Say what? Patients have poor immediate memory of major risks of interscalene block disclosed during the informed consent discussion

BackgroundPoor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of peripheral nerve blockade following the informed consent discussion is unknown. This prospective cohort study evaluated patients’ immediate me...

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Published inRegional anesthesia and pain medicine Vol. 44; no. 11; pp. 981 - 985
Main Authors Bai, Johnny Wei, Abdallah, Faraj W, Cohn, Melanie, Ladowski, Stephanie, Madhusudan, Poorna, Brull, Richard
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group Ltd 01.11.2019
Copyright by American Society of Regional Anesthesia and Pain Medicine
BMJ Publishing Group LTD
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Abstract BackgroundPoor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of peripheral nerve blockade following the informed consent discussion is unknown. This prospective cohort study evaluated patients’ immediate memory of risks related to interscalene block (ISB) that were disclosed during the preoperative informed consent discussion.MethodsUsing a standardized script, patients scheduled for arthroscopic shoulder surgery were informed of the risks of ISB by an anesthesiologist in the preoperative assessment clinic. Immediately thereafter, consenting participants were asked to identify the risks of ISB from a printed list of nine true risks (four major and five minor) and nine ‘distractor’ items, which were unrelated adverse events and not disclosed. The primary outcome was the proportion of participants who remembered all four true major risks including long-term nerve damage, seizure, life-threatening event, and damage to the covering of the lung.ResultsAmong 125 participants, only 26 (21%) remembered all four major risks of ISB. The mean number of major risks remembered was 2±1 out of 4. Fifteen (12%) participants remembered all nine true risks. The mean number of true risks remembered was 6±2 out of 9. Multivariable analysis revealed that participants’ self-rated assessment of their memory was not associated with actual recall.ConclusionPatients have poor immediate memory of the major risks related to ISB disclosed during the informed consent discussion. Under the present study conditions, the validity of the informed consent process for patients undergoing ISB may be undermined.
AbstractList BackgroundPoor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of peripheral nerve blockade following the informed consent discussion is unknown. This prospective cohort study evaluated patients’ immediate memory of risks related to interscalene block (ISB) that were disclosed during the preoperative informed consent discussion.MethodsUsing a standardized script, patients scheduled for arthroscopic shoulder surgery were informed of the risks of ISB by an anesthesiologist in the preoperative assessment clinic. Immediately thereafter, consenting participants were asked to identify the risks of ISB from a printed list of nine true risks (four major and five minor) and nine ‘distractor’ items, which were unrelated adverse events and not disclosed. The primary outcome was the proportion of participants who remembered all four true major risks including long-term nerve damage, seizure, life-threatening event, and damage to the covering of the lung.ResultsAmong 125 participants, only 26 (21%) remembered all four major risks of ISB. The mean number of major risks remembered was 2±1 out of 4. Fifteen (12%) participants remembered all nine true risks. The mean number of true risks remembered was 6±2 out of 9. Multivariable analysis revealed that participants’ self-rated assessment of their memory was not associated with actual recall.ConclusionPatients have poor immediate memory of the major risks related to ISB disclosed during the informed consent discussion. Under the present study conditions, the validity of the informed consent process for patients undergoing ISB may be undermined.
BACKGROUNDPoor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of peripheral nerve blockade following the informed consent discussion is unknown. This prospective cohort study evaluated patients’ immediate memory of risks related to interscalene block (ISB) that were disclosed during the preoperative informed consent discussion. METHODSUsing a standardized script, patients scheduled for arthroscopic shoulder surgery were informed of the risks of ISB by an anesthesiologist in the preoperative assessment clinic. Immediately thereafter, consenting participants were asked to identify the risks of ISB from a printed list of nine true risks (four major and five minor) and nine ‘distractor’ items, which were unrelated adverse events and not disclosed. The primary outcome was the proportion of participants who remembered all four true major risks including long-term nerve damage, seizure, life-threatening event, and damage to the covering of the lung. RESULTSAmong 125 participants, only 26 (21%) remembered all four major risks of ISB. The mean number of major risks remembered was 2±1 out of 4. Fifteen (12%) participants remembered all nine true risks. The mean number of true risks remembered was 6±2 out of 9. Multivariable analysis revealed that participants’ self-rated assessment of their memory was not associated with actual recall. CONCLUSIONPatients have poor immediate memory of the major risks related to ISB disclosed during the informed consent discussion. Under the present study conditions, the validity of the informed consent process for patients undergoing ISB may be undermined.
