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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.

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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 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.

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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.

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patient information should not be shared unless it is their doctor that is asking to see it 

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patient information should not be shared unless it is their doctor that is asking to see it 

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he wouldn't need your help if was above boards 

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he wouldn't need your help if was above boards 

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i would ask him to speak to the doctor responsible for the patient

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i would ask him to speak to the doctor responsible for the patient

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stress the importance of patient confidentiality to Dr. Ahmed and refer him to higher chain of command

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stress the importance of patient confidentiality to Dr. Ahmed and refer him to higher chain of command

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protect patient's info and talk to my supervisor

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protect patient's info and talk to my supervisor

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to not be complicit in breaking confidentiality , preserve patients rights

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to not be complicit in breaking confidentiality , preserve patients rights

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patient info should not be disclosed and the doctor should get warned 

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patient info should not be disclosed and the doctor should get warned 

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at the individual micro level, a professional must maintain their integrity and protect patient privacy regardless of pressure. at the meso level, education on the importance of patient confidentiality and rights should be carried out by the hospital. at the macro level, regulatory bodies should pass legislation and policy to protect patient confidentiality legally

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at the individual micro level, a professional must maintain their integrity and protect patient privacy regardless of pressure. at the meso level, education on the importance of patient confidentiality and rights should be carried out by the hospital. at the macro level, regulatory bodies should pass legislation and policy to protect patient confidentiality legally

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micro- should complain about the doctor meso- reiterate the professionalism and confidential aspect of patient informatio

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micro- should complain about the doctor meso- reiterate the professionalism and confidential aspect of patient informatio

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meso- Dr Ahmed actions hint that institution wide is a bit lax

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meso- Dr Ahmed actions hint that institution wide is a bit lax

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educate staff members about importance of protecting patient's info

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educate staff members about importance of protecting patient's info

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don't disclose information, ask him to talk to doctor responsible for the patient

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don't disclose information, ask him to talk to doctor responsible for the patient

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don't share patient's information without their consent 

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don't share patient's information without their consent 

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doctors actions not away ethical, responsible for own ethics 

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doctors actions not away ethical, responsible for own ethics 

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patient confidentiality is the most important and information should not be shared without the consent of the doctor responsible 

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patient confidentiality is the most important and information should not be shared without the consent of the doctor responsible 

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take initiative in the process of quality improvement even if your position is lower in the hierarchy by reporting misconduct to higher ups/HR/administration. 

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take initiative in the process of quality improvement even if your position is lower in the hierarchy by reporting misconduct to higher ups/HR/administration. 

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micro protect info meso inform hospital doctor or management macro check policies

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micro protect info meso inform hospital doctor or management macro check policies

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Patient is priority, do not disclose information without his consent

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Patient is priority, do not disclose information without his consent

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should be honest when it comes to patient results as it can compromise safety 

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should be honest when it comes to patient results as it can compromise safety 

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resident should be responsible by checking for culture results as soon as they are made available. or this irresponsibility might compromise patient safety

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resident should be responsible by checking for culture results as soon as they are made available. or this irresponsibility might compromise patient safety

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either say- oh just checked and.. or offer to check NOW. so patient care not delayed...bit political but on rounds (in front of patient) is not the place to call anyone out 

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either say- oh just checked and.. or offer to check NOW. so patient care not delayed...bit political but on rounds (in front of patient) is not the place to call anyone out 

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I would educate the resident on the importance of checking bacterial culture results promptly as t not compromise patient safety and the importance of honesty

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I would educate the resident on the importance of checking bacterial culture results promptly as t not compromise patient safety and the importance of honesty

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try to find the right way to alert the physician 

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try to find the right way to alert the physician 

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bring it up with the supervisor responsible and give patient treatment right away 

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bring it up with the supervisor responsible and give patient treatment right away 

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educate the resident on the importance of honesty and to check test results promptly (as things develop and deteriorate rapidly)

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educate the resident on the importance of honesty and to check test results promptly (as things develop and deteriorate rapidly)

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mention to physician, educate resident on accurate description on results

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mention to physician, educate resident on accurate description on results

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educate staff members about honesty and ethical practice

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educate staff members about honesty and ethical practice

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meso -look at resident work load, support residence (might be bigger picture) 

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meso -look at resident work load, support residence (might be bigger picture) 

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micro- stress the importance of integrity, honesty and responsibility

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micro- stress the importance of integrity, honesty and responsibility

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micro educate about honesty, meso look at resident workload and support, macro policies

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micro educate about honesty, meso look at resident workload and support, macro policies

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meso- workshops and education to stress the importance of professionalism. create a more efficient way to communicate when a patient's results are made available as it is very important in the prognosis of SEPSIS (quick alert)

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meso- workshops and education to stress the importance of professionalism. create a more efficient way to communicate when a patient's results are made available as it is very important in the prognosis of SEPSIS (quick alert)

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notify the physician if there is missing info

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notify the physician if there is missing info

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stress the importance of professionalism. create a more efficient way to communicate when a patient's results are made available as it is very important in the prognosis of SEPSIS (quick alert)

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stress the importance of professionalism. create a more efficient way to communicate when a patient's results are made available as it is very important in the prognosis of SEPSIS (quick alert)

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report incident and educate staff member on how this constitutes a breach of confidentiality 

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report incident and educate staff member on how this constitutes a breach of confidentiality 

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educate all staff members on the importance of confidentiality and what may constitute a breach

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educate all staff members on the importance of confidentiality and what may constitute a breach