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Table 3 Knowledge of SIC Elements and SIC in daily practice

From: Challenging the knowledge base and skillset for providing surgical consent by orthopedic and plastic surgeons in the Netherlands: an identified area of improvement in patient safety

Question

Answer

Total

OS

PS

P-Value

Q 18 What are the elements of SIC?

 

Y/N% (n = 335)

Y/N% (n = 251)

Y/N% (n = 84)

 
 

Evaluation of competence

52/48

51/49

55/45

Ns

 

Patient education

93/7

93/7

95/5

Ns

 

Recording of the consent

78/22

79/21

75/25

0.002

 

Patients’ signature is obligatory

42/58

36/64

62/38

0.0001

 

Surgeons’ signature is obligatory

42/58

37/63

58/42

0.0001

Q14 Are you informing patients on SIC and patient rights?

 

Y/N% (n = 334)

Y/N% (n = 250)

Y/N% (n = 84)

 
 

Y/N

37/63

36/64

39/61

Ns

Q15 Who is mainly informing patients on SIC and patients’ rights?

 

Y/N% (n = 335)

Y/N% (n = 251)

Y/N% (n = 84)

 
 

Surgeon

40/60

39/61

41/59

Ns

 

Resident

22/78

22/78

23/77

Ns

 

Nursing staff

10/90

10/90

8/92

Ns

 

Leaflets

13/87

14/86

8/92

Ns

Q5 For which type of surgical procedure a SIC is required?

 

% (n = 334)

% (n = 250)

% (n = 84)

 
 

All surgical procedures

37

38

32

Ns

 

Elective procedures

31

30

32

Ns

 

Depending on the surgeon

32

31

36

Ns

Q7 Which check is used to test patient competence?

 

% (n = 334)

% (n = 250)

% (n = 84)

 
 

Own clinical judgement

95

95

95

Ns

 

Questionnaire

3

3

2

Ns

 

No control

2

2

2

Ns

Q8 Is there a SOP on information that is provided to patients?

 

% (n = 333)

% (n = 249)

% (n = 84)

 
 

Y/N

66/34

66/34

69/31

Ns

Q10 Do you inform patients on:

 

Y/N% (n = 335)

Y/N% (n = 251)

Y/N% (n = 84)

 
 

the diagnosis and indication ?

99/1

99/1

98/2

Ns

 

the surgical procedure ?

97/3

97/3

98/2

Ns

 

complications ?

98/2

98/2

96/4

Ns

 

alternative treatment options ?

89/11

89/11

91/9

Ns

Q13 Which complication percentage do you us to inform your patients?

 

Y/N% (n = 335)

Y/N% (n = 251)

Y/N% (n = 84)

 
 

Rates from literature

66/34

68/32

60/40

Ns

 

Rates from own department

31/69

36/64

18/82

0.002

 

Personal rates

18/82

17/83

19/81

Ns

Q11 How do you check if the patient has understood the information ?

 

Y/N% (n = 335)

Y/N% (n = 251)

Y/N% (n = 84)

 
 

Repeat back method

9/91

9/91

8/920

Ns

Q6 Do you use SIC forms in daily practice ?

 

Y/N% (n = 331)

Y/N% (n = 248)

Y/N% (n = 83)

 
 

Y/N

26

21

42

0.001

Q17 Is there a check prior to the surgical procedure if the SIC process is correctly completed?

 

Y/N% (n = 334)

Y/N% (n = 250)

Y/N% (n = 84)

 
 

Y/N

36/64

37/63

32/68

Ns

Q9 Which supporting tools are you using?

 

Y/N% (n = 335)

Y/N% (n = 253)

Y/N% (n = 84)

 
 

Leaflets

98/2

97/3

99/1

Ns

 

Informative movies/DVD

25/75

31/69

6/94

0.05

 

Computer software / websites

46/54

50/50

32/68

0.0001

 

Nursing staff

58/42

69/31

27/73

0.008

Q22 Are you interested in using SIC software?

 

Y/N% (n = 334)

Y/N% (n = 250)

Y/N% (n = 84)

 
 

Y/N

79/21

78/22

82/18

Ns

Q19 Is SIC important for doctors?

 

Y/N% (n = 330)

Y/N% (n = 246)

Y/N% (n = 84)

 
 

Y/N

89/11

89/11

86/14

 

Q20 Do you think that patients realise the importance of SIC?

 

Y/N% (n = 330)

Y/N% (n = 246)

Y/N% (n = 84)

 
 

Y/N

57/43

57/43

54/46

 
  1. Q Question, Y Yes, N No, n number, Ns not significant, SOP standard Operating Procedure, SIC Surgical Informed Consent