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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) Completion of the informed consent in radioguided surgery by the General Surgery...
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Vol. 42. Issue 4.
Pages 249-254 (July - August 2023)
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Vol. 42. Issue 4.
Pages 249-254 (July - August 2023)
Original Article
Completion of the informed consent in radioguided surgery by the General Surgery and Nuclear Medicine services of a radioguided surgery unit
Cumplimentación del consentimiento informado en cirugía radioguiada por los servicios de Cirugía General y Medicina Nuclear de una unidad de cirugía radioguiada
P. Jiménez-Graneroa,
Corresponding author
highentomologist@gmail.com

Corresponding author.
, J.I. Rayo-Madrida, J.R. Infante-de-la-Torrea, J. Serrano-Vicentea, A. Martínez-Estevea, A. Baena-Garcíaa, A. Utrera-Costeroa, R. Juárez-Velab
a Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz (CHUB), Badajoz, Spain
b Instituto de Investigación, Hospital La Paz de Madrid, Madrid, Spain
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Tables (5)
Table 1. Error count by type.
Table 2. Errors by Nuclear Medicine physician.
Table 3. Errors by type of intervention in informed consents in Nuclear Medicine.
Table 4. Errors by type of pathology in informed consents in Nuclear Medicine.
Table 5. Errors by General Surgery physician.
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Abstract
Objective

To identify the frequency of errors in informed consent documents in radioguided surgery in a third level hospital and to detect possible causes or factors associated with a greater risk of error.

Material and methods

Informed consent forms of a total of 369 radioguided surgery interventions, completed by the Nuclear Medicine and General Surgery services, were analyzed, and the degree of completion of the forms and its correlation with the physicians responsible, type of pathology, intervention, and waiting time were compared with the completion of consent by another specialty.

Results

Errors were identified in 22 consent forms from Nuclear Medicine and 71 from General Surgery. The most common error was the absence of identification of the physician responsible (17 in Nuclear Medicine, 51 in General Surgery), and the second most common was the absence of a document (2 in Nuclear Medicine, 20 in General Surgery). There were significant differences in the errors made depending on the doctor in charge, with no significant correlation with the other variables.

Conclusions

The physicians responsible were the main factor associated with a greater risk of error in the completion of informed consent forms. Further studies are needed to analyze the causal factors and possible interventions to minimize errors.

Keywords:
Informed consent
Radioguided surgery
Nuclear medicine
General surgery
Errors
Resumen
Objetivo

Identificar la frecuencia de errores en los documentos de consentimiento informado en cirugía radioguiada en un hospital de tercer nivel y detectar posibles causas o factores asociados a un mayor riesgo de error.

Material y método

Se analizaron los consentimientos informados de un total de 369 intervenciones de cirugía radioguiada, cumplimentados por los servicios de Medicina Nuclear y Cirugía General, y se analizó el grado de cumplimentación de los mismos y su correlación con facultativos responsables, tipo de patología e intervención, tiempo de espera y cumplimentación del consentimiento de la otra especialidad.

Resultados

Se identificaron errores en 22 consentimientos de Medicina Nuclear y 71 consentimientos de Cirugía General. El error más común fue la ausencia de identificación de facultativo responsable (17 en Medicina Nuclear, 51 en Cirugía General), y el segundo más común la ausencia de documento (2 en Medicina Nuclear, 20 en Cirugía General). Existieron diferencias significativas en los errores cometidos en función del médico responsable, sin encontrarse correlación significativa con el resto de variables.

Conclusiones

Los médicos responsables fueron el principal factor asociado a un mayor riesgo de error en la cumplimentación de consentimientos informados. Serían recomendables nuevos estudios para analizar factores casuales y posibles intervenciones para minimizar errores.

Palabras clave:
Consentimiento informado
Cirugía radioguiada
Medicina nuclear
Cirugía General
Errores

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