3 Professional Secrecy and Medical Confidentiality

LESSON 3
PROFESIONAL SECRECY
MEDICAL CONFIDENTIALITY
AND CLINIC HISTORY
PROFESSIONAL SECRECY
MEDICAL CONFIDENTIALITY AND CLINIC HISTORY
Confidentiality is central to the relationship and trust between the

dentist and his/hers patients.
All information about patients acquired by any member of the dental

team in their professional capacity is confidential and should be
protected from unauthorized disclosure.
‘Protect the confidentiality of patients information’
Treat information about patients as confidential and only use it for the
purposes for which it is given.
Prevent information from being accidentally revealed and prevent

unauthorized access by keeping information secure at all times.
In exceptional circumstances, it may be justified to make confidential

patient information known without consent if it is in the public interest or
the patient’s interest.
You have both an ethical and a legal duty to keep patient information
confidential.
Dentists do not give legal advice. If you are not sure about the law and
responsibilities relating to protecting and providing patient information, ask
an appropriate source for advice.
WHAT IS CONFIDENTIAL?
All identifiable patient information, whether written,

computerized, visually or audio recorded, or simply held in the
memory of health professionals
Health records, whether in computer or manual form, or a mixture

of both, comprise data which are covered by national laws.
Health records are defined as:
“any record which consists of information relating to the physical or

mental health or condition of an individual, made by or on behalf
of a dental professional in connection with the care of that
individual”.
The law recognizes an individual’s rights to know what information is

being processed about them and to restrict its disclosure. A breach
of the law can result in civil or criminal proceedings.
PROFESSIONAL SECRECY IS THE OBLIGATION TO KEEP SECRET ANY

CONFIDENTIAL INFORMATION THAT HAS BEEN ACQUIRED IN THE
COURSE OF ONE´S OCCUPATION
CONFIDENTIALITY: IS THE MORAL BOND

PROFESSIONAL SECRECY: IS THE LEGAL BOND
USE OF IMAGES
The advance of intraoral cameras and digital photography has greatly

simplified the process of including photographs in the clinical
records.
It is important to understand, however, that any such images are an

integral part of the patient’s records even if they were taken for
other purposes (such as lecturing, research, etc.). Consequently, the
normal principles of confidentiality still apply.
Clínicas Universitarias
CONSENTIMIENTO TRATAMIENTO DE LA IMAGEN
A través de la presente, y de conformidad con la legislación actual, la Clínica Universitaria San

Vicente Mártir (Universidad Católica de Valencia), informa que durante el transcurso del
seguimiento de su tratamiento se pueden captar imágenes (fotografiadas y/o filmadas) siempre
Any use of patient photos for something

que usted así lo autorice, para su posterior ilustración de los documentos que se realizan, y en
los que se describen las actividades desarrolladas en las Clínicas y en la Universidad, tanto con
fines de investigación como de docencia.
El tratamiento de las imágenes del paciente se efectúa con serio respeto hacia la persona, de
conformidad con La Ley Orgánica 1/1982, de 5 de mayo, de protección civil del derecho al
honor, a la intimidad personal y familiar, y a la propia imagen, eliminando cualquier
captación o filmación que pudiera atentar estos derechos fundamentales.
other than the patient's care, like putting
Las imágenes no son utilizadas para otros fines distintos a los expresados photos on your website, educational o
learning purposes, … absolutely
En relación con lo anterior, las Clínicas Universitarias San Vicente Mártir tratarán las imágenes,
en los diversos soportes digitales o analógicos, del paciente, incluyéndose en ficheros
debidamente protegidos, esto es, con las medidas de seguridad, técnica y organizativa, de
conformidad con la legislación en protección de datos de carácter personal.
Don/Dña ________________________________________________________, mayor de edad,

con DNI ____________, y domicilio en ________________________________________,
CP________ de _____________, en nombre propio (o, en su caso, en nombre y representación
requires consent from the patient.
del paciente __________________________________) AUTORIZA a Clínica Universitaria
San Vicente Mártir (Universidad Católica de Valencia), AL TRATAMIENTO DE SU
IMAGEN en los términos descritos en el presente documento.
Con la presente, se entenderá que autoriza de forma expresa a la Clínicas Universitarias San
Vicente Mártir (Universidad Católica de Valencia), para realizar el tratamiento de su imagen,
con los fines y salvaguarda de los derechos dichos, y con independencia de que el tratamiento al
You also have to make clear to them that

