chapter 7 Flashcards
doctrine of professional discretion
a principle under which a physician can exercise judgement as to whether to show patients who are being treated for mental or emotional conditions their records. disclosure depends on whether, in the physician’s judgement, such patients would be harmed by viewing the records
medical record
a collection of data recorded when a patient seeks medical treatment
fiduciary duty
a physician’s obligation to his or her patient, based on trust and confidence
confidentiality of alcohol and drug abuse, patient records
a federal statute that protects patients with histories of substance abuse regarding the release of information about treatment
consent
permission from a person, either expressed or implied, for something to be done by another
doctrine of informed consent
the legal basis for informed consent, usually outlined in a state’s medical practice acts
Good Samaritan acts
state laws protecting physicians and sometimes other health care practitioners and laypersons from charges of negligence or abandonment if they stop to help the victim of an accident or other emergency
health information technology (HIT)
the application of information processing, involving both computer hardware and software, that deals with the storage, retrieval, sharing, and use of health care information, data, and knowledge for communication and decision making
electronic health record (EHR)
contains the same information as nay medical record, but in electronic form