title: Survey of sensitive information written in patient notes by psychiatry trainees.
abstract: OBJECTIVE
  Allowing psychiatric patients access to their electronic medical record (EMR) may cause difficulty related to the sensitivity of the note content. The authors investigated whether notes written by psychiatry trainees were ready for release to patients.
  
  
  METHODS
  Authors conducted a review of 128 PGY-3 to PGY-5 outpatient notes not explicitly marked as "highly confidential." One psychiatrist and one non-psychiatrist read each note from the patient's perspective. Reviewers assigned a score of 0-2 (0: No Concern; 1: Some Concern; 2: Major Concern) for each note.
  
  
  RESULTS
  Eighty-nine notes (70%) were assessed as "No Concern" by both reviewers; 30 (23%) were of "Some Concern;" and 9 (7%) were of "Major Concern;" 92 (72%) were deemed of "No Concern" by a psychiatrist, as compared with 120 (94%) by the non-psychiatrist.
  
  
  CONCLUSIONS
  Trainee EMR outpatient notes are not likely to cause major concerns for patients who read them. Psychiatrist-reviewers identified more concerns than non-psychiatrist-reviewers.
authors: Dept. of Psychiatry and Psychology, Mayo Clinic and Medical School, 200 First Street SW, Rochester, MN 55905, USA. kung.simon@mayo.edu
authors: Simon
authors: S
authors: Kung
authors: Maria I
authors: MI
authors: Lapid
authors: Cosima C
authors: CC
authors: Swintak
authors: Zubin
authors: Z
authors: Agarwal
authors: Susan M
authors: SM
authors: Ryan
authors: Timothy W
authors: TW
authors: Lineberry
mesh_terms: D000328:Adult; D003219:Confidentiality / Q000941:ethics*; D057286:Electronic Health Records / Q000941:ethics / Q000592:standards*; D006801:Humans; D011570:Psychiatry / Q000941:ethics / Q000592:standards*; D011795:Surveys and Questionnaires