Which of the following is a formal legal document that provides evidence of a clients care and can be written or computer based?

1. Schenker Y, Fernandez A, Sudore R, et al. Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review. Med Decis Making 2011;31:151–73 [PMC free article] [PubMed] [Google Scholar]

2. Schloendorff v. Society of New York Hospital. Vol. 211 N.Y. 125, 105 N.E. 921914.

3. Berg JW, Appelbaum P, Lidz C, et al. The legal requirements for disclosure and consent: History and current status. In: Informed consent: legal theory and clinical practice. 2nd ed New York (NY): Oxford University Press; 2001. p. 41–74 [Google Scholar]

4. Canterbury v. Spence. Vol. 464 F.2d 772D.C. Cir. 1972.

5. Grisso T, Appelbaum P. Abilities related to competence. In: Assessing competence to consent to treatment: a guide for physicians and other health professionals. New York (NY): Oxford University Press; 1998. p. 31–60 [Google Scholar]

6. Berg JW, Appelbaum P, Lidz C, et al. Informed consent: legal theory and clinical practice. 2nd ed New York (NY): Oxford University Press; 2001. p. 41–70, 130–43 [Google Scholar]

7. The Joint Commission Standard R1.01.03.01. 2009 hospital accreditation standards. Oakbrook Terrace (IL): The Commission; 2009 [Google Scholar]

8. Lloyd A, Hayes P, Bell P. The role of risk and benefit perception in informed consent for surgery. Med Decis Making 2001;21: 141–9 [PubMed] [Google Scholar]

9. Leeb D, Bowers DG, Jr, Lynch JB. Observations on the myth of “informed consent.” Plast Reconstr Surg 1976;58:280–2 [PubMed] [Google Scholar]

10. Lavelle-Jones C, Byrne DJ, Rice P, et al. Factors affecting quality of informed consent. BMJ 1993;306:885–90 [PMC free article] [PubMed] [Google Scholar]

11. Hutson MM, Blaha JD. Patients’ recall of preoperative instruction for informed consent for an operation. J Bone Joint Surg Am 1991;73:160–2 [PubMed] [Google Scholar]

12. Lashley M, Talley W, Lands LC, et al. Informed proxy consent: communication between pediatric surgeons and surrogates about surgery. Pediatrics 2000;105:591–7 [PubMed] [Google Scholar]

13. Tait AR, Voepel-Lewis T, Malviya S. Do they understand? (part II): assent of children participating in clinical anesthesia and surgery research. Anesthesiology 2003;98:609–14 [PubMed] [Google Scholar]

14. Morgan LW, Schwab IR. Informed consent in senile cataract extraction. Arch Ophthalmol 1986;104:42–5 [PubMed] [Google Scholar]

15. Hekkenberg RJ, Irish JC, Rotstein LE, et al. Informed consent in head and neck surgery: How much do patients actually remember? J Otolaryngol 1997;26:155–9 [PubMed] [Google Scholar]

16. Herz DA, Looman JE, Lewis SK. Informed consent: Is it a myth? Neurosurgery 1992;30:453–8 [PubMed] [Google Scholar]

17. Reading AE. Psychological preparation for surgery: patient recall of information. J Psychosom Res 1981;25:57–62 [PubMed] [Google Scholar]

18. Robinson G, Merav A. Informed consent: recall by patients tested postoperatively. Ann Thorac Surg 1976;22:209–12 [PubMed] [Google Scholar]

19. Newton-Howes PAG, Dobbs B, Frizelle F. Informed consent: What do patients want to know? N Z Med J 1998;111:340–2 [PubMed] [Google Scholar]

20. Dawes PJ, Davison P. Informed consent: What do patients want to know? J R Soc Med 1994;87:149–52 [PMC free article] [PubMed] [Google Scholar]

21. Courtney MJ. Information about surgery: What does the public want to know? ANZ J Surg 2001;71:24–6 [PubMed] [Google Scholar]

