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  2. Patient Safety and Quality Improvement Act - Wikipedia

    en.wikipedia.org/wiki/Patient_Safety_and_Quality...

    This safe harbor does not apply to the PSO itself — i.e., a PSO workforce member's disclosure is attributable to the PSO. The Act is enforced by the Secretary of Health and Human Services. PSWP may be disclosed to (and the Secretary may require disclosure of PSWP) to investigate or determine compliance with the Patient Safety Act or with HIPAA.

  3. Medical privacy - Wikipedia

    en.wikipedia.org/wiki/Medical_privacy

    Medical privacy, or health privacy, is the practice of maintaining the security and confidentiality of patient records. It involves both the conversational discretion of health care providers and the security of medical records.

  4. Therapeutic privilege - Wikipedia

    en.wikipedia.org/wiki/Therapeutic_privilege

    Another ethical challenge of therapeutic privilege which is discussed by Finnerty, is the question of who is qualified to judge the effect of non-disclosure on a patient which is critical consideration for a decision, ‘Insofar as it could be, what was clear from the case law was that it is the medical professional’s judgement of the effect ...

  5. Medical record - Wikipedia

    en.wikipedia.org/wiki/Medical_record

    The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.

  6. Medical ethics - Wikipedia

    en.wikipedia.org/wiki/Medical_ethics

    Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. [1] Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. These values include the respect for autonomy, non-maleficence, beneficence, and justice. [2]

  7. Confidentiality - Wikipedia

    en.wikipedia.org/wiki/Confidentiality

    In such situations the lawyer has the discretion, but not the obligation, to disclose information designed to prevent the planned action. Most states have a version of this discretionary disclosure rule under Rules of Professional Conduct, Rule 1.6 (or its equivalent). A few jurisdictions have made this traditionally discretionary duty mandatory.

  8. Nursing documentation - Wikipedia

    en.wikipedia.org/wiki/Nursing_documentation

    It makes the process of nursing assessment visible through what is presented in the documentation content. [4] During nursing assessment, a nurse systematically collects, verifies, analyses and communicates a health care client's information to derive a nursing diagnosis and plan individualized nursing care for the client. [5]

  9. Point of care - Wikipedia

    en.wikipedia.org/wiki/Point_of_care

    Point of care (POC) documentation is the ability for clinicians to document clinical information while interacting with and delivering care to patients. [10] The increased adoption of electronic health records (EHR) in healthcare institutions and practices creates the need for electronic POC documentation through the use of various medical devices. [11]