Should psychiatric information be “hidden” or access to it restricted in our health records?


In the almost 10 years of working with electronic health records one of the major decisions to be made by a facility in the implementation process is whether the general medical staff – specifically non-psychiatric staff – should have upfront access to psychiatric health information. In my experience the answer has always been no – only track able access in emergencies.
In this recent article in FierceEMR it brings to light a great point that up front access to this information can have a definitive impact or affect on the treatment decisions in the non-psychiatric care situation.
In many cases a provider could discern psychiatric conditions from medication lists but this is not always accurate and sometimes even that portion of the medication history can also be hidden.
What is your thought? Should the information be there up front for the provider? Would it affect how the provider treats the patient in both the medical sense – good or bad – and in the interpersonal sense? Would there be a certain amount of prejudice or pre-judgement by the provider?

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About Tisha Clinkenbeard

Born and raised in a rural Texas town, went off to college in the big city and now I'm living in a rural town and working in the big city. I have a loving, supportive husband, fellow adventurer and love of my life as well as 4 kiddos and 2 dogs. We love traveling, adventures and spending time together. My goal is to share what I find Round & About through the lens of my camera, in the news of healthcare and out in the world, with YOU! View all posts by Tisha Clinkenbeard

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