Case study BSHS 355
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This case study involves a 14-year-old boy, Rajiv, who was treated at the emergency department where his father works as a physician. Rajiv's parents are divorced and his mother has full custody with no visitation rights for the father. When the father tried to obtain Rajiv's medical records, the release information clerk denied the request due to confidentiality and documentation presented by Rajiv's mother treating the father as a non-custodial parent. The CEO then got involved and threatened the clerk's job, raising legal issues around releasing the records. The organization's options are to not release the file until their attorney clarifies the situation in writing or leave the file as indicated by the CEO if he requests it in
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Vulnerable populations include groups who may have impaired ability to provide fully informed consent to participate in clinical trials. These include children, pregnant women, prisoners, students/employees, and those with cognitive impairments. Additional protections are required when including such groups in research. For children, assent from the child and permission from parents/guardians is needed. Research involving pregnant women or fetuses generally requires the mother's consent and may require the father's consent depending on the study's risks and benefits. Prisoners can only be in research related to their incarceration or behavior with minimal risk. Cognitively impaired individuals may require consent from a legally authorized representative. Researchers must consider risks unique to vulnerable populations and implement safeguards to
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Case study BSHS 355
- 1. CASE STUDY Alma Amaral University of Phoenix Ethics and Values BSHS 355 Beatriz Zayas December 12, 2013
- 2. CASE OVERVIEW • Is a bout the 14 year old boy, Rajiv, who was treated at the emergency department at the hospital were his father work as a physician. • Divorce parents, mother has full custody. • The fathers has no visitation right. He make several attempts to get the medical records of his child.
- 3. CONFIDENTIALITY • The release information clerk denies the physician request. • Confidentiality is important to the clients right to privacy. • Documentation was presented by the patient mother. • In these case the physician has to be threated has the non-custodian parent.
- 4. INTERVENTION • On the physician involved the CEO the clerk job is jeopardy. • Before releasing information they need to be aware of the legal consequences.
- 5. DECISIONS • Option 1- do not release the file until the organization’s attorney clarifies the situation on writing. • Option 2- leave the file as indicated by the CEO, once he request them in wirting.
- 6. QUESTIONS
- 7. REFERENCE • Grebner, L. A. (2009). Ethics case studies for health information management. Clifton Park, NY: Cengage. • Corey, G., Schneider Corey, M., & Patrick, C. (2011). Issues and ethics in the helping professions (8th ed.). Belmont, CA: Cengage.