Privacy law is making hospitals lose patients and patient attitudes to privacy

Privacy law is making hospitals lose patients and patient attitudes to privacy

icWales has an article ("Privacy law is making hospitals lose patients") on the the new practice of removing--in the name of privacy--patients' nameplates from above their beds and whiteboards from nursing stations. This has led to substandard care and literally losing patients, at least in Wales. The article cites a survey published in the British Medical Journal that examined the attitudes of patients to having their names made known in this way. (Ravindra Gudena, Stanley Luwemba, Amy Williams, and Lloyd R Jenkinson,
Data protection gone too far: questionnaire survey of patients' and visitors' views about having their names displayed in hospital
,
BMJ, Dec 2004; 329: 1491.)


Based on a very simple questionnaire, most did not find the practice of posting patients names was invasive of privacy and most felt that patient names should appear over their beds:

Responses of 243 patients and 215 visitors to questionnaires about patients in hospital having their names displayed. Values are numbers; percentages (95% confidence intervals)




























































































Patients


Visitors


Totals


Have you seen the name board or not?







Yes

173; 71 (65 to 77)

157; 73 (67 to 79)

330; 72 (68 to 77)

No

70; 29 (23 to 35)

58; 27 (21 to 33)

128; 28 (24 to 32)


Where should the name board be located?







In the open

182; 75 (70 to 80)

160; 74 (69 to 80)

342; 75 (70 to 79)

Hidden

4; 2 (–3 to 7)

12; 6 (0 to 12)

16; 3 (2 to 5)

No preference

57; 23 (19 to 28)

43; 20 (14 to 26)

100; 22 (18 to 26)


Do you mind having your name displayed on the name board (or, does this infringe on patients' privacy?)







Yes

10; 4 (2 to 7)

21; 10 (2 to 5)

31; 7 (4 to 9)

No

233; 96 (93 to 98)

194; 90 (84 to 94)

427; 93 (91 to 96)


Should patients' names be displayed above their beds?







Yes

236; 97 (95 to 99)

201; 93 (90 to 97)

437; 95 (94 to 97)

No

7; 3 (5 to 8)

14; 7 (3 to 10)

21; 5 (3 to 7)



This raises a number of questions about the wisdom of certain privacy laws and practices in the clinical environment. I wonder whether one can imply consent to having one's name posted over their bed if a good survey strongly suggests that the majority of patients don't object and, in fact, think that posting their names is a good idea. If you couple this with an opportunity to "opt out" on the admitting form, you should be able to satisfy most of the people most of the time.

0 comments:

Post a Comment

  • Health Care Reform Explained from B... Dan Roam at the Back of the Napkin Blog sums up the current health care reform effort in this four part health care series, Healthcare Napkins All. Great back of the...
  • Why We Need A Health Care Revolutio... Dr. Val Jones' road to revolution provides her personal perspective on the current state of our health care system and why we all need to work for change.Don't miss the...
  • The important lesson from sandcastl... As I return to West Virginia after a week spent at the beach -- this post by Jim Carrol, Futurist, Trends & Innovation Expert, caught my attention. Much of my week on...
  • A little Nick: I'm a liberal an... Law blogger posts online: Don't miss reading this post by my favorite hospital blogging CEO, Nick Jacobs over at Nick's Blog. Much of what Nick has to say strikes a chord with me and this post is...
  • Executive Order Impacts Health Care... Law blogger posts online: President Bush signed an Executive Order on August 22 requiring federal agencies to do more to inform public health care consumers about the cost and quality of health...
  • eHealthWV: West Virginia EHR Public... Law blogger posts online: As a part of West Virginia's participation in the Health Information Security and Privacy Collaborative (HISPC), West Virginia Medical Institute and its partners launch...
  • Physicians vs. Patient: Rating-Perm... Interesting post from the WSJ Health Blog on Medical Justice's new ratings-permission contracts (press release on service).This new service offered by Medical Justice...
  • Just when you thought it was safe: ... Law blogger posts online: I’ve blogged previously about just how much I hate browser toolbars and nothing much has changed in the four years that have passed. Call me nosey, but when I’m...
  • Governor Manchin Approves Cardiac C...The West Virginia Health Care Authority website indicates today that Governor Manchin approved the final revised certificate of need Cardiac Catheterization Standards.
  • A Law Actually Interview with… Litt... Next up in the interview chair is Gemma from Little Tiny Pieces. Little Tiny Pieces is an interesting name?  What it inspired it; does it have any hidden meanings?...
  • Let the voting commence!... Law blogger posts online: Yes, after two long weeks of nominations, the shortlist for the 2010 Blawggies has been decided and voting for the awards can officially begin! The polls will remain...
  • Is blogging good for your health?... Law blogger posts online: Is blogging good for your health?This Boston Globe article, Cancer blogs become part of treatment, indicates that blogging about your condition has a positive impact.The...
  • ADVANCE Magazine - Article on EHRs ... Recently I was interviewed for an article looking at the legal issues involved in the developing world of EHRs and PHRs written by Beth Walsh for ADVANCE Magazine. The...