Document Detail


Informed consent for blood transfusion: what do medicine residents tell? What do patients understand?
MedLine Citation:
PMID:  23010711     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Blood transfusion is a common intervention in the hospital setting, and its benefits may not be clear but it has associated risks. Despite this, transfusion consent may not be obtained satisfactorily. We assessed transfusion consent effectiveness by comparing information given by residents with information understood by patients who receive transfusions. Medicine department residents who obtained consent were surveyed via telephone in conjunction with bedside surveys of adult inpatients who received transfusions. A total of 43 patient and 34 resident surveys were completed. Deficiencies in the transfusion consent process were noted. Discussed transfusion benefits (such as wound healing) were not always true benefits whereas some important risks (such as transfusion-related acute lung injury) were infrequently conferred. Risks were more often reported as "not discussed" than benefits. Only a few participants were aware of the hospital's Transfusion Health Guide, which provides information on transfusion benefits, risks, and alternatives.
Authors:
Mark Friedman; Wajih Arja; Rashmi Batra; Sugganth Daniel; Daniela Hoehn; Alberto Mondolfi Paniz; Sorin Selegean; Denisa Slova; Swati Srivastava; Norge Vergara
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of clinical pathology     Volume:  138     ISSN:  1943-7722     ISO Abbreviation:  Am. J. Clin. Pathol.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-26     Completed Date:  2012-12-04     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  0370470     Medline TA:  Am J Clin Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  559-65     Citation Subset:  AIM; IM    
Affiliation:
Departments of Pathology/Blood Bank, St Luke's-Roosevelt Hospital Center, New York, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Blood Transfusion / adverse effects,  ethics*,  psychology
Communication*
Comprehension / ethics*
Data Collection
Female
Humans
Informed Consent / ethics*,  psychology
Internship and Residency / ethics*
Male
Middle Aged
Physician-Patient Relations / ethics*
Risk Assessment
Truth Disclosure / ethics*
Comments/Corrections
Comment In:
Am J Clin Pathol. 2013 May;139(5):693
Am J Clin Pathol. 2013 May;139(5):693   [PMID:  23596121 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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