1. Animation-supported consent for urgent angiography and angioplasty: a service improvement initiative
- Author
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Nito Polenio, Max Sayers, Josephine Mansell, Matthew Kelham, Kyriacos Mouyis, Vincent McCaughan, Katrina Comer, Selda Ahmet, David S. Wald, Oliver Casey-Gillman, Fiona Chan, and Howie Teo
- Subjects
Male ,medicine.medical_specialty ,Acute coronary syndrome ,medicine.medical_treatment ,Language barrier ,Coronary Artery Disease ,Coronary Angiography ,Angioplasty ,Image Processing, Computer-Assisted ,Humans ,Medicine ,Angioplasty, Balloon, Coronary ,Retrospective Studies ,Informed Consent ,medicine.diagnostic_test ,business.industry ,Animation ,Middle Aged ,medicine.disease ,Miscellaneous ,Angiography ,Physical therapy ,Female ,Emergencies ,Service improvement ,Cardiology and Cardiovascular Medicine ,business - Abstract
ObjectivePatient understanding of angiography and angioplasty is often incomplete at the time of consent. Language barriers and time constraints are significant obstacles, particularly in the urgent setting. We introduced digital animations to support consent and assessed the effect on patient understanding.MethodsMulti-language animations explaining angiography and angioplasty (www.explainmyprocedure.com/heart) were introduced at nine district hospitals for patients with acute coronary syndrome before urgent transfer to a cardiac centre for their procedure. Reported understanding of the reason for transfer, the procedure, its benefits and risks in 100 consecutive patients were recorded before introduction of the animations into practice (no animation group) and in 100 consecutive patients after their introduction (animation group). Patient understanding in the two groups was compared.ResultsFollowing introduction, 83/100 patients reported they had watched the animation before inter-hospital transfer (3 declined and 14 were overlooked). The proportions of patients who understood the reason for transfer, the procedure, its benefits and risks in the no animation group were 58%, 38%, 25% and 7% and in the animation group, 85%, 81%, 73% and 61%, respectively. The relative improvement (ratio of proportions) was 1.5 (95% CI 1.2 to 1.8), 2.1 (1.6 to 2.8), 2.9 (2.0 to 4.2) and 8.7 (4.2 to 18.1), respectively (pConclusionUse of animations explaining angiography and angioplasty is feasible before urgent inter-hospital transfer and was associated with substantial improvement in reported understanding of the procedure, its risks and its benefits. The approach is not limited to cardiology and has the potential to be applied to all specialties in medicine.
- Published
- 2020
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