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{ "pk": 7683, "title": "Patient Attitudes Regarding Consent for Emergency Department Computed Tomographies", "subtitle": null, "abstract": "Introduction: Little is known about patient attitudes towards informed consent for computed tomography (CT) in the emergency department (ED). We set out to determine ED patient attitudes about providing informed consent for CTs.Methods: In this cross-sectional questionnaire-based survey study, we evaluated a convenience sample of patients’ attitudes about providing informed consent for having a CT at 2 institutional sites. Historically, at our institutional network, patients received a CT at approximately 25% of their ED visits. The survey consisted of 17 “yes/no” or multiple-choice questions. The primary outcome question was “which type of informed consent do you feel is appropriate for a CT in the Emergency Department?”Results: We analyzed 300 survey responses, which represented a 90% return rate of surveys distributed. Seventy-seven percent thought they should give their consent prior to receiving a CT, and 95% were either comfortable or very comfortable with their physician making the decision regarding whether they needed a CT. Forty percent of the patients felt that a general consent was appropriate before receiving a CT in the ED, while 34% thought a verbal consent was appropriate and 15% percent thought a written consent was appropriate. Seventy-two percent of the ED patients didn’t expect to receive a CT during their ED visit and 30% of the ED patients had previously provided consent prior to receiving a CT. Conclusion: Most patients feel comfortable letting the doctor make the decision regarding the need for a CT. Most ED patients feel informed consent should occur before receiving a CT but only a minority feel the consent should be written and specific to the test. [West J Emerg Med. 2014;15(1):14–19.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 4.0", "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.", "url": "https://creativecommons.org/licenses/by-nc/4.0" }, "keywords": [ { "word": "CT attitudes, CT consent" }, { "word": "Medicine" } ], "section": "Ethical and Legal Issues", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/3d3102cg", "frozenauthors": [ { "first_name": "Michael", "middle_name": "B", "last_name": "Weigner", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Hilary", "middle_name": "F", "last_name": "Basham", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Kate", "middle_name": "M", "last_name": "Dewar", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Valerie", "middle_name": "A", "last_name": "Rupp", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Llewellyn", "middle_name": "", "last_name": "Cornelius", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" }, { "first_name": "Marna", "middle_name": "Rayl", "last_name": "Greenberg", "name_suffix": "", "institution": "Lehigh Valley Hospital and Health Network, Department of Emergency Medicine Research, Allentown, Pennsylvania", "department": "None" } ], "date_submitted": "2013-01-16T22:04:33Z", "date_accepted": "2013-01-16T22:04:33Z", "date_published": "2014-02-01T08:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/7683/galley/4505/download/" } ] }