Confidentiality Notes

Ethical theories and principles that atomic number 18 link to confidentiality are- confidentiality is one of the most primary principles in health wish invest and it is the most long-standing ethical dictum in health care codes of ethics. It is the design of keeping slanderful, shameful, or embarrassing forbearing in normalation within victorian bounds. The skilful to privacy gives legal standing to this ethical principle. ). a tested test for who among team members should be given certain qualitys of development is consider to know basis.It is necessary for one to adequately perform ones specific craft responsibilities- meaning that by giving the information does it provide the adequate affectionateness response that is required for the affected role) Immediate aims of confidentiality are to 1. Facilitate the sharing of keen information with the remnant of helping the patient 2. Exclude wildcat slew from such information 3. Discern need to know information fr om unpolluted interest when deciding what to share.Confidentiality serves as one cornerstone for the solid home of a trusting health professional-patient relationship that should be built AMA principles of medical examination exam ethics states that- a physician shall respect the rights of patients, of colleagues and of other health professionals and shall protect patient confidences within the constrains of the law. This provides a conflict when a physician knows that some(prenominal) secret may be harmful for the patient and yet are bound to keep it.Breaking Confidence- Legal exceptions to the standard of practice that confidences must be kept, except with the patients consent or at the patients request to break it include * An emergency in which keeping the confidence will harm the patient * Patient is incompetent or incapacitated and a third party needs to be sure for decision making for the patient * Third parties are at a risk for harm (eg. Sexually transmitted disease s, child or other abuses) * Request for commitment or hospitalization of a psychiatrically ill patient * A serious risk that any others may be harmed (a terrorist threat) finally breaking of confidence always enlists at least one harm and for health professionals it is to minimize the harm 6 step process in confidentiality situations 1. Step 1- Gather relevant information- 2. Step 2 &3- identify the type of ethical problem and the ethics approach to analyze it 3. Step 4- seek the practical alternatives 4. Step5- Complete the action 5. Step 6- Evaluate the process and outcomeEthical principles or elements that support confidentiality are * Beneficence * Nonmaleficence or fidelity * Right to familiarity Key character trait is trustworthiness kindness, compassion, and courage to help with the dispute situations. Patient care information systems (PCIS)- is a computerized systems of record of patients that are permanently kept in an electronic form Health information managers- (also cognise as the gatekeepers of medical records) are key members of the health care team.Their primeval role is the responsibility for designing and maintaining the system that facilitates the collection, use and dissemination of health and medical information. They ensure that the medical records are correct and kept in privacy and are only given to the health professionals that have the right to see them. They ensure that the records are non abused or released to unauthorized persons. Medical record is an extremely useful document for the health professionals * potbelly be found both in paper and electronic form They are systematic accounts of a patients encounter with a health provider * They serve as a repository of information * Generated by and contributed to by many providers in various health delivery settings * EHR- Electronic health record is an electronic record of patient health information, they often include patient demographics, progress notes, problems, medications , relevant social history, medical history, vital signs, laboratory data and diagnostic reports guidelines that are applicable when arrangement patient information 1. Questionable information should be clearly label as questionable 2. True information that is not relevant to should not be recorded 3. All information should be handled among health professionals with go through for the privacy and dignity of patients Confidentiality finally comes down to each professional cosmos vigilant about the flow of patient information, guided by the goal of using information to help the patient.Patient privacy- Health Insurance Portability and Accountability make for (HIPAA) of 1996 * This act imposed considerable new constraints on the use and divine revelation of a patients personal clinical information * study goal of HIPAA is to ensure that an individuals health information is justly protected while allowing the glow of information needed to promote high-quality care * This set of re gulations are called the New Federal Medical Privacy Rule- basic intent is to control the use or disclosure of protected health information * One area that this rule strongly affects is the handling of information for purposes of research.It has also been interpreted to mean that information about patients (including family members) cannot be released * A covered entity is defined as a health plan, data impact company, health care professional, or hospital The Health Information engine room for Economic and Clinical Health Act- * Parts of this act expanded and built the privacy laws that protect patient health information originally draw under HIPAA. Provides additional provisions regarding privacy and security breaches, reporting of breaches, be of disclosures, restrictions of disclosures for sales and marketing purposes, and monetary penalties associates with HIPAA violations.