7.1.3
Policies and proceduresPatient Privacy and Confidentiality
Patient privacy, modesty and confidentiality of medical information are maintained during clinical consultations, examinations, procedures and data handling.
Compliance Criteria
- 1Curtains / screens drawn and patient gowns properly fastened during clinical examinations
- 2Access control and non-disclosure agreements for patient medical records and electronic data
- 3Chaperone policy enforced for intimate physical examinations
- 4Confidential interview rooms available for sensitive patient discussions
Hospital Self-Rating
Rated by Pn. Rohani binti Ismail on 17 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"Patient modesty and confidentiality are maintained during examinations with curtains, gowns, chaperones and private consultation rooms."
thin
Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Chaperone policy enforced for intimate physical examinations
- Confidential interview rooms available for sensitive patient discussions
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (1)
PolicyAcceptedScore: 89/100
Patient Modesty, Privacy & Chaperone Guidelines
16 pages · EN, MSValid: 2024-09-01 to 2027-09-01
RI
Person-in-ChargeQuality Manager
Head of DepartmentDirector of Nursing
NH
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)