Poor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of peripheral nerve blockade following the informed consent discussion is unknown. This prospective cohort study evaluated patients' immediate memory of risks related to interscalene block (ISB) that were disclosed during the preoperative informed consent discussion. Using a standardized script, patients scheduled for arthroscopic shoulder surgery were informed of the risks of ISB by an anesthesiologist in the preoperative assessment clinic. Immediately thereafter, consenting participants were asked to identify the risks of ISB from a printed list of nine true risks (four major and five minor) and nine 'distractor' items, which were unrelated adverse events and not disclosed. The primary outcome was the proportion of participants who remembered all four true major risks including . Among 125 participants, only 26 (21%) remembered all four major risks of ISB. The mean number of major risks remembered was 2±1 out of 4. Fifteen (12%) participants remembered all nine true risks. The mean number of true risks remembered was 6±2 out of 9. Multivariable analysis revealed that participants' self-rated assessment of their memory was not associated with actual recall. Patients have poor immediate memory of the major risks related to ISB disclosed during the informed consent discussion. Under the present study conditions, the validity of the informed consent process for patients undergoing ISB may be undermined.
Author Brull, Richard
Ladowski, Stephanie
Abdallah, Faraj W
Bai, Johnny Wei
Cohn, Melanie
Madhusudan, Poorna
AuthorAffiliation Department of Psychology, University of Toronto, Toronto, Ontario, Canada
Department of Anesthesia, Toronto Western Hospital, Toronto, Ontario, Canada
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Cites_doi 10.7326/0003-4819-147-8-200710160-00010
10.1177/0272989X10364247
10.1097/00003643-199903000-00004
10.1213/01.ANE.0000106801.98537.25
10.1002/jhrm.21200
10.1177/0141076815604494
10.1177/014662168701100404
10.1111/ans.12555
10.1016/j.rapm.2006.07.005
10.1054/ijoa.1999.0371
10.1007/BF03018844
10.1097/00019442-200203000-00006
10.1111/j.1365-2044.2010.06248.x
10.1007/s12630-017-0934-9
10.1002/14651858.CD009445.pub2
10.1177/014107680710000226
10.1176/appi.ajgp.10.2.151
10.1258/jrsm.100.2.97
10.1097/00000542-200303000-00005
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Copyright © 2019 by American Society of Regional Anesthesia and Pain Medicine.
2019 American Society of Regional Anesthesia & Pain Medicine 2019. No commercial re-use. See rights and permissions. Published by BMJ.
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– notice: 2019 American Society of Regional Anesthesia & Pain Medicine 2019. No commercial re-use. See rights and permissions. Published by BMJ.
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Issue 11
Keywords brachial plexus
informed consent
nerve block
ambulatory anesthesia
recall
Language English
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References Birenbaum, Tatsuoka (R22) 1987; 11
Sherlock, Brownie (R11) 2014; 84
Zarnegar, Brown, Henley (R6) 2015; 108
Boncheck (R18) 2017; 12
Schenker, Fernandez, Sudore (R15) 2011; 31
Tait, Voepel-Lewis, Malviya (R20) 2003; 98
