— 照護管理 · MEDIUM · MCQ —
下列哪種情境最明顯違反了病人隱私權（Confidentiality）？
Which of the following scenarios best demonstrates a breach of client confidentiality?
- ASharing clinical findings with the physical therapist involved in the care與負責照護的物理治療師分享臨床發現
- BProviding information to the client's family as authorized in the chart根據病歷授權，向病人的家屬提供資訊
- CDiscussing the client's lab results with the attending physician in a semi-private room在半隱私病房內與主治醫師討論病人的檢驗結果
- DLeaving a computer screen with patient information visible in a public hallway✓ 正解將顯示病人資訊的電腦螢幕留在公共走廊
— Explanation · 中文詳解 —
病人隱私保護（Confidentiality）要求醫療資訊僅能在專業照護需求下，於適當的場所進行討論。將未鎖定的電腦螢幕留在公共走道，任何人皆可輕易查閱病歷資訊，這屬於嚴重的隱私洩漏。討論病情時應避免在公共區域，且資訊共享需符合「知情同意」與「照護必要性」。其他選項皆屬醫療團隊成員間的必要溝通，符合專業倫理規範。
Client confidentiality requires that medical information be shared only with the interdisciplinary team for care purposes and in private settings. Leaving a computer screen with patient data visible in a public hallway violates privacy regulations and allows unauthorized individuals to access sensitive information.
✦ 台美臨床差異
美國非常重視 HIPAA 規範，護理站電腦若無人看守必須立即登出或鎖定（Lock screen），違規者可能面臨嚴重的法律責任與紀律處分。