5.1 Obtain Consent

Triple consent procedure

Consent for emergent procedures

So, everyone on your team has been informed about the start of your video review program. Obtaining informed consent is a cornerstone of ethical healthcare practice. However, emergent settings often limit the ability to obtain traditional informed consent. Time-critical interventions may be necessary to preserve life or health, leaving little opportunity for in-depth discussions.

Triple Consent for Video Recording: Best Practices

Triple consent for video recording adds a layer of protection in both emergent and non-emergent settings, respecting provider autonomy and promoting a collaborative learning environment:

1. Pre-Procedure Consent:

   • Briefly explain the purpose of recording (e.g., quality improvement, education).

   • Acknowledge that participation is voluntary and will not affect care.

   • Be sensitive to potential concerns and offer alternatives if possible or simply don't record the procedure.

2. Post-Procedure Consent:

   • Allow providers to review the recording privately.

   • Obtain explicit consent for further use, especially if the video is identifiable.

   • Discuss any learning points or feedback with the providers involved.

3. Pre-Review Consent:

   • Obtain consent again before using the video in a wider educational setting (e.g., team review).

   • Respect the right to decline, even if previous consent was given.

   • Involve the recorded providers in preparing review sessions to foster ownership.

Challenges and Solutions in Emergent Settings:

• Time Constraints: Pre-procedure consent may be a brief verbal explanation. Ensure post-procedure consent is obtained as soon as the situation allows.

• Respect and Sensitivity: Acknowledge the potentially stressful situation for providers while still offering the choice of recording.

• Documentation: If written consent is not feasible, detailed documentation of verbal consent and the rationale is crucial.