Trust is a fundamental element of the provider–patient relationship, and building trust helps ensure that patients disclose accurate and thorough health information to doctors and other healthcare personnel. In turn, healthcare providers and staff members have an ethical and legal responsibility to protect patient confidentiality and prevent unauthorized disclosure of patients’ protected health information (PHI).
Both state and federal laws address patient confidentiality and release of health information. Some state laws are more specific than federal laws about certain aspects of confidentiality, such as the definition of an emancipated minor or information pertaining to the treatment of mental illness. Providers and staff members should understand these legal requirements and their role in upholding them.
Read more Accurate and thorough documentation is vital in healthcare; it provides essential patient information, historical details about the course of patient care, and a record of services provided. Healthcare providers’ signatures are a crucial part of documentation; they carry authority to authorize tests and services, and they attest to the authenticity and accuracy of patient records. Thus, protecting the integrity of provider signatures is imperative.
Prior to the large-scale implementation of electronic health records (EHRs) and other electronic systems, healthcare providers typically ink signed or stamped documentation to provide authorization, take responsibility for authorship, or confirm the veracity of information. During these times, safeguarding physician signatures involved strategies such as preventing forgery, securing signature stamps, and limiting access to prescription pads.
Read more Medical aesthetics is a growing and lucrative industry, and the global medical spa (medi-spa) market is projected to reach $26.72 billion by 2027.1 Various types of healthcare providers are offering spa and cosmetic services at dedicated medi-spas or as ancillary services in healthcare practices. Services are wide-ranging and include botulinum toxin injections, chemical peels, laser hair removal, microdermabrasion, liposuction, dermal fillers, skin rejuvenation, microblading, body contouring, and more.
Read more Inadequate health literacy is a well-known communication issue facing patients and their healthcare providers. Patients’ inability to properly receive, process, understand, and act on health information can result in a host of problems, including uninformed decision-making, nonadherence to treatment plans, poor outcomes, and lack of trust in the healthcare community. Inadequate health literacy also can lead to misunderstandings and mismanagement of patient expectations, which can increase liability risk for healthcare providers.
Read more As people are living longer, it is likely that they will develop medical conditions over time that might be problematic for their dental care. Therefore, it is of paramount importance that dentists obtain, review, and update their patients’ health history at each visit. Dentists also should obtain complete medication lists from patients for all care, including routine oral healthcare.
Read more The patient was a 53-year-old male who presented to an internal medicine practice because he had a lump in his right groin. The patient had been going to the practice for years and typically saw one physician assistant (PA) for most appointments. Over the years, he had seen the PA for various conditions, such as allergies, abdominal pain, cardiac issues, respiratory infections, hypertension, and more.
At the patient’s visit to evaluate the lump in his groin, the PA ordered a CT scan. The test was completed, and the results showed an enlarged inguinal lymph node. Whether these results were communicated to the patient is unclear. Receipt of the results was documented in the patient’s electronic health record (EHR), but no documentation from that time indicates whether the patient was notified about the results or next steps.
Read more Violence is a significant concern and an unfortunate reality in healthcare. The health sector accounts for about a quarter of all workplace violence, and healthcare and social service workers are five times more likely to be injured than other workers.1 Violence can occur in any geographic location and any type of facility, and it can come from a variety of sources, including patients, visitors, healthcare providers, and staff members.
Read more Humans have an intrinsic need for dignity as a basic element of well-being. Yet, the concept of dignity can be somewhat nebulous, and its defining features can vary across societies, cultures, and individuals.
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