Posner, Severson, Domino (R1) 2015; 35
Brull, McCartney, Chan (R24) 2004; 98
Kinnersley, Phillips, Savage (R14) 2013; 40
Burkle, Njathi, Stoike (R7) 2017; 64
von Elm, Altman, Egger (R8) 2007; 147
Gerancher, Grice, Dewan (R21) 2000; 9
Peng, Smedstad (R3) 2000; 47
Hajian-Tilaki (R12) 2011; 2
Brull, McCartney, Chan (R5) 2007; 32
Kim, Karlawish, Caine (R13) 2002; 10
Anderson, Wearne (R23) 2007; 100
Szypula, Ashpole, Bogod (R2) 2010; 65
Paci, Barneschi, Miccinesi (R19) 1999; 16
Anderson, Wearne 2007; 100
Brull, McCartney, Chan 2007; 32
Tait, Voepel-Lewis, Malviya 2003; 98
Brull, McCartney, Chan 2004; 98
Peng, Smedstad 2000; 47
Schenker, Fernandez, Sudore 2011; 31
Zarnegar, Brown, Henley 2015; 108
Birenbaum, Tatsuoka 1987; 11
Burkle, Njathi, Stoike 2017; 64
Szypula, Ashpole, Bogod 2010; 65
Paci, Barneschi, Miccinesi 1999; 16
Gerancher, Grice, Dewan 2000; 9
von Elm, Altman, Egger 2007; 147
Sherlock, Brownie 2014; 84
Kim, Karlawish, Caine 2002; 10
Hajian-Tilaki 2011; 2
Boncheck 2017; 12
Posner, Severson, Domino 2015; 35
Kinnersley, Phillips, Savage 2013; 40
Paci (2024100501001345000_44.11.981.19) 1999; 16
Hajian-Tilaki (2024100501001345000_44.11.981.12) 2011; 2
Burkle (2024100501001345000_44.11.981.7) 2017; 64
2024100501001345000_44.11.981.16
2024100501001345000_44.11.981.17
2024100501001345000_44.11.981.14
2024100501001345000_44.11.981.15
2024100501001345000_44.11.981.13
2024100501001345000_44.11.981.10
2024100501001345000_44.11.981.2
2024100501001345000_44.11.981.11
Posner (2024100501001345000_44.11.981.1) 2015; 35
2024100501001345000_44.11.981.5
2024100501001345000_44.11.981.6
2024100501001345000_44.11.981.4
2024100501001345000_44.11.981.9
2024100501001345000_44.11.981.8
Srull (2024100501001345000_44.11.981.25) 1983; 10
Boncheck (2024100501001345000_44.11.981.18) 2017; 12
2024100501001345000_44.11.981.23
2024100501001345000_44.11.981.24
2024100501001345000_44.11.981.21
2024100501001345000_44.11.981.22
Peng (2024100501001345000_44.11.981.3) 2000; 47
2024100501001345000_44.11.981.20
References_xml – volume: 147
  start-page: 573
  year: 2007
  ident: R8
  article-title: The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies
  publication-title: Ann Intern Med
  doi: 10.7326/0003-4819-147-8-200710160-00010
  contributor:
    fullname: Egger
– volume: 12
  start-page: 65
  year: 2017
  ident: R18
  article-title: Informed consent: sometimes it’s about memory
  publication-title: The Journal of Lancaster General Hospital
  contributor:
    fullname: Boncheck
– volume: 31
  start-page: 151
  year: 2011
  ident: R15
  article-title: Interventions to improve patient comprehension in informed consent for medical and surgical procedures
  publication-title: Med Decis Making
  doi: 10.1177/0272989X10364247
  contributor:
    fullname: Sudore
– volume: 16
  start-page: 160
  year: 1999
  ident: R19
  article-title: Informed consent and patient participation in the medical encounter: a list of questions for an informed choice about the type of anaesthesia
  publication-title: Eur J Anaesthesiol
  doi: 10.1097/00003643-199903000-00004
  contributor:
    fullname: Miccinesi
– volume: 98
  start-page: 1106
  year: 2004
  ident: R24
  article-title: Are patients comfortable consenting to clinical anesthesia research trials on the day of surgery?