que ha sido sometido haya finalizado.
En todo caso, usted podrá revocar el consentimiento u oponerse al tratamiento de su imagen, o

ejercitar los derechos de acceso, modificación, cancelación, y en su caso, oposición en cualquier
momento, enviando una solicitud por escrito, acompañada de una fotocopia de su DNI dirigida
a: Clínicas Universitarias San Vicente Mártir (Universidad Católica de Valencia), Calle Guillém
de Castro 46. CP 46.003, Valencia.
they are free to say no.
Firmado: Fecha
Paciente/Representante legal
------------------------------------------------------------------------------------------------------------------
REVOCACIÓN DEL CONSENTIMIENTO INFORMADO
Con fecha …………. . revoco el consentimiento prestado para realizar el tratamiento de imagen descrito.
Firma del paciente/representante legal) y D.N.I.
RECEPTION AREAS
PRINCIPLES OF 1º.- DUTY OF CONFIDENTIALITY

PATIENT
CONFIDENTIALIY 2º.- RELEASING INFORMATION WITH THE
PATIENT´S CONSENT
3º.-PREVENTING INFORMATION BEING

RELEASING ACCIDENTALLY
4º.- RELEASING INFORMATION IN THE
“PUBLIC INTEREST”
1º.- DUTY OF CONFIDENTIALITY
a) .- Patients are entitled to expect that you will keep the information you
hold about them confidential.
Just the fact that someone is your patient is confidential.
b).- Confidentiality is central to the relationship of trust between you

and your patient.
As a dental professional you have a professional, legal and contractual

responsibility to protect your patients’ confidentiality.
c).- The duty of confidentiality applies to:
1º.- All members of the dental team;
Do members of your dental team have an appropriate clause in their employment

contract stating their obligation to respect and actively protect patient
confidentiality?
All employees are under obligation, during the contract of employment and after its
termination, not to divulge professional secrets
PERSONAL - CONFIDENCIALIDAD CLINICAS UNIVERSITARIAS UCV
D./Dª: .........................................................................................................................................................
DNI: ………………………….
Titulación: ………………………………………………..
En virtud de la relación laboral y/o profesional con la Universidad Católica de Valencia “San Vicente
Mártir” (en adelante, UCV), prestando sus servicios en las Clínicas Universitarias de la misma, está sujeto
al cumplimiento de las obligaciones previstas por la legislación vigente y normativa fijada por la UCV, a fin
de conferir confidencialidad y protección a la información relativa a los pacientes.
En la prestación de esta labor tendrá conocimiento y acceso, a nivel informático y/o en papel, a datos de
carácter personal de los pacientes [los cuales pueden ser referidos a la historia clínica, a antecedentes
personales o familiares, a circunstancias sociales o económicas u otro tipo de datos personales] a efectos
administrativos o dispensar el servicio sanitario pertinente. Esta información de carácter personal
pertenece a la esfera de la intimidad, personal o familiar, del paciente, y sobre la misma se ha conferir
confidencialidad y protección frente a terceros.
EMPLOYEES Con la suscripción del presente y de conformidad con el artículo 10 de la Ley Orgánica 15/1999, de 13 de
diciembre, de Protección de Datos de Carácter Personal y artículo 3 Ley 1/2003, de la Generalitat, de
Derechos e Información al Paciente de la Comunidad Valenciana, Ud. adquiere la obligación de
mantener el secreto profesional sobre toda información que tenga conocimiento, directo o
indirecto, con ocasión de la realización de su labor profesional. Esta obligación de secreto persistirá
no sólo durante la relación con la UCV, sino también una vez finalizada la misma.
Queda prohibido, terminantemente, la divulgación o revelación a terceros, ajenos a la actividad de la

Clínica, y por cualquier medio, de parte o la totalidad de esta información. Asimismo, no podrá extraer
esta información mediante soportes o documentos en papel, o a través de medios de comunicación
electrónica o dispositivos, informáticos o electrónicos, salvo la autorización expresa de la Dirección de la
Clínica de la UCV y a los solos efectos de acometer tareas de índole profesional. En todo caso, no podrá
apropiarse o conservar esta información, a nivel informático o en papel. Toda información de la Clínica
deberá permanecer en las instalaciones o dependencias de la UCV con las debidas medidas de
seguridad, que eviten su alteración, pérdida, tratamiento o acceso no autorizado
Si como consecuencia de la actividad desarrollada, quisiera utilizar cualquier información clínica con fines
docentes o de investigación, deberá, en todo caso, utilizar mecanismos que eviten la identificación del
paciente, en cumplimiento Ley Orgánica 15/1999, de 13 de diciembre, de Protección de Datos de
Carácter Personal y la Ley Orgánica 1/1982, de Protección Civil del Derecho al Honor, a la Intimidad
Personal y Familiar y a la Propia Imagen.
Y como prueba de haber recibido estas instrucciones y de conformidad de cuanto antecede, se firma el
presente en el lugar y fechas indicado.
Valencia, a …………de …………….de……………

