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Navigating ethical issues with electronic health records in developmental-behavioral pediatric practice
Britt A Nielsen1, Rebecca A Baum, Neelkamal S Soares
1Pediatric Psychology, Department of Psychiatry, Case Western Reserve University, MetroHealth Medical Center, Cleveland, Ohio 44109, USA. bnielsen@metrohealth.org
Journal of Developmental and Behavioral Pediatrics : JDBP
|January 1, 2013
Summary
Electronic health records (EHRs) improve care coordination but introduce new ethical and privacy challenges, especially in developmental-behavioral pediatrics (DBP). Addressing these requires defined standards and technological solutions for safe information exchange.
Area of Science:
- Medical Informatics
- Bioethics
- Developmental Pediatrics
Background:
- Electronic health records (EHRs) enhance clinical information sharing and access.
- The adoption of EHRs presents novel ethical and privacy concerns, amplifying existing issues from paper records.
Observation:
- Developmental-behavioral pediatrics (DBP) practice, with its interprofessional team approach, faces compounded ethical and privacy issues due to EHR use.
- Case examples highlight risks in EHR access, data confidentiality, and interprofessional collaboration within DBP.
Findings:
- EHR implementation in DBP necessitates careful consideration of ethical and privacy implications.
- Mitigation strategies are proposed at both administrative and clinical levels to address EHR-related challenges.
Implications:
- Clear professional standards and advanced technological solutions are crucial for safeguarding patient information as EHR adoption grows in DBP.
- Healthcare professionals and organizations must prioritize ethical practice and secure information exchange to ensure quality clinical care.
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