Ethical Issues and the Electronic Health Record

Layman, Elizabeth J.

doi:10.1097/01.hcm.0000285044.19666.a8

Cited by 41 publications

(30 citation statements)

References 57 publications

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“…Patients should also be given the opportunity to give full consent of who to view their health information. Otherwise, patients' trust and confidence for their healthcare providers may be threatened, thus, preventing the patients from disclosing sensitive information required for diagnosis and treatment [21]. Hence, patient's information must not be divulged or revealed to anyone who is not involved in the care of the patient.…”

Section: Autonomymentioning

confidence: 99%

Ethical Issues in Interoperability of Electronic Healthcare Systems

OlaronkeGaniat¹,

Olusola²

2015

CAE

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The advent of Information and Communication Technology (ICT) in the past decades has led to the wide adoption of electronic healthcare systems in healthcare. This has in actual fact led to the improvement in the quality of healthcare by enhancing the collection, storage, retrieval and access to health information. In addition, the use of ICT in healthcare provides more efficient healthcare services by reducing medical errors and costs thereby increasing patients' safety and satisfaction. Moreover, patients' information can be located in more than one electronic healthcare system. This is because patients may have more than one healthcare provider or they may move from one location to another. Hence, it becomes pertinent for patients' information to be available in all electronic healthcare systems at all points of care. Thus, the seamless exchange of meaningful information amongst healthcare providers and patients at the point of care becomes very crucial. This is because the diagnoses and treatment of patients depends on the timely access to accurate patients' information such as the medical history, laboratory reports as well as radiology report. However, several ethical challenges such as data privacy, confidentiality, control of access to patients' information, the commercialization of de-identified patients' information and ownership of patients' information which are associated with the interoperability of electronic healthcare systems still remain unresolved. Hence, the acceptance and adoption of electronic healthcare systems for information exchange and use is discouraged and hindered. Consequently, the healthcare system is associated with high error rates and low quality healthcare services. Thus, ethical issues need to be addressed in the context of interoperability of electronic healthcare systems. Based on this background, this paper appraises ethical issues associated with the interoperability of healthcare systems and how they can be addressed.

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Section: Autonomymentioning

confidence: 99%

Ethical Issues in Interoperability of Electronic Healthcare Systems

OlaronkeGaniat¹,

Olusola²

2015

CAE

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“…An example of beneficence in HIM is safeguarding the patient's protected health data. It also includes ensuring that the availability of data in a complete, current, accessible, and easily usable format for healthcare decision-making (Cellucci et al 2011;Layman, 2008). Conversely, nonmaleficence is not causing unnecessary harm.…”

Section: Ethical Concepts In Healthcarementioning

confidence: 99%

“…One could demonstrate autonomy by meeting the requirements to obtain the patient's informed consent before surgery and by honoring the right of a patient to refuse treatment (Layman, 2008). Beneficence refers to providing healthcare services in a manner that provides positive health outcomes while minimizing the potential for patient harm (Oachs & Waters, 2016).…”

Section: Ethical Concepts In Healthcarementioning

confidence: 99%

“…In this role, they secure the confidentiality of patients and organizational information. However, with the changes in the healthcare system, this duty becomes increasingly more challenging (Layman, 2008; AHIMA House of Delegates, 2008;American Health Information Management Association, 2010). How can educators better prepare graduates to be ready for their role as guardians and the ethics challenges this role represents?…”

Section: Introductionmentioning

confidence: 99%

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Improving the Curriculum with Ethics: Gaps between Perceived Ethical Challenges of Practitioners and Educators

Dolezel¹,

Morrison²

2017

JCT

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Health information management (HIM) professionals must address ethical challenges in their role as guardians of patients' personal information and organizations' proprietary information. Because of this need, HIM educators strive prepare their students to address these challenges. Unfortunately, little evidence exists about specific areas of applied ethics that should be part of the HIM curriculum. The purpose of this exploratory study was to determine the ethical issues relevant to the current practice in Health Information Management. In particular, the study aimed to determine if the perceptions of HIM educators and practitioners regarding HIM workplace ethical issues were consistent, and to identify gaps in perceptions. The researchers distributed a survey to HIM educators and HIM practitioners, 12 educators and 25 practitioners completed their surveys. Thematic content analysis indicated a divergence of themes among these groups. Overall, educators' responses reflected general knowledge areas whereas practitioners' comments were more specific in terms of ethics concerns. The study findings indicated a gap in perceptions signalling a need for increased communication regarding applied ethics in HIM practice so that curriculums could reflect both theory and application.

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“…This strategy has been adopted before. 18 Other principles may be implicated, including more nuanced ones emerging from the sharing of data in literature. 19 We have chosen to limit our discussion to a more traditional balancing of respect for autonomy, nonmaleficence, and beneficence, because the principal argument for giving patients any control of personal health information (PHI) in their EHR is a logical extension of the application of the principle of respect for autonomy in decision-making about medical treatment and research generally, 20 and in particular about patient empowerment and informed choice in the clinical encounter.…”

Section: S3mentioning

confidence: 99%

How Bioethics Principles Can Aid Design of Electronic Health Records to Accommodate Patient Granular Control

Meslin

Schwartz

2014

J GEN INTERN MED

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Ethics should guide the design of electronic health records (EHR), and recognized principles of bioethics can play an important role. This approach was recently adopted by a team of informaticists who are designing and testing a system where patients exert granular control over who views their personal health information. While this method of building ethics in from the start of the design process has significant benefits, questions remain about how useful the application of bioethics principles can be in this process, especially when principles conflict. For instance, while the ethical principle of respect for autonomy supports a robust system of granular control, the principles of beneficence and nonmaleficence counsel restraint due to the danger of patients being harmed by restrictions on provider access to data. Conflict between principles has long been recognized by ethicists and has even motivated attacks on approaches that state and apply principles. In this paper, we show how using ethical principles can help in the design of EHRs by first explaining how ethical principles can and should be used generally, and then by discussing how attention to details in specific cases can show that the tension between principles is not as bad as it initially appeared. We conclude by suggesting ways in which the application of these (and other) principles can add value to the ongoing discussion of patient involvement in their health care. This is a new approach to linking principles to informatics design that we expect will stimulate further interest.

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Ethical Issues and the Electronic Health Record

Cited by 41 publications

References 57 publications

Ethical Issues in Interoperability of Electronic Healthcare Systems

Ethical Issues in Interoperability of Electronic Healthcare Systems

Improving the Curriculum with Ethics: Gaps between Perceived Ethical Challenges of Practitioners and Educators

How Bioethics Principles Can Aid Design of Electronic Health Records to Accommodate Patient Granular Control

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