Medical Law Review Flashcards
a wrongful act, damage or injury - not involving a contractual obligation is an example of?
tortious conduct
what are “forms” of “informed consent”
oral (liability considerations, witnesses)
written (consent forms, POAs, living wills)
implied (emergency)
the FTCA is the ____ _______ for negligent acts of military healthcare providers acting within SOE
sole remedy
types of contracts
- express (written/oral) or implied
what are examples to meet the “standard of care” (F(CRO)AB)
failure to: consult / refer / obtain informed consent / abandonment / breach of confidentiality
what is the general rule of informed consent
it must be obtained before providing medical care
if not, battery or invasion of privacy tort
examples of administrative law
OSHA, FDA, DoD regs, Army Regs
what are the 3 types of advanced directives
DNR Orders, Durable Medical Power of Attorney, Living Will
What is the FOIA
1967 - provides public the right to request records from any federal agency
What are tort defenses? EGRT CSC CAS
Elemental / Good Samaritan / Res Judicata / Truth / Charitable Immunity / Sovereign Immunity / Contributory negligence / Comparative Negligence / Assumption of risk / Statute of limitations
what is federalism?
tension between states and national govt.
what are the 3 types of TORT?
Strict Liability / Intentional / Negligent
Summarize “FTCA Rule S”
two year statute of limitations trial by judge alone trial in US district court no limit on damages (>$100k must go to comptroller general) NO Punitive damages
summarize the Feres doctrine
the govt is not liable for injuries to service members when injuries arose out of, or were in the course of, activities/incidence to service
(also applies to military claims act)
what is “standard of care”
reasonably prudent person under the circumstances…
not the highest degree but certainly not the lowest
summary of individual negligence
failure to exercise reasonable prudence in specific circumstances (“what would the average Joe do?”) OR changes conduct that is expected
What are the elements of an intentional tort? (AAFVAD)
Assault - act intended to cause harm/fear
Assault cons. by battery - intent to touch
False imprisonment - unlawful restraint
Violation of privacy - wrongful intrusion into personal life
Abandonment - ending patient relationship at unreasonable time
Defamation - Libel / Slander - untrue statement purported as fact
what is the intent for the privacy law
balance the govt’s need to maintain information about individuals with individual’s privacy rights; ensure no “secret files” are kept; restrict the disclosure of personal information maintained by agencies
what are the two types of damages in tort
compensatory damages - intended to restore what a plaintiff has lost as a result of a defendants wrongful conduct
punitive damages - intended to punish the defendant for their misconduct (sets precedence)
summary of corporate negligence
failure of corporation to meet legal obligation to its clients; failure to uphold proper standard of care; responsibility to monitory and supervise the competence of medical personnel / credentialing / negligent hiring
In short, what is “pure comparative negligence”?
“modified comparative negligence”
“contributory negligence”
“pure comparative negligence”- entitlement of a percent of damages that is minus the amount found liable (100k found 50% liable = 50k take home)
“modified comparative negligence” - entitlement of damages IF found to be less than 49% responsible for the negligence of the case
“contributory negligence” - if contributed even 1% - you’re shit out of luck - no money for you
What are two types of intentional torts?
civil law - deliberate acts of injuring another person
crimes - violations of federal or state criminal law
* a single act can be BOTH
differences in criminal vs. civil
criminal - society is harmed, no self-help, restriction on liberty, BEYOND A REASONABLE DOUBT, trial by jury GUARANTEED
civil: individual harmed, self-help permitted, damages, BY PREPONDERANCE OF EVIDENCE, limited right to trial by jury
if the FTCA is used to bring suit in regard to a military healthcare provider, the suit must be against whom?
the US-not the individual
foreign claims act rule s states:
two year SoL (ext. during war/armed conflict)
administrative claim only
NO RIGHT TO TRIAL
damages >$100k go to comptroller general
NO PUNITIVE DAMAGES
CLAIMANT must accept as FULL SATISFACTION
with regard to the patient’s injury, what embodies “res ipsa loquitur”
injury must be of a type that does not ordinarily occur unless someone has been negligent
is a MTF/civilian hospital or clinic required to disclose a Soldier’s PHI?
no
summarize punitive damages
damages awarded to punish for egregious conduct and to deter others from similar conduct
considerations: character of conduct / extent and nature of harm / wealth
DoD policy supports what? (regarding PHI)
the Commander’s need for health information to support his mission
Federal agencies are required to disclose any information requested under FOIA unless it falls under one of how many exemptions?
nine (i.e. personal privacy / national security / law enforcement, etc.)
where does the military claims act operate?
what is it limited to?
operates overseas since FTCA is US only
it is limited to administrative only
what is a statute
written law set by legislature
sets forth general propositions of law that courts apply
forbids/directs an act, declares something, sets forth govt mechanisms to aid society