Abstract
Privacy and confidentiality are concerns in health care. Once access to the patient’s record was limited by its location and physical form. Now 75 or more persons have access to a patient record. [1] And, computerized information systems (IS) permit decentralized access. This reduces wait time for record access, but it increases opportunities for unauthorized access.[2,3] This paper defines confidentiality, discusses legal safeguards, reviews related literature, and outlines measures at two institutions to protect confidentiality.
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References
Calfee, B. Confidentiality and Disclosure of Medical Information. Nurs Manage1989, 20 (12): 20 – 23
Eleazor, PY. Risks Associated with Clinical Databases. Top Health Rec Manage1991, 12 (2): 49 – 58
Haddad, A. The Dilemma of Keeping Confidences. AORN1989, 50 (1): 161 – 164
Kmentt, KA. Private Medical Records: Are They Public Property? Medical Trial Technique QuarterlyWinter 1987, 33: 274 – 307
Winslade, WJ. Confidentiality of Medical Records: An Overview of Concepts and Legal Policies. Journal of Legal Medicine1982, 3 (4): 497 – 533
Murdock, LE. The Use and Abuse of Computerized Information: Striking a Balance Between Personal Privacy Interests and Organizational Information Needs. Albany Law Review1980, 44 (3): 589 – 619
Romano, C. Privacy, Confidentiality, and Security of Computerized Systems: The Nursing Responsibility. Comput Nurs1987, 5 (3): 99 – 104
Maciorowski, L. The Enduring Concerns of Privacy and Confidentiality. Holist Nurs Pract1991, 5 (3): 51 – 56
Johnston, CE. Breach of Medical Confidence in Ohio. Akron Law ReviewWinter 1986, 19: 373 – 393
Miller, M. Computers, Medical Records, and the Right to Privacy. J Health Polit Policy Law1981, 6: 463 – 488
Fry, S. Confidentiality in Health Care: A Decrepit Concept? Nurs Econ1984, 2 (6): 413 – 418
Nasri, W. Legal issues of computers in healthcare: liabilities of the healthcare provider. Paper presented to the Tri—State Nursing Computer Network Pittsburgh, Pennsylvania. March 19, 1992
Morihara, J. Computers, the Disclosure of Medical Information, and the Fair Credit Reporting Act. Computer/Law JournalSummer 1982, 3: 619 – 639
Curran, M and Curran, K. The Ethics of Information. JONA1991, 21 (1): 47 – 49
Regan, BG. Computerized Information Exchange in Health Care. Med J Aust1991, 154 (2): 140 – 144
Solomon, T. Personal Privacy and the “1984” Syndrome. Western New England Law ReviewWinter 1985, 7: 753 – 780
Wogan, MJ. New Technologies Raise Concerns about Protecting Patient Confidentiality. Hosp Patient Relat Rep 1991, 6 (2):l–2
Barber, B. Guardians or Gizmos. Health Serv J1991, 101 (5262): 33 – 34
Lochner, MA. Legal issues pertaining to clinical record systems. Paper Presented at the Medical Information Systems Association, Incorporated Spring 1991 Meeting: Achieving the Competitive Edge. April 24, 1991
Williams, FG. Implementing Computer Information Systems for Hospital Based Case Management. Hosp Health Serv Adm 36 (4):559–570
Grady, C, Jacob, J and Romano, C. Confidentiality: A Survey in a Research Hospital. J Clin Ethics1991, 2 (l): 25 – 30
Powell, D. Plugging the Leaks in Data Networks. Networking Management1992, 10 (6): 29 – 32
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Hebda, T., Sakerka, L., Czar, P. (1998). Educating Nurses to Maintain Patient Confidentiality on Automated Information Systems. In: Saba, V.K., Pocklington, D.B., Miller, K.P. (eds) Nursing and Computers. Computers and Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2182-1_15
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DOI: https://doi.org/10.1007/978-1-4612-2182-1_15
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