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dc.contributor.authorVigar, Paul
dc.date.accessioned2019-09-12T15:54:20Z
dc.date.available2019-09-12T15:54:20Z
dc.date.issued2017-05
dc.identifier.citationVigar, P., 2017. Patient confidentiality and safety: a classic conundrum. Journal of Paramedic Practice, 9 (5), 214–218.en_US
dc.identifier.issn1759-1376
dc.identifier.issn2041-9457
dc.identifier.doi10.12968/jpar.2017.9.5.214
dc.identifier.urihttp://hdl.handle.net/20.500.12417/208
dc.description.abstractAbstract published with permission. Paramedics frequently have to balance patient confidentiality and patient safety. Patient information is subject to legal, ethical and professional obligations of confidentiality and should not be disclosed to a third party for reasons other than healthcare, without consent. Whilst there is an imperative to preserve the professional/patient relationship, there are occasions where this is not possible. This article considers circumstances when confidential patient information may be disclosed without the consent of the patient and discusses the legal, ethical and professional aspects of decision making in this context. A clinical example from practice is presented where an ambulance crew was called to a 50-year-old man with type I diabetes, which is normally well controlled with insulin. He is employed as a van driver, but has experienced two sudden hypoglycaemic episodes in 3 weeks rendering him unconscious. Once treated, he declines transport to hospital, any onward referral or to inform the Driver and Vehicle Licensing Agency (DVLA) through fear of having his driving licence suspended.
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectConfidentialityen_US
dc.subjectSafetyen_US
dc.subjectLegalen_US
dc.subjectEthicsen_US
dc.titlePatient confidentiality and safety: a classic conundrumen_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Paramedic Practiceen_US
dcterms.dateAccepted2019-09-04
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2019-09-04
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2017-05
html.description.abstractAbstract published with permission. Paramedics frequently have to balance patient confidentiality and patient safety. Patient information is subject to legal, ethical and professional obligations of confidentiality and should not be disclosed to a third party for reasons other than healthcare, without consent. Whilst there is an imperative to preserve the professional/patient relationship, there are occasions where this is not possible. This article considers circumstances when confidential patient information may be disclosed without the consent of the patient and discusses the legal, ethical and professional aspects of decision making in this context. A clinical example from practice is presented where an ambulance crew was called to a 50-year-old man with type I diabetes, which is normally well controlled with insulin. He is employed as a van driver, but has experienced two sudden hypoglycaemic episodes in 3 weeks rendering him unconscious. Once treated, he declines transport to hospital, any onward referral or to inform the Driver and Vehicle Licensing Agency (DVLA) through fear of having his driving licence suspended.en_US


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