Book contents
- Legal Issues in Emergency Medicine
- Legal Issues in Emergency Medicine
- Copyright page
- Contents
- Disclaimer
- Foreword
- Preface
- Introduction
- 1 Abandonment in the Emergency Department
- 2 Abandonment of Patient by Treating Physician
- 3 Admission
- 4 Advance Directives
- 5 Advanced Practice Providers
- 6 Adverse Event Disclosure
- 7 Against Medical Advice
- 8 Americans with Disabilities Act and Education
- 9 Americans with Disabilities Act and Access to Facilities
- 10 Assault
- 11 Assisted Suicide
- 12 Battery
- 13 Bed Boarding
- 14 Brain Death
- 15 Care of Children
- 16 Code Response
- 17 Commitment
- 18 Communication
- 19 Competence and Capacity
- 20 Confidentiality
- 21 Consultation
- 22 Controlled Substances
- 23 Criminal Charges
- 24 Criminal Acts
- 25 Death Certification
- 26 Decision-Making
- 27 Difficult Patient Encounter
- 28 Discharge Instructions
- 29 Disruptive Provider Behavior
- 30 Do Not Resuscitate
- 31 Documentation
- 32 Domestic Violence
- 33 Driving Impairment
- 34 Drug and Alcohol Abuse
- 35 Duty to Warn
- 36 Electronic Health Records
- 37 Emergency Consent
- 38 Emergency Medical Services
- 39 Emergency Medical Treatment and Labor Act
- 40 Employment Issues
- 41 Expert Witness
- 42 Fitness for Duty
- 43 Frequent User
- 44 Futility
- 45 Geriatric Abuse
- 46 Good Samaritan
- 47 Guidelines and Protocols
- 48 Health Insurance Portability and Accountability Act and Health Information Technology for Economic and Clinical Health Act
- 49 HIV
- 50 Hospital Medicine
- 51 Immigrant Care
- 52 Impaired Physician
- 53 Indigent Care
- 54 In-Flight Emergencies
- 55 Informal Consultation
- 56 Informed Consent
- 57 Insurance
- 58 Intoxication
- 59 Laboratory Testing
- 60 Left without Being Seen, Left without Treatment, and Elopement
- 61 Malpractice Claims
- 62 Mandatory Care
- 63 Mandatory Reporting
- 64 Medical Education
- 65 Medical Errors
- 66 Medical Records
- 67 Medical Screening Exam
- 68 Minor Consent
- 69 Missed Illness and Injury
- 70 Multiple Visits
- 71 Nursing
- 72 Operations
- 73 Organ Donation
- 74 Overcrowding
- 75 Pain Control/Medication
- 76 Patient Satisfaction
- 77 Pediatric Abuse
- 78 Peer Review
- 79 Policy/Procedure
- 80 Pregnancy
- 81 Prescription Writing
- 82 Privacy
- 83 Professional Boundary Issues
- 84 Protected Health Information
- 85 Psychiatric Care
- 86 Referral
- 87 Religion
- 88 Research
- 89 Restraint
- 90 Resuscitation
- 91 Service Contract
- 92 Sexual Assault
- 93 Social Media
- 94 Staff Privileges
- 95 Subpoena
- 96 Substance Abuse
- 97 Suicide
- 98 Telemedicine
- 99 Telephone Advice
- 100 Third-Party Duty
- 101 Transfer
- 102 Translation, Interpreting, and Language Issues
- 103 Triage
- 104 Unanticipated Death
- 105 Urgent Care
- 106 Violence
- Glossary
- Index
- References
66 - Medical Records
Published online by Cambridge University Press: 14 March 2018
Book contents
- Legal Issues in Emergency Medicine
- Legal Issues in Emergency Medicine
- Copyright page
- Contents
- Disclaimer
- Foreword
- Preface
- Introduction
- 1 Abandonment in the Emergency Department
- 2 Abandonment of Patient by Treating Physician
- 3 Admission
- 4 Advance Directives
- 5 Advanced Practice Providers
- 6 Adverse Event Disclosure
- 7 Against Medical Advice
- 8 Americans with Disabilities Act and Education