  publication-title: Anesth Analg
  doi: 10.1213/01.ANE.0000106801.98537.25
  contributor:
    fullname: Chan
– volume: 35
  start-page: 38
  year: 2015
  ident: R1
  article-title: The role of informed consent in patient complaints: reducing hidden health system costs and improving patient engagement through shared decision making
  publication-title: J Healthc Risk Manag
  doi: 10.1002/jhrm.21200
  contributor:
    fullname: Domino
– volume: 108
  start-page: 451
  year: 2015
  ident: R6
  article-title: Patient perceptions and recall of consent for regional anaesthesia compared with consent for surgery
  publication-title: J R Soc Med
  doi: 10.1177/0141076815604494
  contributor:
    fullname: Henley
– volume: 2
  start-page: 289
  year: 2011
  ident: R12
  article-title: Sample size estimation in epidemiologic studies
  publication-title: Caspian J Intern Med
  contributor:
    fullname: Hajian-Tilaki
– volume: 11
  start-page: 385
  year: 1987
  ident: R22
  article-title: Open-Ended versus multiple-choice response formats—it does make a difference for diagnostic purposes
  publication-title: Appl Psychol Meas
  doi: 10.1177/014662168701100404
  contributor:
    fullname: Tatsuoka
– volume: 84
  start-page: 207
  year: 2014
  ident: R11
  article-title: Patients' recollection and understanding of informed consent: a literature review
  publication-title: ANZ J Surg
  doi: 10.1111/ans.12555
  contributor:
    fullname: Brownie
– volume: 32
  start-page: 7
  year: 2007
  ident: R5
  article-title: Disclosure of risks associated with regional anesthesia: a survey of academic regional anesthesiologists
  publication-title: Reg Anesth Pain Med
  doi: 10.1016/j.rapm.2006.07.005
  contributor:
    fullname: Chan
– volume: 9
  start-page: 168
  year: 2000
  ident: R21
  article-title: An evaluation of informed consent prior to epidural analgesia for labor and delivery
  publication-title: Int J Obstet Anesth
  doi: 10.1054/ijoa.1999.0371
  contributor:
    fullname: Dewan
– volume: 47
  start-page: 105
  year: 2000
  ident: R3
  article-title: Litigation in Canada against anesthesiologists practicing regional anesthesia. A review of closed claims
  publication-title: Can J Anesth/J Can Anesth
  doi: 10.1007/BF03018844
  contributor:
    fullname: Smedstad
– volume: 10
  start-page: 151
  year: 2002
  ident: R13
  article-title: Current state of research on decision-making competence of cognitively impaired elderly persons
  publication-title: Am J Geriatr Psychiatry
  doi: 10.1097/00019442-200203000-00006
  contributor:
    fullname: Caine
– volume: 65
  start-page: 443
  year: 2010
  ident: R2
  article-title: Litigation related to regional anaesthesia: an analysis of claims against the NHS in England 1995-2007*
  publication-title: Anaesthesia
  doi: 10.1111/j.1365-2044.2010.06248.x
  contributor:
    fullname: Bogod
– volume: 64
  start-page: 1075
  year: 2017
  ident: R7
  article-title: Patient retention and satisfaction with information exchange concerning peripheral nerve block risks
  publication-title: Can J Anesth/J Can Anesth
  doi: 10.1007/s12630-017-0934-9
  contributor:
    fullname: Stoike
– volume: 40
  year: 2013
  ident: R14
  article-title: Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures
  publication-title: Cochrane Database Syst Rev
  doi: 10.1002/14651858.CD009445.pub2
  contributor:
    fullname: Savage
– volume: 100
  start-page: 97
  year: 2007
  ident: R23
  article-title: Informed consent for elective surgery--what is best practice?
  publication-title: J R Soc Med
  doi: 10.1177/014107680710000226
  contributor:
    fullname: Wearne
– volume: 98
  start-page: 603
  year: 2003
  ident: R20
  article-title: Do they understand? (Part I): parental consent for children participating in clinical anesthesia and surgery research
  publication-title: Anesthesiology
  contributor:
    fullname: Malviya
– volume: 64
  start-page: 1075
  year: 2017
  article-title: Patient retention and satisfaction with information exchange concerning peripheral nerve block risks
  publication-title: Can J Anesth/J Can Anesth
  doi: 10.1007/s12630-017-0934-9
  contributor:
    fullname: Stoike
– volume: 84
  start-page: 207
  year: 2014
  article-title: Patients' recollection and understanding of informed consent: a literature review
  publication-title: ANZ J Surg
  doi: 10.1111/ans.12555
  contributor:
    fullname: Brownie
– volume: 16
  start-page: 160
  year: 1999
  article-title: Informed consent and patient participation in the medical encounter: a list of questions for an informed choice about the type of anaesthesia
  publication-title: Eur J Anaesthesiol
  doi: 10.1097/00003643-199903000-00004
  contributor:
    fullname: Miccinesi
– volume: 9
  start-page: 168
  year: 2000
  article-title: An evaluation of informed consent prior to epidural analgesia for labor and delivery
  publication-title: Int J Obstet Anesth
  doi: 10.1054/ijoa.1999.0371
  contributor:
    fullname: Dewan
– volume: 2
  start-page: 289
  year: 2011
  article-title: Sample size estimation in epidemiologic studies
  publication-title: Caspian J Intern Med
  contributor:
    fullname: Hajian-Tilaki
– volume: 100
  start-page: 97
  year: 2007
  article-title: Informed consent for elective surgery--what is best practice?