Fdo.
ALUMNOS – CONFIDENCIALIDAD CLINICAS UNIVERSITARIAS UCV
Alumno/a: …………………………………..
DNI: ………………………………………..
Titulación: ……………………………………
TRABAJO: ……………………………………………………………PROFESOR/TUTOR:………………………………
Como alumno de la Universidad Católica de Valencia “San Vicente Mártir” (en adelante, UCV), dentro de la
formación académica, realiza trabajos de docencia y/o investigación en las Clínicas de la UCV [Odontología,
Fisioterapia, Podología, Psicología, Logopedia, Terapia ocupacional, Medicina deportiva u otros servicios médicos.
Además, del servicio de asesoramiento familiar de la Universidad].
Durante la realización de esta labor, tendrá conocimiento y acceso, a nivel informático y/o en papel, a datos de
carácter personal de los pacientes [los cuales pueden ser referidos a la historia clínica, a antecedentes personales o
STUDENTS
familiares, a circunstancias sociales o económicas u otro tipo de datos personales] integrados dentro del marco de
los tratamientos realizados en nuestros centros de atención. Esta información de carácter personal pertenece a la
esfera de la intimidad, personal o familiar, del paciente, y sobre la misma se ha conferir confidencialidad y protección
frente a terceros.
Con la suscripción del presente y de conformidad con el artículo 10 de la Ley Orgánica 15/1999, de 13 de diciembre,
de Protección de Datos de Carácter Personal y artículo 3 Ley 1/2003, de la Generalitat, de Derechos e Información
al Paciente de la Comunidad Valenciana, el alumno adquiere la obligación de mantener el secreto profesional
sobre toda información que tenga conocimiento, directo o indirecto, con ocasión de la realización de las
prácticas. Esta obligación de secreto persistirá no sólo durante la relación con la UCV, sino también una vez
finalizada la misma. Quebrantar este deber de secreto está considerado como falta muy grave, según el artículo 2.4
del Reglamento de Disciplina Académica de la UCV, sin perjuicio de incurrir en otras responsabilidades civiles o
penales.
Queda prohibido, terminantemente, la divulgación o revelación a terceros, ajenos a la actividad de la Clínica, y por
cualquier medio, de parte o la totalidad de esta información. Asimismo, no podrá extraer esta información mediante
soportes o documentos en papel, o a través de medios de comunicación electrónica o dispositivos, informáticos o
electrónicos, salvo la autorización expresa de la Dirección de la Clínica de la UCV y a los solos efectos de acometer
tareas de índole práctico formativo profesional. En todo caso, no podrá apropiarse o conservar esta información, a
nivel informático o en papel. Toda información de la Clínica deberá permanecer en las instalaciones o dependencias
de la UCV.
Y como prueba de haber recibido estas instrucciones y de conformidad con cuanto antecede, se firma el presente en
el lugar y fechas indicado.
Valencia, a …………de …………….de……………
Firma del alumno
2º.- All information about the patient which you learn in your
professional role.
Reception areas and surgeries should be planned in such a way that
conversations about confidential matters cannot be overheard by a third party.
This applies both to telephone calls and face to face conversations
https://www.youtube.com/watch?v=_svMCtQQsfo
d).- You must keep information confidential even after a patient

dies.
“ Your duty to respect confidentiality continues after a patient’s death”
e).- If it is necessary to release patient information:

1º.- get the patient’s consent to do so wherever possible
Patients must be given the opportunity to withhold their permission and be told they
can withdraw it at any time.
2º.- make sure that you only release the minimum information
necessary for the purpose;
3º.- and be prepared to justify your decisions and any action you take.
2º.- RELEASING INFORMATION WITH THE PATIENT´S CONSENT
a) .- Make sure that you explain to patients the circumstances in which you might share
information about them with others involved in their healthcare
b).- Give patients the opportunity to withhold permission for you to share information
about them.
c).- Where a patient allows you to share information about them, make sure the patient
understands:
1º.- what you will be releasing;
2º.- the reasons you will be releasing it; and
3º.- the likely consequences of releasing the information
d)- If you have permission to release information, make sure anyone you share that
information with understands that the information is confidential.
e).- If you are given information about the patient to help you provide care for them, by law
you must keep the information confidential.
f).- Other people may ask you to provide patient information, for example, to help teaching
or research, or you may want to use patient information, for example, patient images such
as photographs, for teaching or research. If so, you:
1º.- make sure you get the patient’s consent;