22. Bowden MT, Church CA, Chiu AG, et al. Informed consent in functional endoscopic sinus surgery: the patient’s perspective. Otolaryngol Head Neck Surg 2004;131:126–32 [PubMed] [Google Scholar]

23. Dawes PJ, O’Keefe L, Adcock S. Informed consent: using a structured interview changes patients’ attitudes towards informed consent. J Laryngol Otol 1993;107:775–9 [PubMed] [Google Scholar]

24. Sulmasy DP, Lehmann LS, Levine DM, et al. Patients’ perceptions of the quality of informed consent for common medical procedures. J Clin Ethics 1994;5:189–94 [PubMed] [Google Scholar]

25. Chan EC, Sulmasy DP. What should men know about prostate-specific antigen screening before giving informed consent? Am J Med 1998;105:266–74 [PubMed] [Google Scholar]

26. Wisselo TL, Stuart C, Muris P. Providing parents with information before anaesthesia: What do they really want to know? Paediatr Anaesth 2004;14:299–307 [PubMed] [Google Scholar]

27. Hibbard JH, Slovic P, Jewett JJ. Informing consumer decisions in health care: implications from decision-making research. Milbank Q 1997;75:395–414 [PMC free article] [PubMed] [Google Scholar]

28. Gilbert DT, Wilson TD. Miswanting: some problems in the forecasting of future affective states. In: Forgas JP, editor. Feeling and thinking: the role of affect in social cognition. New York (NY): Cambridge University Press; 2000. p. 178–200 [Google Scholar]

29. Schneider CE. The practice of autonomy: patients, doctors, and medical decisions. New York (NY): Oxford University Press; 1998. p. 35–75, 92–9 [Google Scholar]

30. Simmons RG, Marine SK, Simmons RL. Gift of life: the effect of organ transplantation on individual, family and societal dynamics: New Jersey (NY): Transaction Publishers; 1987. p. 244–50 [Google Scholar]

31. Fellner CH, Marshall JR. Kidney donors — the myth of informed consent. Am J Psychiatry 1970;126:1245–51 [PubMed] [Google Scholar]

32. Pierce PF. Deciding on breast cancer treatment: a description of decision behavior. Nurs Res 1993;42:22–8 [PubMed] [Google Scholar]

33. Nisbett R, Ross L. Human inference: strategies and shortcoming of social judgment. Englewood Cliffs (NJ): Prentice-Hall; 1980 [Google Scholar]

34. McKneally MF, Ignagni E, Martin DK, et al. The leap to trust: perspective of cholecystectomy patients on informed decision making and consent. J Am Coll Surg 2004;199:51–7 [PubMed] [Google Scholar]

35. McKneally MF, Martin DK. An entrustment model of consent for surgical treatment of life-threatening illness: perspective of patients requiring esophagectomy. J Thorac Cardiovasc Surg 2000;120:264–9 [PubMed] [Google Scholar]

36. Dixon-Woods M, Williams SJ, Jackson CJ, et al. Why do women consent to surgery, even when they do not want to? An interactionist and Bourdieusian analysis. Soc Sci Med 2006;62:2742–53 [PubMed] [Google Scholar]

37. Habiba M, Jackson C, Akkad A, et al. Women’s accounts of consenting to surgery: Is consent a quality problem? Qual Saf Health Care 2004;13:422–7 [PMC free article] [PubMed] [Google Scholar]

38. Akkad A, Jackson C, Kenyon S, et al. Informed consent for elective and emergency surgery: questionnaire study. BJOG 2004;111: 1133–8 [PubMed] [Google Scholar]

39. Akkad A, Jackson C, Kenyon S, et al. Patients’ perceptions of written consent: questionnaire study. BMJ 2006;333:528. [PMC free article] [PubMed] [Google Scholar]

40. Degner LF, Sloan JA. Decision-making during serious illness: What role do patients really want to play? J Clin Epidemiol 1992;45:941–50 [PubMed] [Google Scholar]

41. Hack TF, Degner LF, Dyck DG. Relationship between preferences for decisional control and illness information among women with breast cancer: a quantitative and qualitative analysis. Soc Sci Med 1994;39:279–89 [PubMed] [Google Scholar]

