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Top 30 Quality Measures

Informed Consent Overall Rank: 12 Best in Domain
Health professionals should make all efforts necessary to ensure that a service user can give meaningful and properly informed consent before treatment is initiated, giving adequate time for discussion and the provision of written information.
Domain : Patient-Centeredness
Patient-centeredness refers to establishing a partnership among practitioners, patients and their families (when appropriate) to ensure that decisions respect patients’ wants, needs and preferences. This includes ensuring that patients have the education and support they need to make their own decisions and participate in their own care.
Additional Domain(s) : Legal, Patients with Psychosis
Rationale
Whatever treatments are offered, it is essential to engage the service user in a collaborative, trusting and caring working relationship at the earliest opportunity. Professionals should take into full account the particular nature of schizophrenia: namely, that the illness may affect peoples ability to make judgments, to recognise that they are ill, to comprehend clearly what professionals might say to them and to make informed decisions about their treatment and care.
Primary Reference
The National Institute for Clinical Excellence. (2002). Schizophrenia: Core interventions in the treatment and management of chizophrenia in primary and secondary care. Retrieved July 13, 2006, from http://www.nice.org.uk/page.aspx? o=CG001NICEguideline-
Level of Evidence
IV: Evidence based on individual expert opinion.

Summarized CommentsAdd Comment
  • Eats up time for care delivery - most patients expect that consent is implied. It’s too bureaucratic.
  • How would this be measured? I think it is extremely difficult to get consensus on what informing for consent is in practice. The textbook definition is easy - the application is fraught with complexity, nuance, etc.
Variation in Results
Ratings-based Rank
Relevance 14
Actionability 15
Overall Importance 19
 
Stakeholder Rank
Academics 37
Clinicians 19
Consumers 4
Decision Makers 6
 
Special Group Rank
First Nations 23
Rural Areas 1
Federal Stakeholders 18
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
10 28 33 15 13 30 9 31 29 16 10 6 5
 
Overall Rank

      

12


SW05g (B932)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0 0 0 1.07 0.78 3.17 11.04 23.77 60.16
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0 0.96 0.72 2.57 3.24 5.37 18.36 32.75 36.05
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
0.89 13.99 85.13
3 2 1

3 = can live without
2 = nice to have
1 = indispensable

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The views expressed herein do not necessarily represent the official policies of Health Canada