9780763740429

Medical Malpractice Claims Investigation (Book with CD-ROM)

by
  • ISBN13:

    9780763740429

  • ISBN10:

    076374042X

  • Edition: 2nd
  • Format: Hardcover
  • Copyright: 2006-10-01
  • Publisher: JONES & BARTLETT PUBLISHERS

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Supplemental Materials

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  • The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.
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Summary

This manual describes all the steps necessary to undertake and complete a thorough medical malpractice investigation. it is a comprehensive, step-by-step guide To The elements involved in the investigation of an actual or potential medical malpractice claim, and covers the process of reviewing medical records, other document collection, fact analysis, interviewing involved individuals, and identifying possible departures from accepted medical practice. The second edition of Medical Malpractice Claims Investigation: A Step-by-Step Approach  features a complete revision of chapter five (Developing Interview Questions), additional material on new JCAHO requirements, electronic medical records, office-based surgery issues, and long-term care claims investigation. 

Table of Contents

Foreword ix
Introduction xi
What Is Risk Management? xii
Notes xx
PART I---The Investigation
1(256)
Reviewing the Medical Record
3(18)
Kathleen Ashton
When to Review Medical Records
3(8)
Reviewing Notices for Potential Claims
11(4)
Reviewing a Medical Record for Investigation
15(4)
Tips for Managing Documents
19(2)
Locating Other HCO Documents
21(10)
Kathleen Ashton
Clinical Documents
22(5)
Miscellaneous Documents
27(3)
Notes
30(1)
The Electronic Health Record: Getting It All Together
31(12)
Robert Stanyon
Assembling the Electronic Health Record
31(3)
Working Paperless
34(3)
Where to Begin
37(1)
Notes
38(5)
Identifying the Medical/Legal Issues
43(8)
Kathleen Ashton
What Is a Medical/Legal Issue?
43(2)
Analyzing the Facts
45(6)
Identifying Individuals to Be Interviewed
51(1)
Interviewing Techniques
51(14)
Kathleen Ashton
Setting Up the Interview
53(5)
Beginning the Interview
58(1)
Some General Guidelines for the Interview
58(4)
Closing the Interview
62(1)
The Difficult Interview
63(2)
Listing the Goals for Each Interview
65(1)
Preparing for Interviews
65(6)
Kathleen Ashton
Doing Some Research
66(1)
Preparing a List Of Questions
67(4)
Developing Interview Questions on Specific Occurrence Types
71(24)
Nancy Acerbo-Kozuchowski
Kathleen Ashton
David Feldman
Joseph Schappert
Vilma A. Joseph
Gregory M. Asnis
Slips and Falls
72(2)
Intravenous Infiltrations
74(1)
Medication Errors
75(1)
Failures to Diagnose
76(1)
The Usual Symptomatology of the Disease/Condition Missed on Diagnosis Should Be Reviewed
76(1)
Surgical Mishaps/Technical Accidents at Surgery/Poor Surgical Outcomes
77(2)
Postoperative Infections
79(1)
Anesthesia Occurrences
80(4)
Suicide-Related Occurrences
84(3)
Clinical Laboratory Errors
87(2)
Blood Bank Occurrences
89(1)
Pathology Lab Occurrences
90(1)
Radiation Therapy Occurrences
90(1)
Informed Consent Issues
91(2)
Gastroplasty
93(1)
Notes
93(2)
Developing Interview Questions on Occurrence in Long-Term Facilities
95(14)
Jose Guzman
Documenting and Assessing the Plan of Care
96(4)
Questions
100(7)
Notes
107(2)
Developing Interview Questions on Obstetrical Claims
109(20)
Nancy Acerbo-Kozuchowski
Irene Kassel
Peter Bernstein
Antepartum---Prenatal Period
110(3)
Intrapartum---Labor and Delivery
113(6)
Postpartum
119(1)
Other Major Obstetrical Complications Associated with Pregnancy, Labor, Delivery, and the Postpartum Period
