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Patient Safety Movement: Informed consent interview with Dr John James (13 November 2020)

Summary

Dr. Donna Prosser is joined by Dr John James, a patient safety advocate, and the author of A New, Evidence-Based Estimate of Patient Harms Associated with Hospital Care. The team discusses the meaning of informed consent for clinicians and patients, the steps to a genuine shared decision making dialogue, and the components that should be addressed in the decision making process. Informed consent cannot be separated from the person-centeredness of an organization. While the shared decision making between clinicians and patients and loved ones does require time, attention, and attentiveness to the patient's wishes and goals, it should be a priority for all healthcare organisations.

Patient Safety Movement: Informed consent interview with Dr John James (13 November 2020) https://www.youtube.com/watch?v=sctpptXlSNI&feature=youtu.be

Edited by Patient Safety Learning

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Steve Turner

Members

Great vlog on consent, illustrated by real examples & current gaps. Showing the international commonalities & highlighting the problem of variation across hospitals.

Times have changed. I remember in the 1980s when I trained as a nurse in large teaching hospital there were some consultants who did not tell patients their diagnosis if they had cancer. This, I'm sad to say, was accepted as 'their way of working'.

  • Would this be acceptable today?
  • Are we less paternalistic or has paternalism ended?
  • Who decides how much information to give to patients?

 

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