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And whatsoever I shall see or hear …I will never divulge. Confidentiality and disclosure for intensivists.无论我看到或听到什么……我都将永远守口如瓶。重症监护医生的保密与信息披露。
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本文引用的文献

1
Convention for the Protection of Human Rights and Fundamental Freedoms.《保护人权与基本自由公约》
Annu Rev Popul Law. 1988;15:149.

无论我看到或听到什么……我都将永远守口如瓶。重症监护医生的保密与信息披露。

And whatsoever I shall see or hear …I will never divulge. Confidentiality and disclosure for intensivists.

作者信息

D'Sa Aaron, O'Leary Ronan

机构信息

Addenbrooke's Hospital, Cambridge, UK.

出版信息

J Intensive Care Soc. 2020 May;21(2):158-164. doi: 10.1177/1751143719870081. Epub 2019 Sep 5.

DOI:10.1177/1751143719870081
PMID:32489412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7238473/
Abstract

Police requests to provide information about unconscious patients frequently cause difficulty for intensivists. This article reviews the circumstances where an intensive care doctor may and should disclose information about unconscious patients to the police. It first considers what constitutes private and confidential information and explains why this information should be protected. The relevant laws and regulations are then examined to identify circumstances in which a disclosure to the police is compulsory and when it is discretionary. It considers the required and permitted extent of the disclosures, and any requirements that must be fulfilled for the disclosure to be lawful. The role of the General Data Protection Regulations in governing all disclosures is reviewed, and a framework is provided which may be adopted to aid decision-making for disclosures to the police.

摘要

警方要求提供昏迷患者的信息常常给重症监护医生带来困扰。本文回顾了重症监护医生可以且应该向警方披露昏迷患者信息的情形。首先探讨了什么构成私密和保密信息,并解释了为何此类信息应受到保护。接着审视相关法律法规,以确定向警方披露信息是强制的情形以及何时是可自由决定的。考量了披露的必要范围和允许范围,以及为使披露合法必须满足的任何要求。回顾了《通用数据保护条例》在规范所有披露方面的作用,并提供了一个框架,可用于辅助做出向警方披露信息的决策。