Radiographers' and radiology practitioners' opinion, experience and practice of benefit-risk communication and consent in paediatric imaging

Informed consent guidelines for ionising radiation examinations: A Delphi study

“…There is no uniform process of informed consent for medical imaging examinations involving ionising radiation. 5,6 Perceptions of risk, legal considerations, and local policies would obviously introduce variation in the practice. For example, in some Australian health systems, radiographers may be required to gain informed consent as part of every imaging examination.…”

“…The expert consensus is supported by recent research, suggesting that the process is undertaken inconsistently by referrers, if at all, and that "for a considerable number of referrers and practitioners, the provision of information stops at explaining the purpose of a medical imaging examination". 6 While referrers have expressed their support of the informed consent process (up to 97.8% of participants in one study 6 ), there is noteworthy variability in actually undertaking it, 29 and even less confidence in doing so. 6 This is a critical discontinuity in the current process.…”

“…6 While referrers have expressed their support of the informed consent process (up to 97.8% of participants in one study 6 ), there is noteworthy variability in actually undertaking it, 29 and even less confidence in doing so. 6 This is a critical discontinuity in the current process. The referrer and radiologist might both assume that the other party has discussed the risks, leaving the patient without any information.…”

“…In many cases, this occurs, and in some jurisdictions, discussion of risk vs. benefit is standard practice for a radiographer, with the radiologist having a primarily advisory role. 6 The problem with such a practice occurs when the patient wants information outside of the scope and knowledge of the radiographer. The radiologist might be unavailable or unwilling to consult with the patient.…”

Patient safety in undergraduate radiography curricula: A European perspective

“…24,25 Such approaches can reduce unnecessary examinations being performed, provide patients with an improved understanding of the risks associated with procedures, and reduce risk. 23,24,26 Worryingly, research has shown that, despite advanced levels of education and training in the area of radiation protection, radiographers and radiologists often lack the confidence to discuss risk with their patients. 26,27 …”