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ISQua's 39th International Conference 2023

August 27 - 30, 2023 | Seoul, Republic of Korea

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P539

STANDARDIZED PROCEDURE SPECIFIC CONSENT FORMS FOR SURGICAL PROCEDURES: AN INTERVENTION TO IMPROVE THE INFORMED CONSENT PROCESS IN NATIONAL UNIVERSITY HEALTH SYSTEM, SINGAPORE

Part of Topic

Workforce, Policy, and Governance

Standardised Procedure Specific Consent Forms for Surgical Procedures: An Intervention to Improve the Informed Consent Process in National University Health System, Singapore

 

Introduction

The National University Health System (NUHS) is an integrated academic health system in Singapore consisting of 14 entities, including 3 hospitals.

Informed consent is an integral part of the communication process in providing quality clinical care. To ensure standardized and consistent information for patients undergoing common procedures across NUHS hospitals, each clinical specialty developed harmonized Procedure-Specific Consent Forms.

These Procedure-Specific Consent Forms aim to provide patients with the necessary information to make informed decisions regarding their procedures.

 

Aim

The aim of this project was to develop and integrate harmonized Procedure-Specific Consent Forms within the New Generation Electronic Medical Records (NGEMR) platform across all NUHS institutions.

This integration ensures that patients receive standardized information regardless of which NUHS hospital they visit, facilitating a more consistent and patient-centered approach to informed consent.

 

Method

The project was initiated in 2021, involving the 17 clinical specialties in NUHS.

Development of Procedure-Specific Consent Forms (PSCF)

1.Each clinical specialty identified common procedures to develop their PSCFs.
2.PSCFs were then created by each clinical specialty, in collaboration with NUHS Group Care Plan Operations, using standardised templates
3.PSCFs were vetted by NUHS Group Medical Affairs with inputs from NUHS Legal Office
4.NUHS Enterprise IT team then built the PSCFs as SmartText in NGEMR
5.Electronic Document Mailers are sent to all staff across NUHS Hospitals to inform them of the availability of the new PSCFs in NGEMR.
 
 
Results

When NGEMR was launched in February 2022, 6 clinical specialties started off by developing  Procedure-Specific Consent Forms for 66 common procedures. To-date (August 2023), a total of 124 Procedure-Specific Consent Forms across 11 clinical specialties have been built.

By keying in the SmartText for a specific procedure into the “Insert SmartText” field of the General Consent Form template in NGEMR, the procedure details are then auto populated without the doctor having to type out everything.

 

Conclusions

The success of the project relied heavily on leadership buy-in and the collaboration of clinicians across the 3 NUHS hospitals.

The implementation of Procedure-Specific Consent Forms has harmonised the process of obtaining informed consent for specific procedures across the hospitals.

Patients now receive a standardised set of key information, facilitating their ability to make informed decisions.

Additionally, doctors benefit from improved communication and accurate documentation, resulting in time savings by eliminating the need to fill in procedure details from scratch.

 

Acknowledgement

We are grateful for the assistance provided by our colleagues from NUHS Group Care Plan Operations, NUHS Legal Office, and NUHS Enterprise IT.

 

References

1.Joint Commission International Accreditation Standards for Hospitals, 7th Edition, effective 1 January 2021.
 
 
Contact Information

For any queries on this poster, please contact:

John Liao

Senior Assistant Manager, Group Medical Affairs, Group Chairman Medical Board Office, National University Health System, Singapore

john_liao@nuhs.edu.sg

 

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