37 Risk Documentation in the Laparoscopic Cholecystectomy Consent Form

Abstract Background Laparoscopic cholecystectomy is one of the most common elective operations performed with a significant risk complications. GMC guidance on consent clearly emphasises process informed and shared decision making. Failure to warn patients complication can lead potential medico-legal implications. The effectiveness evidenced in fully completed form. Aim We aim access quality forms for at our institution emphasis documented risks. Objectives Re-audit records form documentation over month period laparoscopic cholecystectomy. To measure compliance Trust guidelines. Method Consent all procedures done between July September 2020 were obtained retrospectively analysed. data was collected specifically from forms. A total 39 audited. Results majority consenting by registrars. As first phase, bleeding (100%), CBD injury (97.4%), bile leak (69.2%), infection damage local structures (79.5%), VTE (94.9%) remained well written consent. Open conversion present 97.4% 8 out 16 risks audited showed increase whereas an decrease compared previous round audit phase. In particular, scarring, retained stones, pancreatitis, respiratory complications, diarrhoea, cardiac complications particularly low rate. Conclusions Risk remains quite varied. Education combined standardised patient information leaflet will improve overall