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9780387403090

Radiology and the Law

by ; ;
  • ISBN13:

    9780387403090

  • ISBN10:

    0387403094

  • Format: Paperback
  • Copyright: 2003-11-01
  • Publisher: Springer Verlag
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Summary

Practically every radiologist would benefit from an all-encompassing guide to malpractice issues in radiology. Dr. Ronald Eisenberg, a highly respected author in the field, has put together a comprehensive reference to provide radiologists with an introduction to malpractice issues and a basic understanding of their relationships with government regulatory agencies and HMOs. This softcover book will detail the mechanics of a lawsuit, how radiologists can become the object of a malpractice action, and what they can do to minimize potential exposure.

Table of Contents

Foreword vii
John J. Smith
Foreword ix
William T. Thorwarth, Jr.
Preface xi
Part I Malpractice Litigation
Malpractice
3(19)
Duty
4(9)
Breach of Duty
13(1)
Injury (Damages)
13(1)
Causation
14(1)
Res Ipsa Loquitur
14(1)
Defenses and Limitations to a Malpractice Suit
15(7)
Vicarious Liability
22(9)
Employees Versus Independent Contractors
23(1)
Liability for Acts of Technologists
23(2)
Liability for Acts of Residents
25(1)
Liability of Chairpersons Administering Departments
26(1)
Liability for Acts of Partners
27(1)
Hospital Liability for Acts of Physicians
27(4)
Standards and Practice Guidelines
31(6)
American College of Radiology Standards
33(1)
Departmental Standards
33(1)
Legal Effect of Standards and Practice Guidelines
34(1)
State Legislation
35(2)
Anatomy of a Malpractice Lawsuit
37(9)
Prefiling Procedures
37(1)
Formal Filing
38(1)
Discovery
39(1)
Deposition
40(1)
Settlement Attempts
41(1)
Pretrial Conference
41(1)
Summary Judgment
42(1)
Trial
42(2)
Appeal
44(2)
Expert Witnesses
46(10)
Availability
46(1)
Role
47(1)
Limitations
48(1)
Qualifications
48(2)
Consequences of Disqualification to the Witness
50(1)
Proper Behavior of an Expert Witness
50(1)
``Reasonable Degree of Medical Certainty'' Standard
51(1)
Practical Tips for the Radiology Expert Witness
52(1)
Ethical Considerations
52(1)
Adverse Consequences of Being an Expert Witness
52(1)
Protecting the Radiologist from Being Falsely Accused by an Expert Witness
53(3)
Countersuits
56(3)
Possible Causes of Action
56(1)
What Should a Radiologist Do If Subjected to an Unjustified Suit?
57(2)
Alternative Dispute Resolution
59(3)
Limitations of Formal Adjudication
59(1)
Mediation
59(1)
Arbitration
60(1)
Alternative Dispute Resolution in Medical Malpractice
60(2)
Criminal Prosecution
62(2)
Professional Liability Insurance
64(7)
Insurance Contracts
64(1)
Occurrence Versus Claims-Made Policies
64(1)
Tail and Nose Policies
65(1)
Mandatory Insurance Requirements
66(1)
Amount of Insurance Coverage
66(1)
The Deep Pocket
67(1)
Defense of Malpractice Claims
67(1)
Settlement of Lawsuits
68(3)
Special Residency Issues
71(3)
Insurance
71(1)
Special Liability Status
72(2)
Reactions of Physicians Sued for Malpractice
74(4)
Supporting a Sued Radiologist
75(3)
Role of the Radiologist-Defendant at Trial
78(2)
Risk Management
80(5)
Communication with Patients
80(5)
Part II The Missed Diagnosis: Overview
The Missed Diagnosis: Overview
85(16)
Frequency of Errors
85(1)
Causes of Errors
86(5)
Admitting Errors
91(2)
Reporting the ``Missed'' Diagnosis
93(2)
Defending the ``Missed'' Radiographic Diagnosis
95(6)
Interpreting Too Many Studies Per Day
101(6)
Part III Communication and Records
Radiology Reports
107(8)
Comparison with Previous Examinations and Reports
109(1)
Significant Discrepancy Between the Final and Emergency/Preliminary Reports
