Confidence in consent: the use of a patient information leaflet as a tool for consent for regional anaesthesia – a service improvement project

Regional anaesthesia is increasingly used for perioperative pain management, offering benefits such as improved pain scores, reduced opioid use and early mobilisation. However, informed consent remains a critical issue, particularly given the rising litigation claims related to peripheral nerve blockade. This service improvement project evaluates the impact of introducing a patient information leaflet (PIL) on patient understanding and experience of the consent process. A structured in-person survey was administered pre and post intervention to two cohorts of 30 patients each. The results demonstrate improvements in patient recall of risks and benefits, understanding of voluntary consent and overall satisfaction with the consent process. The findings are suggestive that PILs enhance shared decision-making and should be integrated into standard consent procedures.

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Publication Details

Journal
BMJ Open Quality
Published
2025-04-01
DOI
https://doi.org/10.1136/bmjoq-2024-003241
Primary Topic
Patient-Provider Communication in Healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

Confidence in consent: the use of a patient information leaflet as a tool for consent for regional anaesthesia – a service improvement project

Abigail Walsh, Emma Lennon, Shanika Wijayaratne, Sheriff El Mahgoub
BMJ Open Quality
Patient-Provider Communication in Healthcare
article

Confidence in consent: the use of a patient information leaflet as a tool for consent for regional anaesthesia – a service improvement project

Abigail Walsh, Emma Lennon, Shanika Wijayaratne, Sheriff El Mahgoub
article en

Abstract

Regional anaesthesia is increasingly used for perioperative pain management, offering benefits such as improved pain scores, reduced opioid use and early mobilisation. However, informed consent remains a critical issue, particularly given the rising litigation claims related to peripheral nerve blockade. This service improvement project evaluates the impact of introducing a patient information leaflet (PIL) on patient understanding and experience of the consent process. A structured in-person survey was administered pre and post intervention to two cohorts of 30 patients each. The results demonstrate improvements in patient recall of risks and benefits, understanding of voluntary consent and overall satisfaction with the consent process. The findings are suggestive that PILs enhance shared decision-making and should be integrated into standard consent procedures.

BMJ Open QualityVol. 14(2)
St. Vincent's University Hospital (IE)
Peace, Justice and strong institutions
Openalex Percentile: Top 77%
Patient-Provider Communication in Healthcare
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