MR A EL-KHOLYMr S SISTUDr H VADDI

AIM OF AUDITTo evaluate the appropriateness in filling the

consent forms.To identify and highlight the deficient areas ,

make changes and improve practice.

METHOD

100 ENT consent forms obtained from the medical records retrospectively and studied.

CONSENT FORM

CONSENT FORM contd... 7) Nature of anaesthetic 8) Signature, name, job title of person taking

consent and date of consent 9) Patient’s/Parent’s (in case of children)name,

signature and date of consent 10)Witness’ name, signature and date of consent 11) Interpreter's Name, signature and date. 12) copy of consent accepted by patient – Yes/No 13) confirmation of consent on the day of OP by

operating surgeon.

ADDRESSOGRAPHAttached on - 97Hand written on - 3

CONSULTANT’S NAME &TITLE

NAME OF THE PROCEDURE

DISCUSSION OF BENEFITS AND SERIOUSLY OCCURING RISKS

EXTRA PROCEDURES

INFORMATION LEAFLET 76 out of 100 are routine ENT

procedures with information leaflets available.

44 - recorded to have received 32 - not recorded

24 out of 100 are not routine procedures with Leaflets not available eg;

Excision of thyroglossal cyst, Excision of skin lesions eg;

BCC, sebaceous cysts, keloid scars,

EUA PNS, EUA Ear, Tongue tie release, Removal of grommet, Removal of stone from SMG

duct, Laser turbinectomy

CONFIRMATION OF CONSENT91 – confirmed on

the day of op 11 – consented the

same day op

PATIENT COPY 74 patients have

received the patient copy

( 40 marked, 34 not marked)

26 patients didn’t receive

0 – not accepted

Nature of anaesthetic – recorded in all 100Signed by a health professional in all 100Signed by patient in all 100

SUMMARYPatient details , Nature of procedure, risks and

benefits, nature of anaesthetic , confirmation of consent, health professional’s signature and patient’s signature have been recorded legibly and appropriately ON ALL 100 consent forms.

24% of patient’s didn’t receive patient copy.In 25 /35 - extra procedures/ blood transfusion –

not markedInformation leaflets are available for 74 / 100 .

44 / 74 were marked to have received the leaflets.

RECOMMENDATIONSTo print consultant’s name and job title on all

consent formsWhere appropriate the extra procedures box to be

ticked .Information leaflets when available to be given and

marked in the consent forms for all patients.Patient’s copy of consent form to be given and

marked in the consent form for all patients.Prepare information leaflets for uncommon

procedures?