Question

You are completing an internship in the Quality Department at General Hospital. As part of your internship, the director of the department has asked you to complete a small quality improvement project utilizing their EHR. The director would like you to determine if randomly selected five charts meet the following criteria: The consent is detailed and addresses the following 8 items: o Permission o Unforseen Conditions o Anesthesia o Specimens o Photographing, Videotaping, etc. o Explanation of Procedure, Risks, Benefits, and Alternatives o Blood Transfusion o No Guarantees and o Blood TransfuioRisks, All signatures required are present o Patient/Relative/Guardian o Physician o Witness

Chart #1

Patient identifying information is blacked out to protect patient privacy. This means that all signatures at the bottom of the page are blacked out, if you see a black box at the signature line this indicates that there is a signature present.

A. Does consent meet all specified criteria?
B. Based on your findings from the 5 charts, what would be a goal for improvement (use the SMART goal format)?

Answer 1

A. Consent does not meet all specific criteria.

Consent is the form of written statement by the patient as willing to undergo the specific treatment or procedure.

It should contain the content of the procedure and what are all the complications of it, dually signed by patient and physician. Before doing signature it must be reviewed by both patient and physician, and put signatures.

In the above format there is no content of the procedure and it is not reviewed by patient.