Success Rates of Obtaining Broad Consent in Emergency Departments
Author Information
Author(s): Lovis Christian, Senst Benjamin, Weerth Carsten, Hans Felix Patricius, Kleinekort Jan, Boerries Melanie, Nieters Alexandra, Kindle Gerhard, Rautenberg Micha, Bühler Laura, Weiser Gerda, Röttger Michael Clemens, Neufischer Carolin, Kühn Matthias, Wehrle Julius, Slagman Anna, Fischer-Rosinsky Antje, Eienbröker Larissa, Hanses Frank, Teepe Gisbert Wilhelm, Busch Hans-Jörg, Benning Leo
Primary Institution: University Emergency Department Medical Center—University of Freiburg
Hypothesis
What are the success rates of obtaining broad consent through different consenting approaches in a tertiary emergency department?
Conclusion
Obtaining broad consent in an emergency department is feasible, with face-to-face interaction yielding the highest consent rates.
Supporting Evidence
- 45% of eligible patients consented to at least one broad consent module.
- Dropout rates were highest in the telephone-based group at 52.3%.
- Face-to-face interaction during inpatient stay had the highest consent rate of 85.2%.
Takeaway
This study shows that getting permission from patients to use their health data is possible in emergency rooms, especially when talking to them in person.
Methodology
A single-center prospective observational study was conducted in a German tertiary emergency department, where every 30th patient was screened for eligibility and informed about broad consent through three different modalities.
Potential Biases
Higher dropout rates were observed among female patients and those discharged home, indicating potential biases in consent rates.
Limitations
The study had a small sample size and was conducted at a single center, which may limit the generalizability of the findings.
Participant Demographics
Patients were primarily adults over 17 years old, with a mix of genders and various medical conditions.
Statistical Information
P-Value
P=.03 for interaction time and P=.02 for female sex dropout rates.
Confidence Interval
95% CI 0.39-0.67 for interaction duration in ED group.
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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