  publication-title: J R Soc Med
  doi: 10.1177/014107680710000226
  contributor:
    fullname: Wearne
– volume: 35
  start-page: 38
  year: 2015
  article-title: The role of informed consent in patient complaints: reducing hidden health system costs and improving patient engagement through shared decision making
  publication-title: J Healthc Risk Manag
  doi: 10.1002/jhrm.21200
  contributor:
    fullname: Domino
– volume: 11
  start-page: 385
  year: 1987
  article-title: Open-Ended versus multiple-choice response formats—it does make a difference for diagnostic purposes
  publication-title: Appl Psychol Meas
  doi: 10.1177/014662168701100404
  contributor:
    fullname: Tatsuoka
– volume: 147
  start-page: 573
  year: 2007
  article-title: The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies
  publication-title: Ann Intern Med
  doi: 10.7326/0003-4819-147-8-200710160-00010
  contributor:
    fullname: Egger
– volume: 47
  start-page: 105
  year: 2000
  article-title: Litigation in Canada against anesthesiologists practicing regional anesthesia. A review of closed claims
  publication-title: Can J Anesth/J Can Anesth
  doi: 10.1007/BF03018844
  contributor:
    fullname: Smedstad
– volume: 31
  start-page: 151
  year: 2011
  article-title: Interventions to improve patient comprehension in informed consent for medical and surgical procedures
  publication-title: Med Decis Making
  doi: 10.1177/0272989X10364247
  contributor:
    fullname: Sudore
– volume: 65
  start-page: 443
  year: 2010
  article-title: Litigation related to regional anaesthesia: an analysis of claims against the NHS in England 1995-2007*
  publication-title: Anaesthesia
  doi: 10.1111/j.1365-2044.2010.06248.x
  contributor:
    fullname: Bogod
– volume: 32
  start-page: 7
  year: 2007
  article-title: Disclosure of risks associated with regional anesthesia: a survey of academic regional anesthesiologists
  publication-title: Reg Anesth Pain Med
  doi: 10.1016/j.rapm.2006.07.005
  contributor:
    fullname: Chan
– volume: 40
  year: 2013
  article-title: Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures
  publication-title: Cochrane Database Syst Rev
  doi: 10.1002/14651858.CD009445.pub2
  contributor:
    fullname: Savage
– volume: 98
  start-page: 603
  year: 2003
  article-title: Do they understand? (Part I): parental consent for children participating in clinical anesthesia and surgery research
  publication-title: Anesthesiology
  contributor:
    fullname: Malviya
– volume: 98
  start-page: 1106
  year: 2004
  article-title: Are patients comfortable consenting to clinical anesthesia research trials on the day of surgery?
