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You are reviewing your recent social media messages and notice that a co-resident has written a highly negative comment about a patient’s situation. There was no specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were being described.

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You are reviewing your recent social media messages and notice that a co-resident has written a highly negative comment about a patient’s situation. There was no specific patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians that were being described.

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Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied.

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Dr Ahmed a consultant from another department approaches you (as a resident) and wants to check Mrs. PJ’s charts. You reply, that she is not their patient, and you’re uncertain whether you’re allowed to share it with him? He replies, “Fine but, give me the charts anyway, I may have a reason in the near future, so don’t get upset”, physician replied.

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You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that they were positive, but your resident was unable to check the culture results himself before rounds. When asked by the attending physician, the resident replies that the culture results are not yet available.

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You are final year medical student making rounds with the attending physician and a resident on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found that they were positive, but your resident was unable to check the culture results himself before rounds. When asked by the attending physician, the resident replies that the culture results are not yet available.

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Working in partnership

1. Authoritarian threat to the resident to provide information.

2. There was a lack of understanding & collaborative approach to solve any ambiguity

3. Lack of communication as well

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Notify the consultant responsible for the patient

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1. Report to HR
2. Do not comply with Dr.Ahmed, ask for a second opinion from management first

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talk and get advice from the consultant in my department

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Everybody hold hands and be happy

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the patient has a right to have their information kept confidential
there is no consent from the patient to share the charts

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Get him reported and replace him as the consultant

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The patient's confidentiality is being breached.

The consultant is using his positional power to impose his ideas and belief's onto others without taking the resident's feelings into consideration. They also did not communicate their reasons for doing so properly as well.

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The consultant apologises & owns up to his mistake.

There would be a change in culture at the workplace

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There may be a valid reason for the consultant to ask for the chart, it is important for communication to be established as to the reason, patient should also have as say first (consent) if they would like to have the charts shared once they are aware of reason

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Approach the consultant again about the same issue, consult other residents about how to handle the situation or speak to your consultant.

Anonymously approach HR and report the Consultant's behaviour

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Dr Ahmed realises his mistake and does not repeat this behaviour

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Lack of honesty and integrity

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Did not own up to his own mistake

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stop lying

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Confront the resident & ensure no miscommunications had occured.

Let the attending physician know

Report to management if necessary

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Report the action to the physician, so that further actions can be taken by more senior colleagues

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the resident should recognise and own up to their mistakes

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Resolve miscommunication
Reflect on own bad practices & how they might affect patient safety in the future
Happy happy joy joy

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talk to the resident about their dishonesty and report to the physician

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self reflection

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reinforce the patient's right for confidentiality and consent

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A breach in patient confidentiality via social media

This brings a lot of bad rep to the hospital leading to wrong assumptions & stigma.

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Please be nice to people =(

Treat others like how you would want to be treated yourself

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report it to the right authority

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Talk to the co-resident
Report the action

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Recognise the breach of confidentiality

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Reflect on mistakes done & apologise.

Avoid sharing complaints & experience publicly on social media. If need to vent, communicate with a close colleague and avoid using patient related information

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It is more humiliating & embarrassing to be caught telling a lie.

Avoid all that hassle & just tell the truth & own up to your mistakes

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Trust needs to be enforced in between colleagues, HCP and patients to promote patient safety

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Social media can be easily misused for wrongful reasons.

Be mindful of the consequences & implications of posting experiences as they are forever recorded & saved.

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any disagreement or dissatisfaction with colleagues should be resolved privately for the benefit of the patient. venting will not solve any problems