Confidentiality and privacy breaches in a university hospital emergency department
Confidentiality and privacy breaches in a university hospital emergency department
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DOI：
10.1111/j.1553-2712.1997.tb03697.x
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发表时间：
1997-12-01
影响因子：
4.4
通讯作者：
Pierce, J
中科院分区：
文献类型：
--
作者：
Mlinek, EJ;Pierce, J
目的：了解某高校电子阅读器视听保密和隐私泄露事件的发生频率。方法：采用参与观察法和直接观察法对医务人员行为进行前瞻性观察研究。观察是在大学第三转诊和创伤中心的急救设施中进行的。观察者记录了在1小时内不同患者护理区域中违反听觉和视觉保密性和隐私的情况，收集的信息包括患者姓名或房间号、投诉/诊断、诊断测试、过去的病史和个人信息。然后确定是否可以明确识别患者的姓名或面孔和/或与其临床病程相关联。结果：医疗团队的所有成员都违反了保密和隐私规定。违规的频率取决于房间的位置和设计。53%的患者在分诊/等候区发生了违规事件。医生/护士站附近的违规事件每小时3至24次，患者每小时1.5至3.4次。其他不恰当的评论也被注意到了。在ED发布时，连续100名患者和家属接受了采访，只有2%的人注意到了状态板，尽管两人都不能回忆起任何具体的细节。结论：在大学ED中，所有卫生保健团队成员都会违反保密和隐私。急诊室架构和楼层平面图影响患者的机密性和隐私。
Objective: To determine the frequency of visual and auditory confidentiality and privacy breaches in a university ED.Methods: A prospective, observational study of medical personnel behavior was performed using participant and direct observation techniques. Observations were made in a university tertiary referral and trauma center emergency facility. Observers recorded auditory and visual confidentiality and privacy breaches in various patient care areas during 1-hour periods, Information collected included patient name or room number, complaint/diagnosis, diagnostic tests, past medical history, and personal information. It was then determined whether a clear identification of the patient's name or face and/or an association to his or her clinical course could be made.Results: All members of the health care team committed confidentiality and privacy breaches. Frequency of breaches was dependent on room location and design. Breaches in the triage/waiting area occurred for >53% of the patients. Breaches near the physician/nursing station ranged from 3 to 24 per hour and 1.5 to 3.4 per patient hour. Other inappropriate comments also were noted. One hundred consecutive patients and family members were interviewed at ED release, with only 2/100 having noticed the status board, although neither could recall any specific details.Conclusion: Confidentiality and privacy breaches occur in a university ED by all members of the health care team. The ED architecture and floor plan affect patient confidentiality and privacy.