Barriers and pathways to informed consent for ionising radiation imaging examinations: A qualitative study

Younger, C.W.E.; Moran, Sue; Douglas, Charles; Warren‐Forward, Helen

doi:10.1016/j.radi.2019.03.001

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…In addition, a limited survey of radiographers and radiologists into the barriers to informed consent reported that participants were unsure of the scope, nature and requirements of informed consent and that a unified, authoritative definition of the risks of IR and disclosure methodology was needed. 15 Many radiology service providers supply exam-specific information sheets to patients by mail at the time of appointment scheduling. Conceivably, this material could be partially customised to the patient and include a discussion of IR risk based on the estimated dose range, thus allowing time and opportunity for the patient to ask questions.…”

Section: The Timing Of Provision Of Informationmentioning

confidence: 99%

Informed consent for stochastic effects of ionising radiation in diagnostic imaging

Mendelson

2022

The British Journal of Radiology

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The ethical and legal principles underpinning the requirement for informed consent for medical procedures are widely accepted. A recent BJR article has applied these principles to the issue of consent to ionising radiation (IR) from diagnostic imaging (DI), but the authors chose to put aside the practical problems associated with this. These problems should not be underestimated and arise from: uncertainties about the existence and magnitude of risk of stochastic effects of IR exposure in DI; the delayed manifestation of its effects; the heterogeneity of risk related to factors associated with individual sensitivity to IR, and dose variation even within examination classes and across clinical indications; and the difficulty of communication of these uncertainties and variations to patients. This article discusses these practical issues associated with consent for IR in DI.

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Section: The Timing Of Provision Of Informationmentioning

confidence: 99%

Informed consent for stochastic effects of ionising radiation in diagnostic imaging

Mendelson

2022

The British Journal of Radiology

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“…The uncertainty may easily occur in cases when the patient wants an examination for other the strictly medical reasons and respecting the patient's autonomy and dignity becomes incompatible with following best practice. In step 3 the relevance of patient autonomy regards the radiographers' uncertainty about if and how informed consent can or should be obtained (Younger et al 2019). Moreover, patient autonomy is also involved in step 5 and 6 because it is crucial to inform patients about the types of uncertainty that should be considered along the results (Hofmann and Lysdahl 2008).…”

Section: Ethical Issues In Diagnostic Uncertaintiesmentioning

confidence: 99%

Diagnostic Uncertainties in Medical Imaging. Analysing, Acknowledging and Handling Uncertainties in the Diagnostic Process

Hofmann

Lysdahl

2020

Philosophy of Advanced Medical Imaging

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Diagnostics is a crucial tool in health care's endeavours to help people, and tremendous progress has been made in the field. Nonetheless, there are a wide range of uncertainties involved in all aspects of diagnostics -uncertainties that are important for scientific improvement, for quality of care, for practicing medicine, for informing patients, and for health policy making. In this chapter we analyse a wide range of uncertainties presenting in the various steps of diagnostic imaging. For each step we describe the main concern and suggest measures to reduce and handle the various kinds of uncertainty. Overall, we provide 9 specific measures to reduce uncertainty in the diagnostic process. Moreover, we analyse ethical issues related to the various types of uncertainty presenting at each step and end the chapter with five specific questions framed to raise the awareness of uncertainty in diagnostic imaging, as well as to reduce and to handle it. Thereby we hope that this chapter will provide practical measures to acknowledge and address diagnostic uncertainty.

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Review of Radiation Dose Metric Tracking for Patients: Ethical Implications of the “Do Not Disclose” Standard

Brunger,

Kendall

2024

Canadian Journal of Bioethics

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Barriers and pathways to informed consent for ionising radiation imaging examinations: A qualitative study

Cited by 3 publications

References 23 publications

Informed consent for stochastic effects of ionising radiation in diagnostic imaging

Informed consent for stochastic effects of ionising radiation in diagnostic imaging

Diagnostic Uncertainties in Medical Imaging. Analysing, Acknowledging and Handling Uncertainties in the Diagnostic Process

Review of Radiation Dose Metric Tracking for Patients: Ethical Implications of the “Do Not Disclose” Standard

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