5.1 Obtain Consent

Triple consent procedure

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:

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.
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.
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.

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Consent for emergent procedures

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:

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.

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.

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.