doctors shall take informed consent and contract form.

A doctor has to take consent from the patient before proceeding with his treatment. It is an ethical and legal requirement. And, therefore no doctor practices without taking consent.

While informed consent taking is important, the story recently happened at global hospital,hyderabad, also indicates that probably there is now also a need for another document to be signed by the doctor as well as the patient and/or the family, in addition to the informed consent. 

This document, which may be termed a “contract”, should disclose all information to the patient and/or his family regarding the treatment and the establishment.

The contract form should depict the following salient points:

• Complications or adverse events may occur at any time during the course of treatment. What is important here is the competency of doctors, or of the hospital in managing these complications or untoward incidents. 
• The information related to the ability to anticipate, recognize and quickly manage any complication should be included in the contract.
• The need of services of a specialist e.g. neurosurgeon, or a nephrologist or cardiologist may arise any time during treatment. If the hospital does not have these specialty doctors on its staff, then subsequent delays in procuring their services will increase risk of violence.
• The chances of complications, including unforeseen complications, type of complications, delayed or immediate, should be a part of the contract. Every possible complication should be defined.
• Chances of death during treatment or on the table, due to anesthesia or after surgery should be defined.
• And, information such as round the clock availability of staff / specialists or infrastructure and the chances of accidents or mishaps such as system failure, oxygen failure, electrical failure etc. should be a part of the contract.

A small set-up may not have all facilities as their bigger and better equipped counterparts. The patient and/or family members must be informed about the facilities.

This information should be made available right at the time of admission. And, will reduce the chances of disputes or acts of violence against the doctor and the hospital.

Remember, The doctor-patient relationship is a contract of service, which is signed by both, the doctor and the patient. 

A well-defined “contract” will help the patient choose the hospital. If not, then at least first aid should be administered and the patient can be referred to appropriately equipped hospital.