2º.- make sure the patient understands exactly what they are agreeing to
and how the information will be used; and
3º.- make sure that you only release the minimum information necessary for
the purpose.
g).- If it is not necessary for the patient to be identified, make sure that the patient cannot
be identified from the information you release.
3º.- PREVENTING INFORMATION BEING RELEASING ACCIDENTALLY
a).- Make sure that you protect the confidential information you are responsible for when you
receive it, store it, send it or get rid of it.
b) .- Store records securely and don’t leave them where they might be seen by other
patients, unauthorized healthcare staff or members of the public.
Information relating to a patient must be kept secure at all times. Written records should be
stored in locked cabinets. Computer screens with patient information should not be visible to anyone
other than authorized personnel (passwords, …)
c).- Don’t talk about patients where you can be overheard.

Exercising caution with communications
Something as small and simple as an email carries its own pitfalls. Make sure you understand the technology you use to communicate with patients...
A patient had emailed a dentist to let him know that his wife had just given birth to their baby. The same email
had also been copied to family and friends as well and in total had been sent to approximately 60 people. Having
opened the email, the dentist replied and offered his congratulations and took the opportunity to remind the
patient that he had not collected a denture repair that had been ready for some weeks.
Having drafted the reply, the dentist then sent it but failed to notice that the reply was also being copied to all
those who had received the original email from the patient. By the time he realised what he’d done, it was
already too late because the email had been sent.
https://www.dentalprotection.org/uk/publications-resources/case-studies/case-studies-display/exercising-caution-with-communications
He telephoned Dental Protection and asked what he should do. An apology followed to the patient
and thankfully there were no repercussions, but the breach of confidentiality could
potentially have had serious consequences.
• The lesson is that there could be a high price to pay if we allow technology to master the user.
• Learning point: Make sure you master any technology that you introduce in your practice.
4º.- RELEASING INFORMATION IN THE “PUBLIC INTEREST”
a).- You may decide that you should share confidential information without consent in the
public interest. For example, if you think that you have confidential information which would
help prevent or detect a serious crime.
b).- If you think it is in the public interest for you to share confidential information, before you
act, and where practical, do everything you can to persuade the patients to release the
information themselves, or to give you permission to release the information.
c).- If you cannot persuade the patient to do this, or it is not practical or appropriate to do so,
get advice from an appropriate source before you release the information.
d).- In any circumstance where you decide to release confidential information, be prepared to
explain and justify your decision and any action you take.
e).- A Court may order you to release patient information without consent. If so, only
release the minimum information needed to follow the order.
Solicitors Disclosure to solicitors (other than those acting for the patient) requires the
patient’s specific consent, unless the solicitors provide proof of a court order requiring
disclosure.
The police do not have an unlimited right to information about patients. They have
power to secure dental records using a search warrant or a production order from a
Court. Information may be released to the police if it is in the public interest. (If you
have information that a patient is or could be at risk of significant harm, or you
suspect they are a victim of abuse, you should ordinarily inform the appropriate social
care agencies or the police).
f).- Social services Consent is usually required before disclosing information to social
services. However, there may be occasions when it is necessary to disclose information
about a patient without consent, either because the patient lacks capacity and it is in
the patient’s best interests or is otherwise in the public interest. You should do
everything you can to inform your patient when information about them is shared.
CLÍNICAS UNIVERSITARIAS
UNIVERSIDAD CATÓLICA DE VALENCIA SAN VICENTE MARTIR
C/Guillem de Castro 46 - 46001 Valencia
g).- Relatives and carers D./Dña. , mayor de edad, con D.N.I.

titular de la historia clínica abierta en CLÍNICA UNIVERSITARIA UCV, a
través de la presente y de conformidad con el artículo 25 de la Ley 1/2003,
de 28 de enero, de la Generalitat, de Derechos e Información al Paciente de
You may share information with those helping to care la Comunidad Valenciana, AUTORIZA a D./Dña. ,a
que actúe bajo su nombre y representación, para solicitar acceso o copia,
for a patient with the patient’s permission. If the de parte o la totalidad de dicha historia clínica.
patient is unable to give permission, then you may

Acompañando a esta autorización, se adjunta copia del DNI de ambos,
share such information as is necessary, provided it is como medio acreditativo de la entidad.
in the patient’s best interests. Y como prueba de conformidad con cuanto antecede, se aporta este
documento suscrito por ambos.
h).- Other healthcare workers

En Valencia, a *** de *** de 20***
Patients should understand why and when

information about them might be shared with others D./Dña. *** D./Dña. ***
involved in their clinical care. You should only share

information on a “need-to-know” basis, and you must
respect a patient’s objections to such information-
sharing.
dental technicians, dental assistants ….

