Confidentiality and Care of the Adolescent Patient
Medical errors that occur in adolescent care may be more frequent in the outpatient setting as opposed to the intensive care unit or medical ward. They will likely be the result of breaches in confidentiality, and occur from the omission of behavioral health counseling and preventive options (such as immunizations), or errors in minor legal consent. This chapter uses a hypothetical patient case to discuss issues around confidentiality and minor consent laws for reproductive health and mental health diagnosis and treatment. It concludes with proposed solutions and challenges based on the Institute of Medicine core needs for preventing medical errors.
KeywordsReproductive Health Medical Error Sexually Transmitted Infection Adolescent Patient Homeless Youth
- Ford, C., Millstein, S., Halpern-Felsher, B., & Irwin, C. (1997). Influence of physician confidentiality assurances on adolescents’ willingness to disclose information and seek future health care. A randomized controlled trial. JAMA: The Journal of the American Medical Association, 278, 1029–1034.CrossRefGoogle Scholar
- Helitzer, D. L., Sussman, A. L., Urquieta de Hernandez, B., & Kong, A. S. (2011). The “ins” and “outs” of provider-parent communication: Perspectives from adolescent primary care providers on challenges to forging alliances to reduce adolescent risk. Journal of Adolescent Health, 48, 404–409.PubMedCrossRefGoogle Scholar
- Institute of Medicine and Care. (2001). Crossing the quality chasm: A new health system for the 21st century. Retrieved March 7, 2013, from http://iom.edu/∼/media/Files/Report%20Files/2001/Crossing-the-Quality-Chasm/Quality%20Chasm%202001%20%20report%20brief.pdf.
- Klein, J., McNulty, L., & Flatau, C. (1998). Teenager’s self-reported use of services and perceived access to confidential care. Archives of Pediatrics & Adolescent Medicine, 152, 676–682.Google Scholar
- Steering Committee on Quality Improvement and Management and Committee on Hospital Care. (2011). Principles of pediatric patient safety: Reducing harm due to medical care. Pediatrics, 127, 1199–1210.Google Scholar