At our clinic, in order to provide medical care and examinations safely and smoothly, we are required to provide explanations in advance and obtain the patient’s consent.
We distinguish between:
- Medical procedures that require written explanation and written consent, and
- Medical procedures for which explanations are provided orally or by posted notice, and consent is confirmed without a written consent form.
For medical procedures that are considered to involve minimal physical or psychological burden or risk, and in order to ensure smooth delivery of care, such procedures will be regarded as having “comprehensive consent” if the patient does not explicitly express refusal.
Medical Procedures Covered by Comprehensive Consent
| Category | Details |
|---|---|
| General Medical Care & Nursing | Medical interviews, physical examinations, measurement of vital signs (body temperature, blood pressure, pulse, respiratory rate, etc.), observation of activities of daily living, assessment and guidance on nutritional status, oral care |
| Clinical Tests | Blood tests, urine tests, stool tests, bacteriological tests (sputum, throat swabs, etc.), pathological and cytological examinations, electrocardiograms (ECG), breath gas analysis |
| Diagnostic Imaging | CT* / MRI examinations without intravenous contrast agents, CT* / MRI examinations using oral contrast agents, ultrasonography |
| Procedures & Medication | Injections and intravenous infusions, insertion of peripheral intravenous catheters, oxygen administration, suctioning, catheter insertion (nasal, urinary bladder, etc.), wound care, medication guidance, administration of medications |
| Monitoring | Attachment and measurement using oxygen saturation monitors, ECG monitors, blood pressure monitors, respiratory monitors, etc. |
| Information Sharing & Team-Based Care | Provision of test results to other medical institutions or primary physicians, information sharing within in-house multidisciplinary teams (infection control, medical safety, ethics committees, etc.) |
| Academic & Research Use | Use of anonymized medical information for quality improvement, research, and education (conference presentations, academic publications, etc.) |
* CT examinations are performed only when a physician determines that the diagnostic benefits outweigh the potential disadvantages of radiation exposure. Radiation exposure is kept as low as reasonably achievable.
Medical Procedures Requiring Separate Written Consent
The following medical procedures involve higher risk or importance and therefore require separate explanation and written consent in advance:
- CT* / MRI examinations using intravenous contrast agents
- Upper gastrointestinal endoscopy (gastroscopy) and lower gastrointestinal endoscopy (colonoscopy)
- Endoscopic treatments such as colorectal polypectomy
- Procedures or treatments with a higher risk of side effects or complications
- Any procedure for which a physician determines that individual explanation and consent are necessary
* CT examinations are performed only when a physician determines that the diagnostic benefits outweigh the potential disadvantages of radiation exposure. Radiation exposure is kept as low as reasonably achievable.
Withdrawal of Consent
If you do not agree to any of the items listed under “Comprehensive Consent”, please inform the reception desk or your attending physician.
Even after providing comprehensive consent, you may withdraw your consent at any time prior to the procedure, at your request.
Withdrawing or refusing consent will not result in any disadvantage to your medical care.
Contact Information
If you have any questions regarding comprehensive consent, would like further explanation, or wish to withdraw your consent, please contact:
Ochanomizu Surugadai Clinic
TEL: 03-5280-9122