Have You Had an ERCP Lawsuit Yet?

Cotton, Peter B.

doi:10.1097/sga.0000000000000095

Cited by 4 publications

(2 citation statements)

References 13 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nonetheless, in busy, open‐access endoscopy centers, whereby endoscopy service is provided by general practitioners without having to make a specialist referral beforehand, due to high case volumes and quick turnover rates physicians who perform ERCP do not always have time to talk about the details of ERCP procedure with patients. It has been reported that poor communication is one of the main reasons why patients initiate a claim against endoscopists when adverse events occurr . Our previous study has suggested that the practice of obtaining informed consent for endoscopic examinations is suboptimal, which resulted in dissatisfaction with the procedures and incomplete endoscopic examinations …”

Section: Introductionmentioning

confidence: 99%

Video education can improve awareness of risks for patients undergoing endoscopic retrograde cholangiopancreatography: A randomized trial

Xia

Zhu

Zeng

et al. 2019

J of Digest Diseases

View full text Add to dashboard Cite

Objective: We conducted a randomized trial aiming at improving patients' informed consent for undergoing endoscopic retrograde cholangiopancreatography (ERCP) in clinical care by comparing the efficacy of an additional educational video to written informed consent with that of written informed consent alone.Methods: This was a single-center, randomized controlled trial. Consecutive patients undergoing ERCP were randomized to a video education or a control group. An educational video detailing ERCP procedure plus standard written informed consent was administered to the video education group, while the control group reviewed standard written informed consent only. The primary outcome was the patients' perception of the risk or possibility of ERCP complications. Their perception of the benefits of ERCP, alternative treatments and overall satisfaction with the process of informed consent were also compared. Results:In total 205 patients were included in the study (104 in the control group and 101 in the video education group). Patients' comprehension of ERCP-related complications in the video education group was significantly increased (P < 0.001), and these patients were more likely to correctly identify the incidence of such complications. Significantly more patients in the video education group were very satisfied with informed consent process (87.1% vs 76.0%, P = 0.040) and fewer patients needed additional explanations (31.7% vs 47.1%, P = 0.024).Conclusions: A supplementary educational video could greatly improve patient's understanding of ERCP procedure, in particular, its potential risks and complications, as well as their overall satisfaction with the process of informed consent (ClinicalTrials.gov no. NCT02810379). K E Y W O R D Seducation, endoscopic retrograde cholangiopancreatography, informed consent, video † These authors contributed equally to this work.

show abstract

Section: Introductionmentioning

confidence: 99%

Video education can improve awareness of risks for patients undergoing endoscopic retrograde cholangiopancreatography: A randomized trial

Xia

Zhu

Zeng

et al. 2019

J of Digest Diseases

View full text Add to dashboard Cite

show abstract

“…In 1980, there were seven papers, and 92 were included in 2015. Any gastroenterologist knows endoscopic retrograde cholangiopancreatography (ERCP) is often a complex procedure, at times with uncertain results, that unfortunately leads every so often to lawsuits (1). Most issues derive from attempts at biliary cannulation, despite the improved instruments available since the days of the first sphincterotomy back in 1974 (2).…”

mentioning

confidence: 99%

Pursuing excellence in ERCP

García-Cano

Domper²

2018

Rev Esp Enferm Dig

View full text Add to dashboard Cite

The term "ERCP cannulation" returns 1,563 items in Pubmed. In 1980 there were 7 papers, and 92 were included in 2015. Any gastroenterologist knows ERCP is often a complex procedure, at times with uncertain results, that unfortunately leads every so often to lawsuits. Most issues derive from attempts at biliary cannulation, despite the improved instruments available since the days of the first sphincterotomy back in 1974. The initial priority goal of ERCP learning is a satisfactory rate of choledochal cannulation. Such rate has been somewhat arbitrarily set as at least 80% of successful biliary access.

show abstract

Adverse Event and Complication Management in Gastrointestinal Endoscopy

Richter

Kelsey

Campbell

2016

American Journal of Gastroenterology

View full text Add to dashboard Cite

Gastrointestinal endoscopy is a remarkably safe set of diagnostic and therapeutic techniques, and yet a small number of significant complications and adverse events are expected. Serious complications may have a material effect on the patient's health and well-being. They need to be anticipated and prevented if possible and managed effectively when identified. When complications occur they need to be discussed frankly with patients and their families. Informed consent, prevention, early detection, reporting, and systems improvement are critical aspects of effective complication management. Optimal complication management may improve patient satisfaction and outcome, as well as preserving the reputation and confidence of the endoscopist, and may minimize litigation.

show abstract

Have You Had an ERCP Lawsuit Yet?

Cited by 4 publications

References 13 publications

Video education can improve awareness of risks for patients undergoing endoscopic retrograde cholangiopancreatography: A randomized trial

Video education can improve awareness of risks for patients undergoing endoscopic retrograde cholangiopancreatography: A randomized trial

Pursuing excellence in ERCP

Adverse Event and Complication Management in Gastrointestinal Endoscopy

Contact Info

Product

Resources

About