Anaesthesia & intensive care medicine
Volume 8, Issue 12 , Pages 509-512, December 2007

Confidentiality and security of information

Richard Dunnill, MBBS, FRCA, is a retired Consultant Intensive Care Anaesthetist at the Royal Bournemouth Hospital, Dorset, UK. He is the Southern Cluster Clinical Lead for Theatres and the Ambulance, Chair of the Dorset and Somerset Clinical advisory Group, and Member of the SWSHA Technology group, and is the president of the Society for Computing and Technology in Anaesthesia (SCATA)

Chris Barham, FRCA, is Consultant at the Queen Victoria Hospital, East Grinstead, UK. He has been interested in electronic records for many years, and is a past Chairman of the Society for Computing and Technology in Anaesthesia (SCATA). He is Clinical Lead for the NHS Southern Programme for Information Technology

Abstract 

Information held about patients should be accurate, available to those who need to see it, and yet remain confidential. These three principles, especially the last two, may be difficult to achieve together. Electronic record systems can use sophisticated processes, such as Role-Based Access, Legitimate Relationships, and Sealed Envelopes, to enable appropriate security. Use of patient information is covered by legislation, such as the Data Protection Act, by guidance, such as the Care Record Guarantee, and by local information governance processes, such as the Caldicott guardian and Trust Data Protection Policies. Healthcare professionals must be aware of all these, particularly when keeping information for their own use (e.g. logbooks).

Keywords: Caldicott guardian, care records guarantee, data protection, information governance

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PII: S1472-0299(07)00238-X

doi:10.1016/j.mpaic.2007.09.008

Anaesthesia & intensive care medicine
Volume 8, Issue 12 , Pages 509-512, December 2007