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The potential violation when patient health information (PHI) is not removed from patient care reports during a Quality Improvement (QI) meeting primarily relates to HIPAA regulations. The Health Insurance Portability and Accountability Act (HIPAA) establishes strict guidelines on how PHI must be handled to protect patient privacy and ensure confidentiality. Under HIPAA, any identifiable health information must be safeguarded, and sharing this information inappropriately, even within the context of quality improvement, could lead to a breach of patient confidentiality.

In a QI context, it is crucial to analyze patient care data to improve services without disclosing specific patient identities. Failing to adequately remove or anonymize PHI when discussing case reports or analyses could lead not only to potential penalties but also erode trust in the healthcare system. Adhering to HIPAA regulations ensures that sensitive information is handled appropriately and respects the patient's right to privacy.