What are the clinical situations where confidentiality is easily overlooked?

In the U.S. Occupational Management Ethics Guidelines, the primary concern is confidentiality and states that it is the responsibility of the governing body to ensure that the rules are applied and enforced. The most commonly overlooked confidentiality situations in the clinical setting are as follows:

(1) Confidential information is disseminated and circulated among Medicare and the administering agency: e.g., because Medicare requires that the patient have a uniform medical record book and that the psychotherapy record becomes part of the general medical or health record;

(2) Photocopies are made of the medical record, the treatment plan, and the treatment record, and are followed up by the facility at regular intervals: because the administering agency in order to check whether the treatment is reasonable and up to standard, usually require first-hand information and may even call or approach the patient directly to verify the situation;

(3) there is no strict restriction on the persons who participate in the case discussion and case analysis: for example, not only the therapists, but also the interns and trainees, etc., will participate in the case discussion;

(4) there is no adequate security measure to leave the medical records, names and record cards, etc., left in unsafe places, e.g., teaching equipment used for internships stacked in public **** corridors.