دورية أكاديمية
Rethinking consent processes for research in emergency departments.
| العنوان: | Rethinking consent processes for research in emergency departments. |
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| المؤلفون: | Miller J; Emergency Department, Box Hill Hospital, Melbourne, Victoria, Australia., Costa SG; Emergency Department, Ballarat Base Hospital, Ballarat, Victoria, Australia., Taylor DA; Office of Research and Ethics, Eastern Health, Melbourne, Victoria, Australia., Buntine P; Emergency Department, Box Hill Hospital, Melbourne, Victoria, Australia.; Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia. |
| المصدر: | Emergency medicine Australasia : EMA [Emerg Med Australas] 2021 Aug; Vol. 33 (4), pp. 753-755. Date of Electronic Publication: 2021 Apr 17. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Pub Country of Publication: Australia NLM ID: 101199824 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1742-6723 (Electronic) Linking ISSN: 17426723 NLM ISO Abbreviation: Emerg Med Australas Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Wes Melbourne, Victoria : Blackwell Pub., c2004- |
| مواضيع طبية MeSH: | Emergency Medicine* , Informed Consent*, Emergency Service, Hospital ; Humans ; Research Personnel |
| مستخلص: | Emergency medicine researchers face the challenge of prioritising patients' immediate interests and maintaining hospital flow while attempting to collect clinical data. Even in low-risk scenarios, excessive consent processes can make it difficult to recruit patients while observing guidelines on efficient triage. We discuss a recent situation in which a six-page consent form appeared to deter clinicians from recruiting patients to a low-risk intervention. We then argue that there need be no conflict between the imperatives of patient wellbeing and clinical research. Apparent conflicts between treatment and research could be reduced through creative recruitment techniques: the adoption of an 'opt-out' approach; securing the budget for a dedicated research assistant; early consultation with the institution's human research ethics committee; and the use of a short, simple participant information and consent form with a QR code linking to a more detailed outline of the study. (© 2021 Australasian College for Emergency Medicine.) |
| References: | Fatovich DM, Finn J, Webb S, Macdonald SPJ. The challenges of obtaining consent in emergency care research. Tasman Med. J. 2020; 2: 11-4. Kendrick D, Lyons R, Christie N et al. Recruiting participants for injury studies in emergency departments. Inj. Prev. 2007; 13: 75-7. Australian Institute of Health and Welfare. Emergency Department Care 2017-18. Cat. No: HSE 223. 2018. [Cited 7 Jan 2021.] Available from URL: https://www.aihw.gov.au/reports/hospitals/emergency-dept-care-2017-18/contents/waiting-times/proportion-seen-on-time. Walker K, Tan SI, Fatovich D et al. Research capacity of Australian and New Zealand emergency medicine departments. Int. J. Emerg. Med 2020; 13: 16. Cofield S, Conwit R, Barsan W, Quinn J. Recruitment and retention of patients into emergency medicine clinical trials. Acad. Emerg. Med. 2010; 17: 1104-12. Venkatesh AK, Savage D, Sandefur B, Bernard KR, Rothenberg C, Schuur JD. Systematic review of emergency medicine clinical practice guidelines: implications for research and policy. PLoS One 2017; 12: e0178456. Institute of Medicine. Evidence-Based Medicine and the Changing Nature of Healthcare: 2007 IOM Annual Meeting Summary. Washington, DC: The National Academies Press, 2008. Stiell I. Ottawa ankle rules. Can. Fam. Physician 1996; 42: 478-80. National Health and Medical Research Council. National Statement on Ethical Conduct in Human Research (2007) - Updated 2018. Canberra: NHMRC, 2018. Cornelli A, Namey E, Mueller MP et al. Evidence-based strategies for shortening informed consent forms in clinical research. J. Empir. Res. Hum. Res. Ethics 2017; 12: 14-25. |
| فهرسة مساهمة: | Keywords: emergency medicine; ethics; informed consent; recruitment |
| تواريخ الأحداث: | Date Created: 20210417 Date Completed: 20211027 Latest Revision: 20211027 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1111/1742-6723.13775 |
| PMID: | 33864340 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1742-6723 |
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| DOI: | 10.1111/1742-6723.13775 |