  publication-title: Anesth Analg
  doi: 10.1213/01.ANE.0000106801.98537.25
  contributor:
    fullname: Chan
– volume: 108
  start-page: 451
  year: 2015
  article-title: Patient perceptions and recall of consent for regional anaesthesia compared with consent for surgery
  publication-title: J R Soc Med
  doi: 10.1177/0141076815604494
  contributor:
    fullname: Henley
– volume: 12
  start-page: 65
  year: 2017
  article-title: Informed consent: sometimes it’s about memory
  publication-title: The Journal of Lancaster General Hospital
  contributor:
    fullname: Boncheck
– volume: 10
  start-page: 151
  year: 2002
  article-title: Current state of research on decision-making competence of cognitively impaired elderly persons
  publication-title: Am J Geriatr Psychiatry
  doi: 10.1097/00019442-200203000-00006
  contributor:
    fullname: Caine
– ident: 2024100501001345000_44.11.981.5
  doi: 10.1016/j.rapm.2006.07.005
– ident: 2024100501001345000_44.11.981.11
  doi: 10.1111/ans.12555
– volume: 2
  start-page: 289
  year: 2011
  ident: 2024100501001345000_44.11.981.12
  article-title: Sample size estimation in epidemiologic studies
  publication-title: Caspian J Intern Med
  contributor:
    fullname: Hajian-Tilaki
– ident: 2024100501001345000_44.11.981.24
  doi: 10.1213/01.ANE.0000106801.98537.25
– ident: 2024100501001345000_44.11.981.14
  doi: 10.1002/14651858.CD009445.pub2
– volume: 47
  start-page: 105
  year: 2000
  ident: 2024100501001345000_44.11.981.3
  article-title: Litigation in Canada against anesthesiologists practicing regional anesthesia. A review of closed claims
  publication-title: Can J Anesth/J Can Anesth
  doi: 10.1007/BF03018844
  contributor:
    fullname: Peng
– ident: 2024100501001345000_44.11.981.21
  doi: 10.1054/ijoa.1999.0371
– ident: 2024100501001345000_44.11.981.8
  doi: 10.7326/0003-4819-147-8-200710160-00010
– ident: 2024100501001345000_44.11.981.9
– ident: 2024100501001345000_44.11.981.2
  doi: 10.1111/j.1365-2044.2010.06248.x
– ident: 2024100501001345000_44.11.981.17
– volume: 10
  start-page: 572
  volume-title: Association for consumer research
  year: 1983
  ident: 2024100501001345000_44.11.981.25
  contributor:
    fullname: Srull
– ident: 2024100501001345000_44.11.981.4
– ident: 2024100501001345000_44.11.981.6
  doi: 10.1177/0141076815604494
– volume: 16
  start-page: 160
  year: 1999
  ident: 2024100501001345000_44.11.981.19
  article-title: Informed consent and patient participation in the medical encounter: a list of questions for an informed choice about the type of anaesthesia
  publication-title: Eur J Anaesthesiol
  doi: 10.1097/00003643-199903000-00004
  contributor:
    fullname: Paci
– volume: 64
  start-page: 1075
  year: 2017
  ident: 2024100501001345000_44.11.981.7
  article-title: Patient retention and satisfaction with information exchange concerning peripheral nerve block risks
  publication-title: Can J Anesth/J Can Anesth
  doi: 10.1007/s12630-017-0934-9
  contributor:
    fullname: Burkle
– ident: 2024100501001345000_44.11.981.13
  doi: 10.1176/appi.ajgp.10.2.151
– volume: 12
  start-page: 65
  year: 2017
  ident: 2024100501001345000_44.11.981.18
  article-title: Informed consent: sometimes it’s about memory
  publication-title: The Journal of Lancaster General Hospital
  contributor:
    fullname: Boncheck
– ident: 2024100501001345000_44.11.981.10
– ident: 2024100501001345000_44.11.981.15
  doi: 10.1177/0272989X10364247
– ident: 2024100501001345000_44.11.981.16
– ident: 2024100501001345000_44.11.981.22
  doi: 10.1177/014662168701100404
– ident: 2024100501001345000_44.11.981.23
  doi: 10.1258/jrsm.100.2.97
– volume: 35
  start-page: 38
  year: 2015
  ident: 2024100501001345000_44.11.981.1
  article-title: The role of informed consent in patient complaints: reducing hidden health system costs and improving patient engagement through shared decision making
  publication-title: J Healthc Risk Manag
  doi: 10.1002/jhrm.21200
  contributor:
    fullname: Posner
– ident: 2024100501001345000_44.11.981.20
  doi: 10.1097/00000542-200303000-00005
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Snippet BackgroundPoor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of...
BACKGROUNDPoor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of...
Poor memory of disclosed risks can undermine informed consent and create medicolegal challenges. The extent to which patients remember the risks of peripheral...
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StartPage 981
SubjectTerms ambulatory anesthesia
brachial plexus
Education
Informed consent
Likert scale
nerve block
Original article
Patients
Questionnaires
recall
Regional anesthesia
Surgery
Title Say what? Patients have poor immediate memory of major risks of interscalene block disclosed during the informed consent discussion
URI https://rapm.bmj.com/content/44/11/981.full
https://www.ncbi.nlm.nih.gov/pubmed/31446397
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https://search.proquest.com/docview/2280557162
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