A practical exploration on the construction of electronic informed consent standard library in large general hospitals
10.3969/j.issn.1671-332X.2024.09.018
- VernacularTitle:大型综合医院电子知情同意标准库建设的实践探索
- Author:
Chu FENG
1
;
Ying LI
;
Jingjing CHU
Author Information
1. 浙江大学医学院附属第一医院 浙江杭州 310003
- Keywords:
Informed consent;
Digital signature;
Standard library
- From:
Modern Hospital
2024;24(9):1377-1380
- CountryChina
- Language:Chinese
-
Abstract:
Objective To promote the construction of a standardized informed consent library and achieve standardized management of informed consent forms.Methods The informed consent forms were standardized and classified,assigned version numbers,and structured and content were regulated.The forms were integrated and used according to signing scenarios and surgi-cal types,and electronic signatures from patients were implemented.Results The initiative achieved full coverage of electronic patient signatures across a total of 158 wards in four campuses.The defect rate of informed consent forms found in medical record quality inspections dropped from 25.93%in 2022 to 3.7%in 2023.The proportion of cases with inadequate informed consent in complaints and petitions decreased from 8.9%in 2022 to 4.5%in 2023.Conclusion The construction of a standardized in-formed consent library has accelerated the process of paperless medical records,improved clinical work efficiency and medical re-cord quality,enhanced doctor-patient relationships,and elevated the overall quality of medical care.