Duties of health care providers Flashcards

1
Q

How are med-mal suits different than normal negligence?

A

there is no question that there is a duty of care or that the patient is a foreseeable plaintiff, The question is the standard of care, how it’s proven, how it is breached, and was the doctor’s negligence the factual cause of the plaintiff’s harm.

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2
Q

How is the traditional medical standard proven?

A

Through expert testimony unless common knowledge of laymen would be enough.

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3
Q

How is expert testimony used in med-mal?

A

The medical standard, that the doc’s conduct fell below that standard, and that the doc’s conduct was the factual cause of the harm

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4
Q

How do courts handle more than one medical standard?

A

as long as the doctor’s conduct is advocated by a considerable number of recognized and respected professionals, then they won’t be held liable.

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5
Q

Can apologies be used as evidence in med-mal

A

depends on the jurisdiction

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6
Q

What is the strict localities rule?

A

The doctor’s conduct is measured against other doctors in the same community

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7
Q

What is the modified locality rule?

A

The standard of care is that of the degree of care, skill, and proficiency exercised by doctors in similar localities.

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8
Q

What standard are non-physician practitioners held to?

A

the standards of their beliefs, as long as the patient is not deceived and if what they do does not otherwise violate the law.

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9
Q

The duty to refer

A

Medical practitioners have to refer patients to specialists when the standard of care requires it; a plaintiff has to show that the referral was needed and likely to lead to a better outcome.

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10
Q

Do pharmacists owe duties?

A

In most states a pharmacist has no duty to warn of side effects or problems with a physician’s prescription, unless the pharmacist voluntarily undertakes to provide warnings and negligently fails to do so. But in some states there is a duty to warn about serious contraindications are present or the drug carries an inherent risk.

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11
Q

the duties of hospitals

A

Hospitals owe a duty of reasonable care under national standards. Hospitals can be subject to liability if they fail to provide appropriate facilities, equipment, and staff support, or where non-medical personnel act negligently in a way that harms a patient.” Some hospital negligence is administrative or non- medical in nature. When that is so, the reasonable care standard applies, not the medical standard.

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12
Q

Gross negligence

A

Even in an emergency situation liability still exists for gross negligence. Which is absence of even slight diligence on the part of the treating physician.

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13
Q

The rule for informed consent

A

A physician owes the duty to disclose in a reasonable manner all significant medical information that they possess or reasonably should possess that is material to an intelligent decision by the patient whether to undergo a proposed procedure.

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14
Q

Reasonable information a doctor should have?

A

The info a doctor should reasonably possess is that which is possessed by the average qualified physician. In instances of a specialty, then the average physician of that specialty.

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15
Q

The materiality of information for informed consent

A

The significance,a physician knows or should know, a reasonable person would attach to the disclosed risks in deciding whether or not to undergo a surgery or treatment.

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16
Q

what must happen for an undisclosed risk to be actionable?

A

An unknown risk must materialize, if not then the omission however unpardonable is without legal consequence.

17
Q

What situations call for privileged non-disclosure?

A

situations when sound medical judgment might indicate that disclosure would complicate the patient’s medical condition or render them unfit for treatment

18
Q

How courts handle incompetent patients in med-mal

A

When a patient is incompetent, a court must make a substituted judgment determination - to determine as best it can what choice that individual, if competent, would make with respect to medical procedures.

19
Q

do doctors have to disclose their success rates?

A

no, it may encourage them to lie or not take on high-risk patients

20
Q

Do doctors have to disclose their level of experience?

A

Arguably, a doctor should disclose his experience, especially for risky operations where the surgeon has limited experience, and that should be treated as a material fact for a jury to decide.

21
Q

When is consent not needed during a medical procedure?

A

i. A medical emergency exists

ii. Treatment is required to protect the patient’s health

iii. It’s impossible or impractical to obtain consent from either the patient or someone authorized to consent for them

iv. There is no reason to believe that the patient would decline the treatment if they had the chance to consent.

22
Q

When can res ipsa be used in med-mal?

A

i. The accident is the type that doesn’t typically happen w/o negligence

ii. The accident was caused by something solely within the defendant’s control

iii. The plaintiff didn’t contribute to the accident

23
Q

Is exclusive control still required for med-mal?

A

Many courts in accord w/ the 2nd and 3rd restatements hold that exclusive control is no longer a strict requirement in res Ipsa cases.

Some courts still use exclusive control

24
Q

What is the captain of the ship doctrine?

A

Courts sometimes hold that during a medical operation, the surgeon becomes responsible for the negligence of all who are under their immediate control, even people who are not medical personnel

25
Q

What is an EMTALA claim?

A

This statute was enacted to prohibit client dumping. A hospital can’t turn away a patient due to an inability to pay.

26
Q

Can patients refuse life-saving care?

A

Competent patients can refuse
treatment. But “When a patient is incompetent, a
court must make a substituted judgment
determination