# 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 mention of the patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians 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 mention of the patient name, but the hospital’s initials and the description of the case make it easy to figure out the nurses and physicians being described.

# data[].attributes.headline
Dr Ahmed, a consultant from another department approaches you (as a resident) and wants to check Mrs. P’s chart. Because she is not his patient, you’re uncertain whether you’re allowed to share it with them. But the physician insists you to give him  the chart anyway, as he may have a reason in the near future to see the patient and tells you not to get upset.

# data[].attributes.subject
Dr Ahmed, a consultant from another department approaches you (as a resident) and wants to check Mrs. P’s chart. Because she is not his patient, you’re uncertain whether you’re allowed to share it with them. But the physician insists you to give him  the chart anyway, as he may have a reason in the near future to see the patient and tells you not to get upset.

# data[].attributes.headline
You are final year medical student making rounds with the attending physician and a resident and consult on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found 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 and consult on Mr. Johnson, a 58-year-old man with bacterial sepsis. You looked up his blood culture results this morning and found 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.body
Patient confidentiality. Patient data should be accessed by the relevant caregivers only.

# data[].attributes.body
Confidentiality breach

# data[].attributes.body
Discuss with patient's consultant

# data[].attributes.body
Patient's data remains confidential

# data[].attributes.headline
Tell Dr Ahmed that you aren't comfortable sharing info about the patient with him

# data[].attributes.subject
Tell Dr Ahmed that you aren't comfortable sharing info about the patient with him

# data[].attributes.headline
I would not share the chart with Dr Ahmad, and I would inform my attending

# data[].attributes.subject
I would not share the chart with Dr Ahmad, and I would inform my attending

# data[].attributes.body
Patient's data remains confidential and the consultant should understand the issue the lie behind giving up patient's data

# data[].attributes.body
Patient's confidentiality

# data[].attributes.headline
Consultant against professionaism of confidentality not maintained

# data[].attributes.subject
Consultant against professionaism of confidentality not maintained

# data[].attributes.body
Dishonesty and mistrust

# data[].attributes.body
Reject Dr. Ahmed's request, and confirm with my consultant if my actions were right.

# data[].attributes.body
From a micro perspective students should not be afraid to advocate for their patients and to communicate any concerns to their seniors.

Meso: the hospital should be a positive culture where concerns are communicated easily and acted upon

# data[].attributes.body
to protect the patient's confidentiality and maintain their privacy.

# data[].attributes.body
Inform the attending that the results are actually available

# data[].attributes.headline
at the micro level, I should maintain patients’ trust and enable patients to speak honestly and fully about their lives and symptoms without the fear of breach in confidentiality

# data[].attributes.subject
at the micro level, I should maintain patients’ trust and enable patients to speak honestly and fully about their lives and symptoms without the fear of breach in confidentiality

# data[].attributes.body
at meso level, the hospital should have protocols and policies in place to protect patient confidentiality and offer annual training to staff to remind them

at macro, the government should enforce laws that would punish breach of confidentiality

# data[].attributes.headline
Ask the resident privately about why they didn't check the results before rounds

# data[].attributes.subject
Ask the resident privately about why they didn't check the results before rounds

# data[].attributes.headline
Better honesty and integrity from the resident

# data[].attributes.subject
Better honesty and integrity from the resident

# data[].attributes.headline
Tell the truth that you was unable to check

# data[].attributes.subject
Tell the truth that you was unable to check

# data[].attributes.body
Issue with integrity and honesty

# data[].attributes.body
micro - have a direct conversation with Dr Ahmed/my consultant

meso - the hospital could conduct a seminar/workshop centered about patient's confidentiality

macro - strict rules must be implemented by governmental boards protecting patient's confidentiality, with serious consequences following

# data[].attributes.body
Advocate for the patient's safety and be honest no matter what, since trustworthiness is an important aspect tonsure patient's safety and a positive culture for communication.

