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. 2014 Oct 26;4(1):13–18. doi: 10.15171/ijhpm.2014.104

Table 3 . Adherence to informed consent standards by general and specialized hospitals in Shiraz .

Standards Adherence to standards No adherence to standards
General
n= 11 (%)
Specialized
n= 10 (%)
General
n= 11 (%)
Specialized
n= 10 (%)
1 Clear definition of informed consent process in hospital policies 10 (90.9) 9 (90.0) 1 (9.1) 1 (10.0)
2 Staff training in implementing the policies 8 (72.7) 10 (100.0) 3 (27.3) 0 (0.0)
3 Obtaining informed consent according the policies 10 (90.9) 10 (100.0) 1 (9.1) 0 (0.0)
4 Informing patients about their health status 8 (72.7) 9 (90.0) 3 (27.3) 1 (10.0)
5 Listing procedures and treatments need specified consent 6 (54.5) 7 (70.0) 5 (45.5) 3 (30.0)
6 Collaboration of related physicians and staffs in preparing mentioned list 7 (63.6) 7 (70.0) 4 (36.4) 3 (30.0)
7 Defining process for obtaining consent from others (non-patient) 8 (72.7) 9 (90.0) 3 (27.3) 1 (10.0)
8 Justifiability of obtaining consent from others 10 (90.9) 9 (90.0) 1 (9.1) 1 (10.0)
9 Clarifying in the patient’s record, individuals, other than patient, obtained consent 11 (100.0) 10 (100.0) 0 (0.0) 0 (0.0)
10 Informing patient and their family about the scope of a general consent and when used by the hospital 5 (45.5) 7 (70.0) 6 (54.5) 3 (30.0)
11 Defining how a general consent is documented in patients record 6 (54.5) 10 (100.0) 5 (45.5) 0 (0.0)
12 Informing enough patients about plan and responsible persons before obtaining consent 9 (81.8) 9 (90.0) 2 (18.2) 1 (10.0)
13 Informing enough patients about risk and benefits of plan, before obtaining consent 9 (81.8) 9 (90.0) 2 (18.2) 1 (10.0)
14 Informing enough patients about possible alternatives, before obtaining consent 8 (72.7) 8 (80.0) 3 (27.3) 2 (20.0)
15 Informing enough patients about Consequences of refusing treatment before obtaining consent 9 (81.8) 10 (100.0) 2 (18.2) 0 (0.0)
16 Informing enough patients about likelihood of successful treatment before obtaining consent 7 (63.6) 10 (100.0) 4 (36.4) 0 (0.0)
17 Obtaining consent before:
Surgery 10 (90.9) 10 (100.0) 1 (9.1) 0 (0.0)
Invasive procedure 10 (90.9) 7 (70.0) 1 (9.1) 3 (30.0)
Anesthesia 7 (63.6) 7 (70.0) 4 (36.4) 3 (30.0)
Using blood products 6 (54.5) 3 (30.0) 5 (45.5) 7 (70.0)
High risk procedures 8 (72.7) 8 (80.0) 3 (27.3) 2 (20.0)
18 Clarifying the identity of who informed patients for above procedures in patients record 9 (81.8) 9 (90.0) 2 (18.2) 1 (10.0)
19 Documenting the consent in patient record by signature or record of verbal consent 8 (72.7) 9 (90.0) 3 (27.3) 1 (10.0)