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Managing Patient Expectations
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Confidentiality Do’s And Don’ts
by Susan Keane Baker

  1. Do position computer screens away from the view of the public


  2. Do ask transcription services to leave patient identifying information out of the body of transcribed text.


  3. Don’t share passwords for patient information system access.


  4. Don’t post appointment schedules inside exam rooms, or in other areas where patients and visitors can view them.


  5. Don’t discuss patient information in areas where you may be overheard.


  6. Do break into a conversation among other staff members, if you realize that a visitor is listening to it. Ask, "Have you heard from Dr. Pitcher? I’m waiting for her call." (Code for "Little pitchers have big ears.)


  7. Do remember that if a patient hears you saying anything about her, she may worry that you will also disclose something that she considers more sensitive. If her trust in you is diminished, she may begin to give you inaccurate or incomplete information, making your job tougher.


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