1º .- The need to maintain confidentiality of any

information given to us in our professional capacity is
paramount.
2º.- Patient autonomy and their absolute right to

confidentiality must be ensured in almost all, but the
most exceptional circumstances.
3º.- Patients have the ethical and legal right to expect
this from us. They also have the expectation that we will
retain that information safely for their access.
4º.- We can break this confidence only with the

patient's consent or if there is an overwhelming
public interest in disclosure.
5º- There are many third parties/situations who/what

may request confidential patient information from dental
professionals: each case needs its own
considerations.
https://standards.gdc-uk.org/pages/principle4/principle4.aspx
• https://www.newmarketroaddentistry.co.uk/pri
vacy-policy/
Case 1: In the pub

Over a few drinks in the local pub, a general dental
practitioner tells a couple of friends about the patients he
saw in his surgery that afternoon. He makes some
‘humorous’ (but derogatory) comments about one of the
patients, and names her. He is overheard by a cousin of
the patient who informs her of what the GDP had said
about her. She makes a formal complaint to her dentist
then sues the practice for breach of confidentiality.
What do you think should happen?

In Case 1, the dentist is clearly at fault.
He could be sued by the patient, the patient could certainly complain

about his behavior to the practice, the primary care or hospital trust,
or the GDC, and the practice owner could dismiss him for misconduct.
As a practitioner registered with the GDC, he could find himself facing
a professional conduct committee. This panel has the power to
reprimand him, suspend him or erase him from the GDC register.
Case 2: The pregnant neighbour

A dental nurse working on reception in a general dental practice sees that her 16-
year-old neighbour has had an appointment with one of the dentists in the
practice yesterday. She reads through the notes and discovers the girl is pregnant.
She then goes to the neighbour's house to congratulate her (in front of her
parents) on the fact she will soon become a mother. The girl was actually planning
to visit her general practitioner the next day to request a termination, and her
parents previously knew nothing of the pregnancy.
What do you think should happen?

In Case 2, the dental nurse is equally or even more at fault;
By seeking out and acting upon confidential

information she had no need to know, she too could be
dismissed and could also face a GDC performance
committee.
The potential consequences in both cases:
The patients and their relatives and friends who also attend the
practices concerned might lose trust in the dental professionals,
and might fail to seek dental treatment in future.
It is also possible that the local or national media might learn of

the stories and ensure that all members of the practice staff
would be presented as guilty by association, even if completely
innocent of such behavior themselves.
Case 3: The teenage patient
You are a general dental practitioner. When your dental nurse briefly leaves the surgery to
collect supplies, a 14-year-old (whom you have known as a patient for the past six years) asks
if he can tell you something but requests that before he does so, you promise to tell no one
else.
What should you do or say in this case?
If you do say something to others, who would you tell?

Case 3:
The duty of confidentiality is not absolute. There are circumstances where

you may legitimately need to pass on the secret to others with a need to
know.
You should therefore not agree to keep something completely secret until you know
what the secret is. You might choose to say something like: ‘Until I know what it is you
want to tell me, I can't promise to keep it completely secret. I may need to talk to others to offer
help or advice. Whatever you tell me, I will do my best to protect the secret from those who have
no need to know.'
In case 3: You have a duty to protect children and young people, and
need to ensure you comply with the protocols on child protection and the
reporting of any allegations or observations of assault or inappropriate
behavior towards your patient in such cases. Your local primary care or
hospital trust will have a nurse or doctor who can provide you with further
information and guidance. (The police, or the social services, (Spain:
fiscalía de menores))
CASE 4
You are a dental hygienist and a 26-year-old patient, confides in you that she
has hepatitis C but demands that you must not record this in the dental
records nor tell any other dentist, dental nurse, hygienist or therapist who
might treat her in the future.
Would you:
A. Respect the patient’s wishes and keep such information to yourself.

