A review of hospital medical record audits: Implications for funding and training

As new methods of electronic data storage and distribution appear in hospitals, newchallenges in protecting confidentiality have emerged. At the same time, demands for?seamless? care and the desire to share information between clinicians are motivatinghospitals to relax barriers to the transfer of patient information.Increasing numbers of users at multiple sites compound the difficulty of ensuringinformation systems security. Hospital policy may demand that requests by patientsto restrict the distribution of personal information be respected, while existingelectronic systems are not able to deliver on this promise.Compliance with the Information Privacy Principles of the Commonwealth PrivacyAct 1988 and the Australian Standard 4400?1995 ?Personal privacy protection inhealth care information systems? will provide a useful framework for managing these challenges. However, their implementation will require some forethought.