Medical Legal Issues Flashcards

1
Q

Define Standard of Care

A

the caution and action that a reasonable provider in a similar circumstance would exercise in providing care to a pt

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2
Q

Define negligence

A

improper action that falls below the standard level of care and causes harm

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3
Q

Define fraud

A

willful wrongdoing

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4
Q

What does malpractice insurance cover?

A

Malpractice but not fraud

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5
Q

Four elements required to prove negligence in malpractice:

A

Duty: would another provider act similarly?
Breach of Duty: did provider fail to provide standard of care
Harm: did pt sustain physical/emotional damage
Causation: was inappropriate care the cause of injury?

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6
Q

What public law was passed by congress to reduce incompetent practitioners from freely moving from hospital to hospital or state to state?

A

The Health Care Quality Improvement Act (1986)

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7
Q

Can PAs be named in malpractice suits?

A

Yes

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8
Q

Top 5 examples of malpractice suits:

A
Diagnoses related
Treatment related
Medication related
Surgery related
Monitoring related
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9
Q

Common reasons PAs are sued:

A
Lack of Adequate Supervision
Untimely Referral
Failure to Dx
Inadequate Examination
Lack of Documentation
Lack of Communication
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10
Q

When must you document discussing a patient with your supervising physician?

A

Always document it

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11
Q

Does the supervising physician have to be on site?

A

No, but must be reachable by phone and within 60 minutes.

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12
Q

Do you need to document if labs are routine or STAT?

A

YES!

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13
Q

Within Ohio, how long does the patient have from time of discovery to file a claim?

A

One year to file suit

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14
Q

What does “discovery” mean?

A

Time the injury is discovered

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15
Q

How long is the typical cut off for any claim regardless of discovery?

A

4 years

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16
Q

Compensatory lawsuit

A

Refers to actual costs: medical bills, lost wages

No cap

17
Q

Non-economic damages lawsuit

A

Pain and suffering
Limit 250,000 or 3X compensatory award
Cap 500,000

18
Q

Punitive damages

A

Fraudulent or reckless malicious behavior
Limit 2X compensatory award
Not typically covered by malpractice insurance

19
Q

Contributory negligence

A

If pts actions/noncompliance are contributory to outcome, suit has no claim and damages are not rewarded

20
Q

Comparative negligence

A

Patients contribution is considered and may decrease the settlement
Often if pts is found responsible for >51% case is thrown out

21
Q

How do you document mistakes on paper charts

A

Single line, initial, date, “error”

22
Q

Describe occurrence malpractice insurance

A

Traditional
Premium paid annually
Coverage is for the year that is paid
Covers claims made in that time period regardless of if provider is currently insured

23
Q

Describe a claims made policy

A

Premiums paid annually
Once insurance is dc or provider stops paying premiums, coverage ceases completely
Can negotiate a retroactive date when switching
“tail coverage”: usually 5 years coverage

24
Q

In the long run which is cheaper occurrence or claims made coverage?

A

Generally claims made

25
Q

In Ohio, if you provide care during an emergency situation (and are not expecting payment) what covers you?

A

Good Samaritan Laws