110(1)
Signing the Radiology Report
111(1)
Correction/Alteration of the Radiology Report
112(3)
Communication of the Radiologic Findings
115(8)
Failure to Issue a Report
115(1)
Delay in Issuing a Report
116(1)
Direct Communication
117(6)
Release and Storage of Radiologic Images
123(5)
Ownership of Images
123(1)
Patient Access to Images
123(2)
Confidentiality
125(1)
Retention of Images
125(1)
Storage and Destruction of Images
126(2)
Medical Records
128(4)
Importance of Proper Medical Records
128(1)
Correction/Alteration of the Medical Record
129(1)
Adverse Consequences of Improper Alteration of Medical Record
129(1)
Inappropriate Entries
130(2)
Confidentiality
132(7)
HIV-Positive Patients
134(5)
Part IV Radiology Practice and Specific Procedures
Consent
139(10)
Types of Consent
139(1)
Informed Consent
140(9)
Do Not Resuscitate (DNR) Orders
149(5)
Compliance with DNR Orders
150(1)
Recommended Approach
151(1)
Consequences of Failure to Comply with a DNR Order
152(2)
Barium Enema
154(2)
Breast Imaging
156(16)
Risk of Women Developing Breast Cancer
156(1)
Mortality Rates
157(1)
Accuracy of Mammography
157(1)
Effect of Mammography on Lengthening Survival Time and Reducing Death Rates
158(1)
Effect of Delayed Diagnosis of Breast Cancer
159(1)
Screening Versus Diagnostic Mammograms
160(2)
Mammographic Errors
162(1)
Reporting the Mammographic Study
162(2)
False-Negative Core Biopsy of the Breast
164(1)
Specimen Radiography
165(1)
Tracking Patients with Negative Biopsies
166(6)
Interventional Procedures
172(4)
Technical Issues
172(1)
Postprocedure Care
173(3)
Ionic Versus Nonionic Contrast Material
176(3)
Sedation and Analgesia
179(4)
Pediatric Patients
179(2)
Adult Magnetic Resonance Imaging
181(1)
Interventional Procedures
182(1)
Medical Devices
183(6)
Off-Label Use
184(2)
Informed Consent for Off-Label Use
186(1)
Reprocessing and Reuse of Single-Use Devices
186(3)
The Pregnant Patient
189(4)
Effect of Radiation Exposure on the Fetus
189(1)
Determining Whether a Woman Is Pregnant
190(1)
Examining the Pregnant Patient
190(1)
Radionuclide Imaging
191(2)
Computed Tomography Screening Studies
193(12)
General Criteria for Effective Screening
193(1)
Radiation Risk
194(1)
CT Screening for Lung Cancer
195(1)
CT Screening for Coronary Artery Disease
196(1)
CT Screening for Abdominal Pathology
197(1)
Use of Contrast Material in Screening CT Studies
198(1)
Medical-Legal Implications
198(7)
Part V Electronic Imaging
Teleradiology
205(5)
Establishment of Physician-Patient Relationship
205(1)
Medical Licensing and Insurance
206(1)
Jurisdiction for Malpractice Suits
207(1)
Other Medical-Legal Aspects
207(1)
Relationship Between Local and Distant Radiologists
208(2)
E-Mail
210(5)
Other Potential Problems with E-Mail
212(3)
Picture Archiving and Communications Systems (PACS)
215(6)
Failure to Interpret ``Lost'' PACS Images
216(5)
Part VI Governmental/Regulatory
Credentialing and Peer Review
221(5)
Due Process
221(2)
Peer Review
223(3)
Infected or Substance-Abuse-Impaired Radiologist
226(4)
Liability of the Infected/Impaired Radiologist
226(1)
Liability of Other Parties
227(1)
Informed Consent
228(2)
Federal Fraud and Abuse Enforcement and Compliance Plans
230(7)
Fraud and Abuse
230(2)
Compliance Plans
232(3)
Documentation
235(2)
Professional Courtesy
237(3)
Sexual Harassment
240(4)
Sexual Harassment Policy
240(1)
Allegations of Sexual Harassment
241(1)
What to Do If One Is a Victim of Sexual Harassment
241(1)
Employer Course of Action
242(2)
Employee Retirement Income Security Act (ERISA)
244(5)
Impact on Radiologists
247(2)
Index 249

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