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) |