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Development of a valid consent policy for Radiological Imaging procedures in Irish (HSE) Hospitals
Poster Title: Development of a valid consent policy for Radiological Imaging procedures in Irish (HSE) Hospitals
Submitted on 19 Feb 2020
Author(s): gerard brassil
This poster was presented at European Congress of Radiology, ECR, Vienna, 2015
Poster Views: 229
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Poster Information
Purpose: The issue of informed consent for examinations that expose individuals to ionising radiation stirs ethical, moral, legal and medical debate amongst professionals. In May 2013, a National Consent Policy (NCP) to guide staff in relation to implementation of consent was launched by the HSE. The principal objective of the study was to propose solutions to the problems, particular to, that of consent in radiology. These could be used to generate a comprehensive and cohesive consent policy. A single, standardised protocol would ensure a harmonised approach to the consent process. Findings of the study would have relevance outside the jurisdiction of the HSE.
Methodology: A comprehensive review of the literature and research relevant to this study was performed using a number of resources including Science Direct, Pub Med and Google Scholar. Areas of relevance identified in NCP particular to ionising radiation were thoroughly examined. From the literature the author identified key issues, namely: the lack of professional guidance to consent for radiology procedures, difficulties with communicating radiation risk, disseminating risk/benefit information and seeking consent is problematic, the type of consent to be sought is a complex concept, documentation of and responsibility for consent were frequently identified as issues of concern.
Results: Findings from the literature informed the design of protocol for informed consent in radiology. A standardised radiology consent policy was proposed and recommendations included, the need to form an alliance of professional bodies to meet the demands of consent. A “Risk Matrix” and “look-up-table” were designed as communication tools. A two-step process, for seeking consent involving prescriber and radiology professional was proposed. A “checkbox” system and “consent forms” for documenting consent were designed. Due to the ambiguity surrounding responsibility for consent, it was identified that legislative and litigious definitions are lacking and clarity is needed. In the interim, local classification of responsibilities is suggested.
Conclusion: The gaps between ideal theory and existing everyday practice in informed consent in radiology are evident. Further research in the field of consent to ionising radiation is recommended. In order to maintain respect for patient autonomy, preserve trust in our profession and to uphold moral, ethical, legal and professional high standards, effective communication with patients is key.
Keywords: Informed Consent, Risk Communication, Risk Ionising, and Consent Radiology.
Summary: A proposal for informed consent in Radiological practice in IrelandReferences: References
[1] Have H and Gordijn B. (2014) Handbook of Global Bioethics: Volume 1, Springer.
[2] Brink, J., Goske, M. and Patti, J. (2012) Informed decision making trumps informed
consent for medical imaging with ionising radiation. Radiology, 262 (1), pp. 11-14.
[3] Paterick, T., Jan, M., Paterick, Z., Tajik, A. and Gerber, T. (2012). Cardiac imaging
modalities with ionising radiation: the role of informed consent. JACC Cardiovascular
Imaging, Jun;5 (6), pp. 634-40.
[4] Mendelson, R. (2010). For discussion: Obtaining consent for ionising radiation:
Has the time come?. Journal of Medical Imaging and Radiation Oncology, 54 (5), pp.
[5] International Commission of Radiological Protection (2001). Radiation and your
patient: a guide for medical practitioners. 103. Ottawa: International Commission of
Radiological Protection.
[6] HSE (2009).Health Service Executive .Guidelines for Consent to Clinical Examination
and/or Treatm
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