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Attitudes of Emergency Department Patients and Visitors Regarding Emergency Exception from Informed Consent in Resuscitation Research, Community Consultation, and Public Notification
Abstract
OBJECTIVE: To assess public views on emergency exception to informed consent in resuscitation research, public awareness of such studies, and effective methods of community consultation and public notification. METHODS: A face-to-face survey was conducted in two academic Level I trauma center emergency departments (EDs) in Oregon and Minnesota from June through August 2001. RESULTS: Five hundred thirty people completed the survey, with an 82% response rate. The mean age of the respondents was 41 years (range 18-95) with a standard deviation of 14.5; 46% were female and 64% white. Most (88%) believed that research subjects should be informed prior to being enrolled, while 49% believed enrolling patients without prior consent in an emergency situation would be acceptable and 70% (369) would not object to be entered into such a study without providing prospective informed consent. Informing and consulting the community as a substitute for patient consent in emergency research was thought to be reasonable by 45% of the respondents. Most respondents would prefer to be informed about a study using emergency exception from informed consent by radio and television media (42%). Two hundred fifty-eight respondents (49%) stated they would attend a community meeting; the less educated were more likely to attend than those with college degrees (OR = 0.53; 95% CI = 0.33 to 0.85, p = 0.008). However, only 5% knew of ongoing studies in their community using emergency exception from informed…
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“Registry data can be analysed to (1) study regional variation, temporal trends, and predictors of patient outcomes; (2) compare propensity score matched patient subgroups receiving different treatments; and (3) gain insights into the implementation of published evidence and guidelines in routine clinical practice. 316,356,358 361”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [358]
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Nelson, M. J., Warden, C. R., Griffiths, D. E., Zive, D. M., Schmidt, T. A., Hedges, J. R., Daya, M. R., & Newgard, C. D. (2008) · Resuscitation · doi:10.1016/j.resuscitation.2008.10.003 · Cited by 4
Ethics of Research without Informed Consent
Lu, D. W., Burstein, J. L., & Jesus, J. E. (2012) · Wiley eBooks · doi:10.1002/9781118292150.ch28 · Cited by 4
Stassen, W., Rambharose, S., Wallis, L. A., & Moodley, K. (2022) · PLoS ONE · doi:10.1371/journal.pone.0262020 · Cited by 3
Syndromic Surveillance and Patients as Victims and Vectors
Francis, L. P., Battin, M. P., Jacobson, J. A., & Smith, C. B. (2009) · Springer eBooks · doi:10.1007/978-94-007-0564-7_12 · Cited by 3
Special Challenges to the Informed Consent Doctrine in the United States
Siegler, M. A., Collins, M. E., & Cronin, D. C. (2004) · The Journal of Clinical Ethics · doi:10.1086/jce200415108 · Cited by 3
Use of Deferred Consent in Randomized Clinical Trials
Leeve, J. V., & Colacci, M. (2026) · NEJM Evidence · doi:10.1056/evidctw2400266 · Cited by 2
Emergency trials of blood substitutes skirt ethical questions
Anderson, A. (2007) · Nature Medicine · doi:10.1038/nm0607-652 · Cited by 2
Lactate Monitoring in Critically Ill Patients
Jansen, T. C. (2009) · RePub (Erasmus University Rotterdam) · Cited by 1
(2006) · Elsevier eBooks · doi:10.1016/b978-012210751-1/50017-1
Metadata
- Authors
- McClure, K. B.
- Affiliations
- Oregon Health & Science University (US)
- Corresponding author
- McClure, K. B.
- Venue
- Academic Emergency Medicine
- Publisher
- Wiley
- Published
- 2003-04-01
- Volume
- 10
- Issue
- 4
- Pages
- 352-359
- ISSN
- 1069-6563 (ISSN-L)
- OpenAlex
- W1968875862
- Cited by
- 110
- References
- 25
- Citations by year
- 2026: 3 · 2024: 3 · 2022: 2 · 2021: 5 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 3 · 2015: 6 · 2014: 6 · 2013: 9 · 2012: 3
- FWCI
- 7.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Academic Emergency Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Health Sciences › Nursing › Issues, ethics and legal aspects › Biomedical Ethics and Regulation
- Keywords
- resuscitation research, public attitudes, community consultation, public notification, informed consent, community meetings, media as information source
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Emergency Service, Hospital, Female, Humans, Informed Consent, Male, Middle Aged, Minnesota, Oregon, Patients, Visitors to Patients, Cardiopulmonary Resuscitation, Biomedical Research
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