42. Miller VA. Parent–child collaborative decision making for the management of chronic illness: a qualitative analysis. Fam Syst Health 2009;27:249–66 [PMC free article] [PubMed] [Google Scholar]

43. Charles C, Gafni A, Whelan T. Decision-making in the physician–patient encounter: revisiting the shared treatment decision-making model. Soc Sci Med 1999;49:651–61 [PubMed] [Google Scholar]

44. Schneider CE. After autonomy. Wake Forest Law Rev 2006;41: 411–44 [Google Scholar]

45. Fink AS, Prochazka AV, Henderson WG, et al. Enhancement of surgical informed consent by addition of repeat back: a multicenter, randomized controlled clinical trial. Ann Surg 2010;252:27–36 [PubMed] [Google Scholar]

46. Braddock C, III, Hudak PL, Feldman JJ, et al. “Surgery is certainly one good option”: quality and time-efficiency of informed decision-making in surgery”. J Bone Joint Surg Am 2008;90:1830–8 [PMC free article] [PubMed] [Google Scholar]

47. Black SA, Nestel D, Tierney T, et al. Gaining consent for carotid surgery: a simulation-based study of vascular surgeons. Eur J Vasc Endovasc Surg 2009;37:134–9 [PubMed] [Google Scholar]

48. Katz J. The silent world of doctor and patient. New York (NY): Free Press; 1984 [Google Scholar]

49. Fowler FJ, Jr, McNaughton Collins M, Albertsen PC, et al. Comparison of recommendations by urologists and radiation oncologists for treatment of clinically localized prostate cancer. JAMA 2000;283:3217–22 [PubMed] [Google Scholar]

50. Braddock CH, III, Fihn SD, Levinson W, et al. How doctors and patients discuss routine clinical decisions. Informed decision making in the outpatient setting. J Gen Intern Med 1997;12:339–45 [PMC free article] [PubMed] [Google Scholar]

51. Braddock CH, III, Edwards KA, Hasenberg NM, et al. Informed decision making in outpatient practice: time to get back to basics. JAMA 1999;282:2313–20 [PubMed] [Google Scholar]

52. Hudak PL, Frankel RM, Braddock C, III, et al. Do patients’ communication behaviors provide insight into their preferences for participation in decision making? Med Decis Making 2008;28:385–93 [PubMed] [Google Scholar]

53. Gattellari M, Voight KJ, Butow PN, et al. When the treatment goal is not cure: Are cancer patients equipped to make informed decisions? J Clin Oncol 2002;20:503–13 [PubMed] [Google Scholar]

54. van Zuuren FJ, van Schie EC, van Baaren NK. Uncertainty in the information provided during genetic counseling. Patient Educ Couns 1997;32:129–39 [PubMed] [Google Scholar]

55. Leeper-Majors K, Veale JR, Westbrook TS, et al. The effect of standardized patient feedback in teaching surgical residents informed consent: results of a pilot study. Curr Surg 2003;60:615–22 [PubMed] [Google Scholar]

56. Marshall M, Bibby J. Supporting patients to make the best decisions. BMJ 2011;342:d2117. [PubMed] [Google Scholar]

57. Joffe S, Truog R. Consent to medical care: the importance of fiduciary context. In: Miller F, Wertheimer A, editors. The ethics of consent: theory and practice. New York (NY): Oxford University Press; 2010. p. 347–73 [Google Scholar]

58. Fink AS, Prochazka AV, Henderson WG, et al. Predictors of comprehension during surgical informed consent. J Am Coll Surg 2010;210:919–26 [PubMed] [Google Scholar]

59. O’Connor AM, Bennett CL, Stacey D, et al. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev 2009;(3)CD001431. [PubMed] [Google Scholar]

60. Sepucha KR, Ozanne E, Silvia K, et al. An approach to measuring the quality of breast cancer decisions. Patient Educ Couns 2007;65:261–9 [PubMed] [Google Scholar]

