Here’s a link to our University of Colorado, Anschutz Medical Campus, Ethics Grand Rounds with our topic: Ethical Issues with Open Notes and Open Results.
Thanks to all who participated; a robust conversation about the value of information transparency, leavened with concerns about worsening disparity for the digital divide, language and cultural barriers, the unintended disclosure of bad medical news, other unintended consequences of immediate transparency to progress notes and results.
For example: A medicine service is treating a patient. There are suspicions that there may be domestic violence at home. Team calls “Ethics consult: shall we call Adult Protective Services before the patient returns home from hospital?” Should this note be shown to the patient / family? Could a family member gain access to this note which then CREATES a problem when none existed before?
This and more!
