e-TBL3 - THP_14_Bahrain(NC) by Eric Clarke https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s THP_12_Case scenario discussion on themes of professionalism in practice en-us 2021-11-29 17:11:22 UTC 2021-11-30 08:55:30 UTC hello@padlet.com https://padlet.net/icons/png/1f346.png 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. RCSI_MedProf https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1918478680 2021-11-29 17:11:22 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1918478680 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. RCSI_MedProf https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1918478686 2021-11-29 17:11:22 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1918478686 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. RCSI_MedProf https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1918478693 2021-11-29 17:11:22 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1918478693 breach of confidentiality and privacy https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866110 2021-11-30 08:27:58 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866110 confidentiality https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866329 2021-11-30 08:28:06 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866329 patient information should not be shared unless it is their doctor that is asking to see it https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866596 2021-11-30 08:28:16 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866596 he wouldn't need your help if was above boards https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866908 2021-11-30 08:28:29 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919866908 refer him to my superior https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919869009 2021-11-30 08:29:50 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919869009 don't disclose the information https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919869138 2021-11-30 08:29:54 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919869138 i would ask him to speak to the doctor responsible for the patient https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919869350 2021-11-30 08:30:04 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919869350 stress the importance of patient confidentiality to Dr. Ahmed and refer him to higher chain of command https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919873502 2021-11-30 08:32:42 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919873502 protect patient's info and talk to my supervisor https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919873600 2021-11-30 08:32:47 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919873600 to not be complicit in breaking confidentiality , preserve patients rights https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919874010 2021-11-30 08:33:02 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919874010 patient info should not be disclosed and the doctor should get warned https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919874398 2021-11-30 08:33:17 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919874398 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 https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919878928 2021-11-30 08:35:44 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919878928 micro- should complain about the doctor meso- reiterate the professionalism and confidential aspect of patient informatio https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919879200 2021-11-30 08:35:55 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919879200 meso- Dr Ahmed actions hint that institution wide is a bit lax https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919879638 2021-11-30 08:36:14 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919879638 protect patient's info https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919879843 2021-11-30 08:36:19 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919879843 Confidentiality breach https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919880595 2021-11-30 08:36:51 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919880595 educate staff members about importance of protecting patient's info https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919880665 2021-11-30 08:36:55 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919880665 don't disclose information, ask him to talk to doctor responsible for the patient https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919881468 2021-11-30 08:37:27 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919881468 Protect patient information https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919882261 2021-11-30 08:37:59 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919882261 don't share patient's information without their consent https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919882863 2021-11-30 08:38:24 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919882863 doctors actions not away ethical, responsible for own ethics https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919882979 2021-11-30 08:38:28 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919882979 patient confidentiality is the most important and information should not be shared without the consent of the doctor responsible https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919883274 2021-11-30 08:38:40 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919883274 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. https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919883562 2021-11-30 08:38:52 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919883562 micro protect info meso inform hospital doctor or management macro check policies https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919883985 2021-11-30 08:39:11 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919883985 Patient is priority, do not disclose information without his consent https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919884690 2021-11-30 08:39:40 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919884690 patient safety https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919886807 2021-11-30 08:40:59 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919886807 honesty https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919887089 2021-11-30 08:41:07 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919887089 don't lie https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919887598 2021-11-30 08:41:24 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919887598 should be honest when it comes to patient results as it can compromise safety https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919889329 2021-11-30 08:42:30 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919889329 resident should be responsible by checking for culture results as soon as they are made available. or this irresponsibility might compromise patient safety https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919889643 2021-11-30 08:42:42 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919889643 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 https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919890419 2021-11-30 08:43:14 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919890419 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 https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919890900 2021-11-30 08:43:34 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919890900 educate the resident properly https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919891302 2021-11-30 08:43:50 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919891302 try to find the right way to alert the physician https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919892082 2021-11-30 08:44:22 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919892082 Should not lie https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919892670 2021-11-30 08:44:45 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919892670 educare resident properly https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919893561 2021-11-30 08:45:15 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919893561 mention to the physician https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919893729 2021-11-30 08:45:22 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919893729 no delay in patient treatment https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894074 2021-11-30 08:45:35 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894074 bring it up with the supervisor responsible and give patient treatment right away https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894465 2021-11-30 08:45:51 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894465 importance of honesty https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894643 2021-11-30 08:45:59 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894643 educate the resident on the importance of honesty and to check test results promptly (as things develop and deteriorate rapidly) https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894736 2021-11-30 08:46:03 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919894736 mention to physician, educate resident on accurate description on results https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919895922 2021-11-30 08:46:52 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919895922 educate staff members about honesty and ethical practice https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919896877 2021-11-30 08:47:34 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919896877 meso -look at resident work load, support residence (might be bigger picture) https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919897151 2021-11-30 08:47:46 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919897151 micro- stress the importance of integrity, honesty and responsibility https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919899059 2021-11-30 08:49:03 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919899059 micro educate about honesty, meso look at resident workload and support, macro policies https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901247 2021-11-30 08:50:26 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901247 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) https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901580 2021-11-30 08:50:41 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901580 notify the physician if there is missing info https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901715 2021-11-30 08:50:46 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901715 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) https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901740 2021-11-30 08:50:47 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919901740 breach of patient confidentiality https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919906538 2021-11-30 08:53:37 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919906538 breach of patient's privacy https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919907503 2021-11-30 08:54:13 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919907503 report incident and educate staff member on how this constitutes a breach of confidentiality https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919907990 2021-11-30 08:54:32 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919907990 educate all staff members on the importance of confidentiality and what may constitute a breach https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919909469 2021-11-30 08:55:30 UTC https://padlet.com/RCSI_MedProf/3nqjeiritizuvf5s/wish/1919909469