120(6)
Notes
126(3)
Investigating Equipment-Related Occurrences
129(14)
Patricia Kischak
Allison M. Barth
Safe Medical Devices Act
130(1)
Products Liability
131(2)
The Investigation
133(10)
Reviewing and Maintaining the Claim File
143(12)
Ruth H. Axelrod
What Is in the Claim File?
143(2)
Glossary of Terms
145(8)
Notes
153(2)
Writing the Investigation Report
155(94)
Kathleen Ashton
Objectives of an Investigation Report
156(1)
Guidelines for Using the Investigation Report Format
156(63)
Sample Investigation Report
219(1)
Guidelines for Writing an Obstetrical Investigation Report
219(12)
Sample Obstetrical Investigation Report
231(1)
Notes
231(18)
Appendix 12-A---FOJP Service Corporation Investigation Report (Blank)
232(5)
Appendix 12-B---FOJP Service Corporation Obstetrical Investigation Report (Blank)
237(9)
Appendix 12-C---Blank Form for Test Results
246(3)
Additional Investigation
249(8)
Kathleen Ashton
Investigation During the Discovery Phase
249(1)
Responding to Defense Attorneys' Requests for Information
250(1)
Preparing Follow-Up Investigation Reports
251(1)
Sample Follow-Up Investigation Report Form
251(6)
Appendix 13-A---FOJP Service Corporation Investigation Report
252(5)
PART II---Additional Topics Related to Medical Malpractice Claim Investigation
257(84)
Confidentiality of Medical Records and Other Documents
259(14)
Karen H. Geller
Health Insurance Portability and Accountability Act (HIPAA), State Regulations, and Personal Health Information (PHI)
259(1)
Releasing PHI without Patient Authorization
260(1)
Patient Access to PHI
261(1)
Releasing Records of Psychiatric, Substance Abuse, and/or HIV-Related Treatment
262(1)
Sharing Confidential Information With Government Agencies
263(1)
Protecting Confidentiality During Litigation
264(5)
Additional Practices That Safeguard Confidentiality
269(4)
What the Investigator Needs to Know about Insurance
273(10)
Steve Macaluso
Insurance Mechanisms
273(1)
Glossary of Insurance Terms
274(9)
The Life of a Medical Malpractice Claim
283(12)
Ruth H. Axelrod
Malpractice Defined
283(3)
Commencement of a Medical Malpractice Lawsuit
286(1)
Pleadings
287(1)
Pretrial Discovery
288(2)
Motion Practice
290(1)
The Trial
290(1)
Verdicts/Damages
291(1)
Post-Trial Motions
292(1)
Appeals
293(2)
Informed Consent
295(14)
Steve Macaluso
Allison M. Barth
General Principles
296(3)
Documentation of Informed Consent
299(2)
Consent by Other Parties for an Adult Patient
301(1)
Consent for Treatment of Minors
302(1)
Special Situations Involving Consent
303(2)
Advance Directives
305(2)
Practical Implications for Claims Investigation
307(1)
Notes
308(1)
Responding to Adverse Occurrences and Potential Lawsuits
309(10)
Monica Santoro
Nancy Acerbo-Kozuchowski
Responding to Patient Complaint Letters
309(1)
Screening Incident/Occurrence Reports
310(2)
Responding to Serious Adverse Occurrences
312(1)
Preventing Reccurrences
313(4)
Notes
317(2)
Claim Management
319(16)
Ruth H. Axelrod
Planning a Defense Strategy
320(1)
Handling a Summons
321(2)
Setting Loss and Expense Reserves
323(4)
Choosing a Medical Expert
327(1)
Costs of Defending a Claim
328(1)
Reviewing Defense-Related Bills
328(1)
Claim Conferences
329(1)
Negotiating a Settlement
329(1)
Attending the Trial
330(1)
Settling Claims Made Prior to Litigation
330(1)
Setting Priorities for Investigations
331(4)
Writing the Report Clearly and Concisely
335(6)
Lori Breslow
Audience Analysis
335(1)
Concise Writing
336(2)
Coherent Writing
338(2)
Error-Free Writing
340(1)
Resources
340(1)
Resources 341(2)
Authors and Contributors 343(4)
Index 347

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