61. Sepucha KR, Fowler FJ, Jr, Mulley AG., Jr. Policy support for patient-centered care: the need for measurable improvements in decision quality. Health Aff (Millwood). 2004;Suppl Variation:VAR54–62 [PubMed] [Google Scholar]

62. Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA 2002;287:2951–7 [PubMed] [Google Scholar]

63. Levinson W, Roter DL, Mullooly JP, et al. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA 1997;277:553–9 [PubMed] [Google Scholar]

64. Bottrell MM, Alpert H, Fischbach RL, et al. Hospital informed consent for procedure forms: facilitating quality patient–physician interaction. Arch Surg 2000;135:26–33 [PubMed] [Google Scholar]

65. Issa MM, Setzer E, Charaf C, et al. Informed versus uninformed consent for prostate surgery: the value of electronic consents. J Urol 2006;176:694–9, discussion 9. [PubMed] [Google Scholar]

66. Hopper KD, TenHave TR, Tully DA, et al. The readability of currently used surgical/procedure consent forms in the United States. Surgery 1998;123:496–503 [PubMed] [Google Scholar]

67. Robb A, Etchells E, Cusimano MD, et al. A randomized trial of teaching bioethics to surgical residents. Am J Surg 2005;189:453–7 [PubMed] [Google Scholar]

68. Angelos P, DaRosa DA, Derossis AM, et al. Medical ethics curriculum for surgical residents: results of a pilot project. Surgery 1999;126:701–5, discussion 5–7. [PubMed] [Google Scholar]

69. Deyo RA, Cherkin DC, Weinstein J, et al. Involving patients in clinical decisions: impact of an interactive video program on use of back surgery. Med Care 2000;38:959–69 [PubMed] [Google Scholar]

70. Weston J, Hannah M, Downes J. Evaluating the benefits of a patient information video during the informed consent process. Patient Educ Couns 1997;30:239–45 [PubMed] [Google Scholar]

71. Dodd MJ, Mood DW. Chemotherapy: helping patients to know the drugs they are receiving and their possible side effects. Cancer Nurs 1981;4:311–8 [PubMed] [Google Scholar]

72. Lapid MI, Rummans TA, Pankratz VS, et al. Decisional capacity of depressed elderly to consent to electroconvulsive therapy. J Geriatr Psychiatry Neurol 2004;17:42–6 [PubMed] [Google Scholar]

73. Lapid MI, Rummans TA, Poole KL, et al. Decisional capacity of severely depressed patients requiring electroconvulsive therapy. JECT 2003;19:67–72 [PubMed] [Google Scholar]

74. Solomon J, Schwegman-Melton K. Structured teaching and patient understanding of informed consent. Crit Care Nurse 1987;7:74–9 [PubMed] [Google Scholar]

75. Greening J, Bentham P, Stemman J, et al. The effect of structured consent on recall of information pre- and post-electrocon-vulsive therapy: a pilot study. Psychiatr Bull 1999;23:471–4 [Google Scholar]

76. Decker C, Arnold SV, Olabiyi O, et al. Implementing an innovative consent form: the PREDICT experience. Implement Sci 2008;3:58. [PMC free article] [PubMed] [Google Scholar]

77. Arnold SV, Decker C, Ahmad H, et al. Converting the informed consent from a perfunctory process to an evidence-based foundation for patient decision making. Circ Cardiovasc Qual Out-comes. 2008;1:21–8 [PubMed] [Google Scholar]

78. Barry MJ. Involving patients in medical decisions: How can physicians do better? JAMA 1999;282:2356–7 [PubMed] [Google Scholar]

79. Friedlander JA, Loeben GS, Finnegan PK, et al. A novel method to enhance informed consent: a prospective and randomised trial of form-based versus electronic assisted informed consent in paediatric endoscopy. J Med Ethics 2011;37:194–200 [PubMed] [Google Scholar]

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Which of the following is a formal legal document that provides evidence of a clients care and can be written or computer based?

Venn diagram showing the multiple overlapping purposes of informed consent.

Image courtesy of Daniel Hall