BMJ  2006;333:146-147 (15 July), doi:10.1136/bmj.333.7559.146-b

Letter

To opt in or opt out of electronic patient records?

Electronic patient record is incompatible with confidentiality

The first 150 words of the full text of this article appear below.

EDITOR—From the website of the General Medical Council on the duties of registered doctors:

Doctors hold information about patients which is private and sensitive. This information must not be given to others unless the patient consents or you can justify the disclosure.

Patients have a right to expect that information about them will be held in confidence by their doctors. Confidentiality is central to trust between doctors and patients. Without assurances about confidentiality, patients may be reluctant to give doctors the information they need in order to provide good care.

Many improper disclosures are unintentional. You should not discuss patients where you can be overheard or leave patients' records, either on paper or on screen, where they can be seen by other patients, unauthorised health care staff or the public. You should take all reasonable steps to ensure that your consultations with patients are private.

The electronic patient . . . [Full text of this article]

Michael Foley, consultant anaesthetist

James Cook University Hospital, Middlesbrough TS4 3BW mf.home@virgin.net


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Relevant Article

Soft paternalism and the ethics of shared electronic patient records
Ole Frithjof Norheim
BMJ 2006 333: 2-3. [Extract] [Full Text] [PDF]

Rapid Responses:

Read all Rapid Responses

GMC Guidance on Confidentiality
Jane M O'Brien
bmj.com, 25 Jul 2006 [Full text]



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