Ethics Week 2014

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Across
  1. 2. Go to another place, take the conversation elsewhere. A good way to deal with public conversations when they’re too personal.
  2. 5. The steps going up – or down. Often an open area where conversations are not private and voices carry.
  3. 6. Your working space, counter or table where you sit - and not a place to leave charts in the open.
  4. 7. Topic, the visible line on an e-Mail. This part of an internal e-mail should never include a patient name, but only their ID number, to preserve confidentiality.
  5. 8. Phone messages left as a recording, e.g. on an answering machine – this is not a confidential place; you don’t know who will pick up this message so use careful wording.
  6. 10. Agree, give permission - when a patient is doing this, hopefully they are fully informed of their rights and how information will be used. (Principle #4 & 7)
  7. 11. Believe in someone, rely on. One of the cornerstones of the patient - healthcare provider relationship (Principle #1).
  8. 12. Top page on a fax, gives protection in case of wrong numbers or mistakes at the receiving end.
  9. 15. A promise or “money-back” affirmation, and in a large healthcare system, particularly with electronic health records, we cannot give this to patients for absolute security - there are always some risks. (Principle #13)
  10. 18. To keep or retain. The length of time records can reasonably be kept, under legislation or regulations, before being securely disposed of. (Principle #12)
  11. 19. Relatives, spouses, children, parents. This group often has a lot of personal questions and opinions about the patients care, but without specific permission, details cannot be disclosed to them.
  12. 21. To reveal or uncover, to share information, not closed. Patients are often not aware that their records may be “not closed”, for specific purposes, with implied consent or even without consent. (Principle #4)
  13. 24. Inferred, suggested, without explicit statement. This kind of “---“ consent is the basis of sharing patient information within the health care team.
Down
  1. 1. To see, to behold with the eyes. Even your own health records are not something you can “___” up without the appropriate release.
  2. 3. Shield, defend, guard – security safeguards used for the privacy of both patients and coworkers (Principle #5)
  3. 4. Required; a form of obligatory or commanded reporting, for example, certain communicable diseases, or fitness to drive. The personal information must be shared, but only the minimum necessary. (Principle #9)
  4. 6. Using good judgement, being discrete. When healthcare providers have the option to share a patient’s private information, they should use this. (Principle #10)
  5. 9. Fasten, secure, as with a key. Doing this with your computer every time you step away prevents intentional or accidental gaps in network security.
  6. 12. Technology devices we use every day, these have a keyboard, mouse, and monitor. They have special privacy and security risks.
  7. 13. Outside, opposite of internal. Emails of this kind cannot be sent directly to patients regarding their health care, due to security and privacy concerns.
  8. 14. Companion, buddy, person you care about. Not enough reason to check their health info.
  9. 16. Require, must have. Even health professionals and staff should only be told what they ”__” to know. (Principle #8)
  10. 17. Study or experimentation to learn new information, such as clinical trials or medical studies. These should be cleared by a “___” Ethics Board first. (Principle #11)
  11. 20. Rules, statutes, legislation both federal and provincial, such as those requiring healthcare disciplines and providers to follow privacy guidelines (Principle #3). It’s not optional.
  12. 22. Explicit, stated, definite. This particular consent, such as to share details with a third party, is important for release outside the principle purpose for which health information was collected.
  13. 23. Opposite of wrongs or lefts - also the legal control people have over their own personal health info, which must be respected. (Principle #2)