# data[].attributes.headline
Professional colleagues must be able to rely on me to be truthful and to act in patients’ best interests at all times. Truthfulness both in communication with patients and colleagues is necessary

# data[].attributes.subject
Professional colleagues must be able to rely on me to be truthful and to act in patients’ best interests at all times. Truthfulness both in communication with patients and colleagues is necessary

# data[].attributes.body
Confidentiality

# data[].attributes.headline
I would inform the co-resident that its easy to figure out who is being described in his comment and ask him to delete it

# data[].attributes.subject
I would inform the co-resident that its easy to figure out who is being described in his comment and ask him to delete it

# data[].attributes.body
Discuss with resident, if they refuse to take action then discuss with hospital adminstration

# data[].attributes.body
Integrity

# data[].attributes.body
Micro level: doctors should practice honesty at all time and to know its serious impact on patient's safety.

Meso: the hospital should have a clear framework to act upon those who are caught with dishonest behaviours.

# data[].attributes.headline
at the micro level, I must be truthful under all and any circumstances 

# data[].attributes.subject
at the micro level, I must be truthful under all and any circumstances 

# data[].attributes.body
at the meso level, the hospital should provide training to ensure professionals are reminded of the expected behavior

at the macro, there should be laws that protect patient's in such scenario, and open investigations, as this delay could worsens the patient condition and even lead to death

# data[].attributes.body
Honesty and integrity are considered one of the crucial elements in a doctor, patients are also expecting their doctors to be honest and to advocate for their safety.

dishonest behaviour could lead to serious issues with patient's safety.

# data[].attributes.body
Patient's confidentiality is breached

# data[].attributes.body
Without embarrassing the resident, correct him/her and mention that there might have been a misunderstanding and the results are actually available

# data[].attributes.body
Post containing confidential data should be removed/reworded as to not contain any patient/caregiver identifiers

# data[].attributes.body
Expecting doctors to act professionally and keep patients information confidential at all time.

# data[].attributes.headline
I would approach the colleague first and advise them to delete it. If they refuse, I have to bring it up to the attending physcian

# data[].attributes.subject
I would approach the colleague first and advise them to delete it. If they refuse, I have to bring it up to the attending physcian

# data[].attributes.headline
Doctors need to act professionally as posting anything realting tp patients is unprofessional

# data[].attributes.subject
Doctors need to act professionally as posting anything realting tp patients is unprofessional

# data[].attributes.body
Honesty must be practiced in a healthcare setting.

# data[].attributes.body
Micro: expecting doctors to act professionally especially in matters that directly affect the patient, to know that information on social media once it's up it is forever there and one should be responsible while using it.

# data[].attributes.headline
at micro level, I must keep patient confidentiality at all times.

# data[].attributes.subject
at micro level, I must keep patient confidentiality at all times.

# data[].attributes.body
at meso, the hospital should be extremely clear and serious about such behaviours

at macro, this behaviour does not only jeopardises the patient safety healthwise, but also socially. this patient could be a victim of a serious situation and does not want to be known/found. Thus, the government should enforce serious laws that would punish such behaviour

# data[].attributes.body
Meso: hospital should be clear and have a framework to follow in these cases, where patient's confidentiality is breached to prevent it happening again in the future

# data[].attributes.body
micro - honesty must be practiced by all healthcare professionals

meso - hospital must ensure honesty is carried out by all its employees

macro - laws must be implemented to ensure integrity in the workplace

# data[].attributes.body
Patient's confidentiality

# data[].attributes.body
Acting professionally is expected from doctors even out side on the institution, patient's are trusting them with their information and all actions should be undertaken to prevent its leakage.

E-professionalism is an important concept especially with the fast developing use of social media, it is expected from doctors to act with their professionalism principals in mind

# data[].attributes.body
The doctors/ medical students, should not be afraid to voice their concerns if they saw something wrong.

# data[].attributes.body
I would ask my co-worker to politely remove the comment.

# data[].attributes.body
Healthcare professionals must not display patient's information on social media platforms.

# data[].attributes.body
micro - doctors are expected to practice patient confidentiality

meso - hospital body must make sure such rules are followed

macro - healthcare body must implement rules to ensure patient confidentiality, with serious consequences if not followed