Research without informed patient consent in incompetent patients.
Anaesth Intensive Care
; 43(3): 313-6, 2015 May.
Article
en En
| MEDLINE
| ID: mdl-25943603
ABSTRACT
Most patients needing intensive care cannot give informed consent to participation in research. This includes the most acutely and severely ill, with the highest mortality and morbidity where research has the greatest potential to improve patient outcomes. In these circumstances consent is usually sought from a substitute decision maker, but while survivors of intensive care believe substitute decision makers will look after their interests, evidence suggests substitute decision makers are poorly equipped for this task. Various models have been suggested for research without patient informed consent when intervention is urgent and cannot wait until first person consent is possible, including a waiver of consent if conditions are met. A nationally consistent model is proposed for Australia with a robust process for initial waiver of consent followed by first person consent to further research-related procedures or ongoing follow-up when this can be competently provided.
Palabras clave
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Competencia Mental
/
Cuidados Críticos
/
Investigación Biomédica
/
Ética en Investigación
/
Consentimiento Informado
Tipo de estudio:
Prognostic_studies
Límite:
Humans
País/Región como asunto:
Oceania
Idioma:
En
Revista:
Anaesth Intensive Care
Año:
2015
Tipo del documento:
Article