Editor's Note New federal guidelines require obtaining written informed consent before conducting pelvic and other sensitive medical examinations, according to an April 2 Associated Press report. The new guidance from the US Department of Health and Human Services focuses specifically on medical students, nurse practitioners, and physician assistants performing breast,…

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Editor's Note A recent study from the UK, the results of which were presented at the 6th annual World Congress on Regional Anaesthesia and Pain Medicine, shed light on patients' preferences and understandings regarding anesthesia options for outpatient orthopedic surgery, Anesthesiology News March 18 reports. It revealed a stronger expectation…

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Editor's Note This recent study of five pediatric clinics in Los Angeles County, California, found that when clinic staff performed screening for adverse childhood experience (ACE), they were able to elicit important patient information and build trust, with no adverse events reported. The study, titled "Clinician and Staff Perspectives on…

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Editor's Note This study from Vanderbilt University Medical Center, Nashville, Tennessee, finds no difference in quality of shared decision making in surgical patients having preoperative in-person vs telemedicine visits. Of 387 patients who were scheduled for surgery between May 2021 and June 2022, 301 had in-person visits and 86 had…

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Editor's Note Cardiologists at the University of Washington School of Medicine (UW Medicine) in Seattle, Washington, are participating in a national clinical trial to test a device designed to control bleeding if a vessel near the heart is inadvertently perforated during a catheter-based procedure, Healthcare Purchasing News May 26 reported.…

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Editor's Note The Joint Commission, on January 12, announced that revisions to the Rights and Responsibilities of the Individual (RI) chapter addressing the written policy on informed consent and organizational use of images, films, and recording of patients will become effective July 1, 2022. Among the revisions: A new bullet…

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Editor's Note In this study from the University of Virginia, new geriatric-specific characteristics were found to raise the risk of elderly surgical patients having unplanned readmissions within a month of leaving the hospital. The four geriatric-specific risk factors for readmission include: cognitive impairment requiring another person to sign the patient’s…

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Editor's Note The Agency for Healthcare Research and Quality (AHRQ) has developed two e-learning modules on informed consent that will be available through the Joint Commission’s learning management system for continuing education credit. The modules, which are available for free: help hospital leaders provide guidance on developing policies and ensuring…

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Editor's Note In this study, researchers developed a question prompt list for older adults considering high-risk surgery. Three decision-making needs were addressed, including clarification of treatment options, setting postoperative expectations, and advance care planning. The list included 11 questions within 3 domains: Should I have surgery? What should I expect…

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Editor's Note The Joint Commission on February 11 published it’s latest Quick Safety newsletter, which focuses on informed consent. Implementing an effective informed consent process poses numerous challenges, and frequently patients do not understand the risks, benefits, and alternatives involved in their treatment or surgical procedures, the Joint Commission says.…

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