what it is that they agreeing, or not agreeing, to. In most cases, patients look to their clinicians to help develop the appropriate understanding required to give informed consent. Using a visual aid as an adjunct to risk communication in a stressful setting as the Emergency Department has a clear potential in facilitating the communication process.

Keywords: communication; emergency department; informed consent; procedural sedation; risk.

Conflict of interest statement

Conflict of Interest Disclosure: All authors report no conflict of interest.

Figures

Fig. 1
Fig. 1
5-step framework of the Research to Practice Continuum.
Fig. 2
Fig. 2
Final version of the visual aid tool for informed consent before procedural sedation in the emergency department (usable for both pediatric and adults).
Fig. 3
Fig. 3
Results of the survey with Emergency Department (ED) Physicians.

References

    1. Bellolio MF, et al. Incidence of adverse events in paediatric procedural sedation in the emergency department: a systematic review and meta-analysis. British Medical Journal 2016; 6: e011384.
    1. Bellolio MF, et al. Incidence of adverse events in adults undergoing procedural sedation in the emergency department: a systematic review and meta-analysis. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine 2016; 23: 119–134.
    1. Zipkin DA, et al. Evidence-based risk communication: a systematic review. Annals of Internal Medicine 2014; 161: 270–280.
    1. Guyatt G, et al. Evidence-based medicine: a new approach to teaching the practice of medicine. JAMA. 1992; 268: 2420–2425.
    1. Sackett DL, et al. Evidence based medicine: what it is and what it isn’t. British Medical Journal 1996; 312: 71–72.
    1. Haynes RB, Devereaux PJ, Guyatt GH. Physicians’ and patients’ choices in evidence based practice: evidence does not make decisions, people do. British Medical Journal 2002; 324: 1350–1350.
    1. Lang E. Finding one’s way in translating evidence into practice. Annals of Emergency Medicine; 51: 791–792.
    1. Lang ES, Wyer PC, Eskin B. Executive summary: knowledge translation in emergency medicine: establishing a research agenda and guide map for evidence uptake. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine 2007; 14: 915–918.
    1. Diner BM, et al. Graduate medical education and knowledge translation: role models, information pipelines, and practice change thresholds. Academic Emergency Medicine 2007; 14: 1008–1014.
    1. Borror CM (ed.) The Certified Quality Engineer Handbook (3rd edition) Milwaukee, WI: ASQ Quality Press, 2009, pp. 321–332.

Source: PubMed

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