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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