B. Agree to the patient’s request, but make a cautionary note in her records after she leaves.
C. Explain to the patient the clinical and ethical reasons for passing on this information (eg. via the patient’s records) to
those with a need to know.
ANSWER CASE 4:
C is the only acceptable option.
To choose A would be poor clinical practice as it might put your colleagues at

risk (and might adversely affect the patient health if prescribed medication
which is contra-indicated for her condition) and B would be dishonest.
In reality, many patients with a condition such as HIV or Hepatitis C are

responsible people who realise that dental professionals need to be made
aware of their condition in order to provide them with effective and
appropriate care, but there are exceptions, (people who may be much less
responsible), in such cases, you would obviously want to consider your
own responsibility to your fellow professionals.
https://standards.gdc-uk.org/pages/principle4/casestudies/casestudy1.aspx
• CASE 5: importance of record keeping

https://standards.gdc-uk.org/pages/principle4/casestudies/casestudy2.aspx
• CASE 6
The Medical Defence Union MDU
The MDU is led and staffed by doctors who have real-life experience of the pressures and challenges you face
every day. Their expertise in medico-legal issues, complaints and claims is unparalleled. A not-for-profit
organisation
The DDU† is the specialist dental division of the MDU. https://www.theddu.com/

Confidentiality and data protection - The DDU

https://www.theddu.com/guidance-and-advice/guides/disclosing-records-to-third-parties
https://www.theddu.com/guidance-and-advice/guides/releasing-confidential-information
https://www.theddu.com/guidance-and-advice/guides/confidentiality-your-obligations

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LESSON 3

Confidentiality is central to the relationship and trust between the

All information about patients acquired by any member of the dental

‘Protect the confidentiality of patients information’

Prevent information from being accidentally revealed and prevent

In exceptional circumstances, it may be justified to make confidential

All identifiable patient information, whether written,

Health records, whether in computer or manual form, or a mixture

Health records are defined as:

“any record which consists of information relating to the physical or

The law recognizes an individual’s rights to know what information is

PROFESSIONAL SECRECY IS THE OBLIGATION TO KEEP SECRET ANY

CONFIDENTIALITY: IS THE MORAL BOND

The advance of intraoral cameras and digital photography has greatly

It is important to understand, however, that any such images are an

CONSENTIMIENTO TRATAMIENTO DE LA IMAGEN

A través de la presente, y de conformidad con la legislación actual, la Clínica Universitaria San

Any use of patient photos for something

Don/Dña ________________________________________________________, mayor de edad,

You also have to make clear to them that

En todo caso, usted podrá revocar el consentimiento u oponerse al tratamiento de su imagen, o

PRINCIPLES OF 1º.- DUTY OF CONFIDENTIALITY

3º.-PREVENTING INFORMATION BEING

1º.- DUTY OF CONFIDENTIALITY

b).- Confidentiality is central to the relationship of trust between you

As a dental professional you have a professional, legal and contractual

c).- The duty of confidentiality applies to:

1º.- All members of the dental team;

Do members of your dental team have an appropriate clause in their employment

PERSONAL - CONFIDENCIALIDAD CLINICAS UNIVERSITARIAS UCV

Queda prohibido, terminantemente, la divulgación o revelación a terceros, ajenos a la actividad de la

Valencia, a …………de …………….de……………

ALUMNOS – CONFIDENCIALIDAD CLINICAS UNIVERSITARIAS UCV

This applies both to telephone calls and face to face conversations

d).- You must keep information confidential even after a patient

e).- If it is necessary to release patient information:

2º.- RELEASING INFORMATION WITH THE PATIENT´S CONSENT

1º.- make sure you get the patient’s consent;

3º.- PREVENTING INFORMATION BEING RELEASING ACCIDENTALLY

c).- Don’t talk about patients where you can be overheard.

4º.- RELEASING INFORMATION IN THE “PUBLIC INTEREST”

g).- Relatives and carers D./Dña. , mayor de edad, con D.N.I.

patient is unable to give permission, then you may

h).- Other healthcare workers

Patients should understand why and when

involved in their clinical care. You should only share

dental technicians, dental assistants ….

1º .- The need to maintain confidentiality of any

2º.- Patient autonomy and their absolute right to

4º.- We can break this confidence only with the

5º- There are many third parties/situations who/what

Case 1: In the pub

What do you think should happen?

In Case 1, the dentist is clearly at fault.

He could be sued by the patient, the patient could certainly complain

Case 2: The pregnant neighbour

What do you think should happen?

In Case 2, the dental nurse is equally or even more at fault;