# data[].attributes.headline
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.

# data[].attributes.subject
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.

# data[].attributes.subject
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.

# data[].attributes.subject
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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tell the consultant that you would have to speak to the doctor in charge of that particular patient before handing over the chart

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tell the consultant that you would have to speak to the doctor in charge of that particular patient before handing over the chart

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Consider reporting this event to someone of higher authority

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get consent from doctor in charge of the patient 

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get consent from doctor in charge of the patient 

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Maintain confidentiality so that patients would trust us

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Maintain confidentiality so that patients would trust us

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create a culture in the hospital where patient confidentiality is respected 

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create a culture in the hospital where patient confidentiality is respected 

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Integrity and honesty

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Tell the truth to the attending

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Micro: improve communication skills between healthcare workers, voice out own opinion appropriately
Meso: educate current/future healthcare professionals on leadership model and values
Macro: promote cultures and environment that allows for those above

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ask the resident to check again, as they may have been busy at the time the results were released

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ask the resident to check again, as they may have been busy at the time the results were released

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Everyone is clear with the patient's condition so that appropriate management and treatment plans can be made

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not owning up to mistakes

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The patient's care is optimized appropriately with the new information about cultures being available and if the resident's behaviour has any role to play in the lack of awareness about culture results, then it should be corrected

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patient gets appropriate care in a timely manner (as sepsis is a medical emergency) 

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patient gets appropriate care in a timely manner (as sepsis is a medical emergency) 

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Micro: everyone should be empowered to speak up and be responsible for every patient
Meso: promote and integrate such culture amongst students and leaders
Macro: regulations and rules for oversight, positive environment with necessary resources to enable HCWs for timely assessment

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create a safe environment for staff to speak up truthfully (i.e. allow resident to be truthful if they were actually too busy to check the culture)

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create a safe environment for staff to speak up truthfully (i.e. allow resident to be truthful if they were actually too busy to check the culture)

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Ethical practice

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talk to resident to clarify the actual reason they did not check the culture, and encourage them to be honest

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talk to resident to clarify the actual reason they did not check the culture, and encourage them to be honest

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lack of privacy, integrity and compassion

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Breach of patient confidentiality

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lack of communication

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speak up when needed, and encourage honesty for timely management

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delete the comment and privately message them about their behaviour and highlight the problems

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the resident deletes the post and talks to the team that they felt provided inadequate care for the patient

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The problem is resolved without any escalation

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gracefully hold hands

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Micro: always be mindful of own actions and the consequences that they may bring
Meso: educating students about ethical issues on such actions its consequences for all individuals
Macro: rules and regulations on social media postings, policies to guide behaviours

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advise resident to apologise to patient 

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advise resident to apologise to patient 

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do not post patient information on social media 

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do not post patient information on social media 

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be mindful of how we act inside and outside of hospital/med school (including on cyberspace)

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be mindful of how we act inside and outside of hospital/med school (including on cyberspace)

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be professional --> act in patient's best interest

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be professional --> act in patient's best interest