Chapter 26 Flashcards

1
Q

What is significant about Schloendorf v. Society of NY Hosptial?

A

Case law that lays the foundation for the relationship between patients and health care providers - protects patient rights

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2
Q

What is the AHA and what do they do?

A

American Hopsital Administration

Protect values and dignity of patients
Medicine and law often in conflict

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3
Q

What are the different types of laws?

A

Constitutional
Laws enacted by legislative
Case law

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4
Q

Standard of Care definition:

A

Skill, knowledge and care ordinarily possessed and employed by members in good standing within the profession

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5
Q

What do the Standards of Care outline?

A

Minimum expectations of performance as determined by the profession

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6
Q

What are things the court might look at when determining Standard of Care?

A

Federal and state regulations
Job descriptions
Cirriculum guides
Course goals/objectives
Professional customs and Standards of Practice

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7
Q

What is the ASRT? What do they do?

A

American Society of Radiologic Technologists

Developed and holds “Practice Standards for Radiography”

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8
Q

What are Practice Standards used for?

A

Used by the courts to help determine if an individual is compliant with the generally accepted national standard for the profession

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9
Q

Who continually updates and reviews Practice Standards?

A

Practice Standards Council

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10
Q

What percentage of medical negligence claims relate to diagnostic imaging?

A

10%

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11
Q

What is a Tort?

A

A civil wrong committed by one person against another person or property; does not include a breach of contract

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12
Q

What must exist for a patient to file a tort?

A

Patient wronged or suffered - must be a breach of duty

Injury occurred during procedure or while in department

Believes care received was less than optimal

Felt threatened

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13
Q

What is Assault?

A

Threatened to the point of fear or bodily harm

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14
Q

What is Battery?

A

Touching patient without their permission

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15
Q

What is False Imprisonment?

A

A person is restrained against their will.

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16
Q

How to restrain inebriated patient?

A

Talk to physician to delay exam. If the exam must be completed immediately, then use restraints

17
Q

How to restrain senile/pediatric patient?

A

Obtain consent from guardian

18
Q

What should you do if exam can’t be postponed and restraints must be used?

A

Document the use and rationale for use

19
Q

What is Defamation?

A

Breach of patient confidentiality. Keep all information regarding patient, diagnosis, and prognosis in confidence

20
Q

What are the two types of defamation?

A

Slander - spoken word
Libel - written word or published comments/pictures

21
Q

What is Fraud?

A

Willful and intentional misrepresentation of facts.

22
Q

What is Negligence

A

Failure to use such care as a reasonably prudent person would under like and similar circumstances

23
Q

What elements must be present to claim negligence?

A
  1. Duty to patient by health care worker
  2. Breach of this duty
  3. Compensable injury
  4. Relationship between injury and breach
24
Q

What is Res Ispa Loquitur

A

The thing speaks for itself - burden of proof shifts from patient to worker; healthcare worker must prove they were not negligent

25
3 elements required to claim Res Ispa Loquitur
1. Injury caused by negligence 2. Activity was under complete control of the defendant 3. Plaintiff did not contribute to injury in any way
26
What is Respondant Superior?
Master speaks for the servant - physicians or healthcare facility is responsible for negligent acts of their employees
27
What is Corporate Liability?
Standard the institution has set for themselves. Maintenence of equipment Selection or retention of employees
28
What is Implied Consent?
Patient arrives to department and allows radiographer to perform a single procedure - does not require a signed signature
29
What is Informed consent?
When the patient is informed of: How a procedure will help the doctor and themselves Techniques used for procedure Possible risks/benefits Any alternative procedures that can be performed
30
When is informed consent required?
Invasive procedures
31
What is the most common type of consent?
Implied
32
Clauses within consent form:
Authorization Disclosure Anesthesia No Guarentee Tissue Disposal Patient Understanding Signature