A Clinician's Guide to Privacy and Communication in the ICU.
Crit Care Med
; 45(3): 480-485, 2017 Mar.
Article
em En
| MEDLINE
| ID: mdl-27922454
ABSTRACT
OBJECTIVE:
To review the legal issues concerning family members' access to information when patients are in the ICU. DATA SOURCES U.S. Code, U.S. Code of Federal Regulations, and state legislative codes. DATA EXTRACTION Relevant legal statutes and regulations were identified and reviewed by the two attorney authors (L. F., M. A. V.). STUDY SELECTION Not applicable. DATASYNTHESIS:
Review by all coauthors.CONCLUSIONS:
The Health Insurance Portability and Accountability Act and related laws should not be viewed as barriers to clinicians sharing information with ICU patients and their loved ones. Generally, under Health Insurance Portability and Accountability Act, personal representatives have the same authority to receive information that patients would otherwise have. Persons involved in the patient's care also may be given information relevant to the episode of care unless the patient objects. ICUs should develop policies for handling the issues we identify about such information sharing, including policies for responding to telephone inquiries and methods for giving patients the opportunity to object to sharing information with individuals involved in their care. ICU clinicians also should be knowledgeable of their state's laws about how to identify patients' personal representatives and the authority of those representatives. Finally, ICU clinicians should be aware of any special restrictions their state places on medical information. In aggregate, these strategies should help ICU managers and clinicians facilitate robust communication with patients and their loved ones.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Família
/
Comunicação
/
Privacidade
/
Acesso à Informação
/
Unidades de Terapia Intensiva
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article