Medical Risk Management: Preventive Legal Strategies for Health Care Providers - Contents

• Chapter 1 - Preventive Law in the Medical Environment
  • INTRODUCTION
  • PREVENTIVE LAW
  • MANAGEMENT CONTROL
    • Input
    • Analysis
    • Decision Making
    • Intervention
    • Evaluation and Feedback
  • EVALUATING EXISTING QUALITY CONTROL PROGRAMS
    • Initial Assessment
    • Problems in Defining Specific Quality Control Tasks
    • Redundancy in Responsibility or Authority
    • Broken Line of Command
    • Inappropriate Delegation of Authority
    • Improperly Qualified Personnel
    • Lack of Feedback
  • COMPUTER TECHNIQUES IN QUALITY CONTROL
    • Types of Techniques
    • Data Processing
    • Review and Analysis
• Chapter 2 - Risk Management
  • INTRODUCTION
  • THE ECONOMICS OF RISK MANAGEMENT
    • The Classification of Risk
    • Prevented Risks
    • Normally Prevented Risks
    • Managed Risks
    • Unprevented Risks
    • Unpreventable Risks
    • The Duty to Act
  • FEEDBACK
  • PIPELINING
  • HOSPITAL LITIGATION
  • INSURANCE AND RISK MANAGEMENT
    • The Professional Liability Insurance Crisis
    • Self-Insurance
    • Unfunded Self-Insurance
    • Funded Self-Insurance
    • Cost Effectiveness
• Chapter 3 - Legal Considerations in Quality Control Programs
  • LIABILITY OF INDIVIDUAL PROVIDERS
    • Direct Providers
    • Third Parties
  • HOSPITAL LIABILITY
    • Historical Perspectives
    • The Hospital Board
    • The Medical Staff
    • Employee Actions
    • Nursing Protocols
    • Administrative Actions
  • LIABILITY FOR ACTIONS OF AGENTS
    • Types of Legal Relationships
    • Hospital-Physician Relationships
    • Protection Strategies and Indemnification
    • Emergency Room Services
    • Medical School Services
    • Physician Service Companies
• Chapter 4 - Legal Constraints on Quality Control Documentation
  • INTRODUCTION
    • Quality control documentation serves three purposes:
  • THE ROLE OF THE ATTORNEY IN DOCUMENT PROTECTION
  • LEGAL PRIVILEGE
  • HEARSAY: THE ADMISSIBILITY OF THE MEDICAL RECORD
    • Legal Basis
    • Legal Guidelines
    • Entry in Regular Course of Business
    • Personal Knowledge
    • Timely Entry
  • RECORD KEEPING
    • Altered Records
    • Disappearance of Records
    • Misfiling Records
    • Retention of Records
    • Statute of Limitations Periods
    • Statutory Requirements on Record Keeping
    • Photoreduction of Records
• Chapter 5 - Recognizing Quality Control Problems
  • INTRODUCTION
  • GOAL-ORIENTED QUALITY CONTROL
  • LEGALLY PROTECTED DOCUMENTS
    • Discoverable Information
    • Investigations
    • Preserving Physical Evidence
  • INCIDENT REPORTS
    • Types of Data and Reporting Forms
    • Trend Analysis
    • Physician Participation
  • REVIEW AND MONITORING FUNCTIONS
    • Legal Privilege for Medical Care Review Committees
    • Monitoring Physician Conduct
      • JCAH Review Procedures
      • Role of the Governing Body
      • Monitoring Functions
    • Reviewing Medical Records
      • Checklist
      • Analysis
    • JCAH-Mandated Review Functions
      • Tissue Review Function
      • Pharmacy and Therapeutics Review Function
    • Infection Control Monitoring
      • JCAH Requirements
      • Types of Problems
      • Protocols and Procedures
      • Emergency Situations
• Chapter 6 - Ensuring The Quality Of Physician Services
  • INTRODUCTION
  • MEDICAL STAFF SELECTION
    • Basic Guidelines
    • References and Board Certification
    • Processing Applications
  • DELINEATION OF STAFF PRIVILEGES
    • Scope of Allowable Practice
    • Classification of Staff Membership
  • SCREENING APPLICANTS
    • Physician Employees
    • Third Party Contractors
  • MONITORING PHYSICIAN SERVICES
    • Due Process
• Chapter 7 - Legal Liability In The Teaching Environment
  • INTRODUCTION
  • MEDICAL STUDENTS
    • Fraud
    • Improper Supervision
    • Unauthorized Actions
    • Routine Procedures
    • Risk Management Precautions
      • Written Rules
      • Awareness of the Rules by Relevant Personnel and Patients
      • Malpractice Insurance
  • HOUSE STAFF
    • Licensing
    • (Sec.)30l.25(c)...[Controlled Substances Act]
    • Supervision
    • Disputes and Conflict
      • Short-Term Patient Care
      • Administrative Problems
  • MEDICAL EXPERIMENTATION
    • Past Litigation
    • The Nuremberg Code
    • Government Regulations
    • Patient Consent
    • Public Health Aspects
• Chapter 8 - Right To Treatment
  • INTRODUCTION
  • THE DUTY TO THREAT
    • Established Provider-Patient Relationship
    • Initial Patient Contact
    • Services Offered to the Public
  • EMERGENCY TREATMENT
    • Delays
    • Nonphysician Decisions
    • Physicians on Call
  • NONEMERGENCY CARE
  • HOSPITAL ADMISSIONS
  • DISCHARGED FROM THE HOSPITAL
    • Discharge Records
    • Transfers
    • False Imprisonment
      • Release Forms
      • Bill Payments
      • State Laws
• Chapter 9 - Consent To Treatment
  • INTRODUCTION
  • INFORMED CONSENT
    • Legal Standard
    • The Jury Process
    • Quality Control Aspects
  • THE EMERGENCY EXCEPTION
  • THE INCOMPETENT PATIENT
  • REFUSAL OF MEDICAL CARE
    • Living Wills
      • Texas Standard Form
    • Directive to Physicians
    • Court Involvement
    • Hospital Policy
      • Temporary and Preparatory Procedures
      • Rights of Children
      • Euthanasia
  • OBTAINING CONSENT
    • Spouses
    • Minors
  • DOCUMENTING CONSENT
  • CONSENT AND QUALITY CONTROL
    • Particular Situations
      • Mistaken Surgery
      • Nursing Care
      • Diagnostic Testing
      • General Consent
      • Hazardous Therapies
    • Legal Implications
• Chapter 10 - Patient's Rights
  • INTRODUCTION
  • PATIENTS' RIGHTS AND RISK MANAGEMENT
  • A PATIENT RIGHTS HANDBOOK
    • INTRODUCTION
    • Consent to Treatment
      • Nonemergency Care
      • Emergency Treatment
    • Informed Consent
    • Medical Experimentation
    • The Physician-Patient Relationship
    • Confidentially
    • Second Opinions
    • Rights of a Hospital Patient
    • The Admission Process
    • The Discharge Process
    • Pregnancy and Childbirth
      • Prenatal Care
      • Delivery
      • Medical Care of Newborns
  • MANAGING PATIENT'S RIGHTS PROBLEMS