Survey of Sensitive Information Written in Patient Notes by Psychiatry Trainees

Autor/inn/en	Kung, Simon; Lapid, Maria I.; Swintak, Cosima C.; Agarwal, Zubin; Ryan, Susan M.; Lineberry, Timothy W.
Titel	Survey of Sensitive Information Written in Patient Notes by Psychiatry Trainees
Quelle	In: Academic Psychiatry, 37 (2013) 1, S.31-34 (4 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1042-9670
Schlagwörter	Surveys; Psychiatry; Patients; Physician Patient Relationship; Graduate Medical Education; Records (Forms); Medical Evaluation; Confidentiality; Scores; Evaluators + Suchen Sie Ihr Suchwort? Survey; Umfrage; Befragung; Psychiatrie; Patient; Arzt-Patient-Beziehung; Formularsammlung
Abstract	Objective: Allowing psychiatric patients access to their electronic medical record (EMR) may cause difficulty related to the sensitivity of the note content. The authors investigated whether notes written by psychiatry trainees were ready for release to patients. Methods: Authors conducted a review of 128 PGY-3 to PGY-5 outpatient notes not explicitly marked as "highly confidential." One psychiatrist and one non-psychiatrist read each note from the patient's perspective. Reviewers assigned a score of 0-2 (0: No Concern; 1: Some Concern; 2: Major Concern) for each note. Results: Eighty-nine notes (70%) were assessed as "No Concern" by both reviewers; 30 (23%) were of "Some Concern;" and 9 (7%) were of "Major Concern;" 92 (72%) were deemed of "No Concern" by a psychiatrist, as compared with 120 (94%) by the non-psychiatrist. Conclusions: Trainee EMR outpatient notes are not likely to cause major concerns for patients who read them. Psychiatrist-reviewers identified more concerns than non-psychiatrist-reviewers. (Contains 2 tables.) (As Provided).
Anmerkungen	American Psychiatric Publishing, Inc. 1000 Wilson Boulevard Suite 1825, Arlington, VA 22209-3901. Tel: 800-368-5777; Tel: 703-907-7856; Fax: 703-907-1092; e-mail: appi@psych.org; Web site: http://ap.psychiatryonline.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10