- 9 Americans with Disabilities Act and Access to Facilities
- 10 Assault
- 11 Assisted Suicide
- 12 Battery
- 13 Bed Boarding
- 14 Brain Death
- 15 Care of Children
- 16 Code Response
- 17 Commitment
- 18 Communication
- 19 Competence and Capacity
- 20 Confidentiality
- 21 Consultation
- 22 Controlled Substances
- 23 Criminal Charges
- 24 Criminal Acts
- 25 Death Certification
- 26 Decision-Making
- 27 Difficult Patient Encounter
- 28 Discharge Instructions
- 29 Disruptive Provider Behavior
- 30 Do Not Resuscitate
- 31 Documentation
- 32 Domestic Violence
- 33 Driving Impairment
- 34 Drug and Alcohol Abuse
- 35 Duty to Warn
- 36 Electronic Health Records
- 37 Emergency Consent
- 38 Emergency Medical Services
- 39 Emergency Medical Treatment and Labor Act
- 40 Employment Issues
- 41 Expert Witness
- 42 Fitness for Duty
- 43 Frequent User
- 44 Futility
- 45 Geriatric Abuse
- 46 Good Samaritan
- 47 Guidelines and Protocols
- 48 Health Insurance Portability and Accountability Act and Health Information Technology for Economic and Clinical Health Act
- 49 HIV
- 50 Hospital Medicine
- 51 Immigrant Care
- 52 Impaired Physician
- 53 Indigent Care
- 54 In-Flight Emergencies
- 55 Informal Consultation
- 56 Informed Consent
- 57 Insurance
- 58 Intoxication
- 59 Laboratory Testing
- 60 Left without Being Seen, Left without Treatment, and Elopement
- 61 Malpractice Claims
- 62 Mandatory Care
- 63 Mandatory Reporting
- 64 Medical Education
- 65 Medical Errors
- 66 Medical Records
- 67 Medical Screening Exam
- 68 Minor Consent
- 69 Missed Illness and Injury
- 70 Multiple Visits
- 71 Nursing
- 72 Operations
- 73 Organ Donation
- 74 Overcrowding
- 75 Pain Control/Medication
- 76 Patient Satisfaction
- 77 Pediatric Abuse
- 78 Peer Review
- 79 Policy/Procedure
- 80 Pregnancy
- 81 Prescription Writing
- 82 Privacy
- 83 Professional Boundary Issues
- 84 Protected Health Information
- 85 Psychiatric Care
- 86 Referral
- 87 Religion
- 88 Research
- 89 Restraint
- 90 Resuscitation
- 91 Service Contract
- 92 Sexual Assault
- 93 Social Media
- 94 Staff Privileges
- 95 Subpoena
- 96 Substance Abuse
- 97 Suicide
- 98 Telemedicine
- 99 Telephone Advice
- 100 Third-Party Duty
- 101 Transfer
- 102 Translation, Interpreting, and Language Issues
- 103 Triage
- 104 Unanticipated Death
- 105 Urgent Care
- 106 Violence
- Glossary
- Index
- References
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- Legal Issues in Emergency Medicine , pp. 197 - 200Publisher: Cambridge University PressPrint publication year: 2018
References
Medical Records Service. 42 C.F.R. 482.24 (c)(1), Conditions of Participation.Google Scholar
Davidson, SJ, Zwemer, FL, Nathanson, LA, Sable, KN, Khan, ANGA. Where is the beef? The promise and the reality of clinical documentation. Acad Emerg Med. 2004;11(11):1127–1134. DOI:10.1197/j.aem.2004.08.004.CrossRefGoogle ScholarPubMed
Mangalmurti, SS, Murtagh, L, Mello, MM. Medical malpractice liability in the age of electronic health records. N Engl J Med. 2010;363(21):2060–2067.Google Scholar
Handler, JA, Adams, JG, Feled, CF, Gillam, M, Vozenilek, J, Barthell, EN, Davidson, SJ. Emergency Medicine Information Technology Consensus Conference: executive summary. Acad Emerg Med. 2004;11(11):1112–1113.CrossRefGoogle ScholarPubMed
Quinn, MA, Kats, AM, Kleinman, K, Bates, DW, Simon, SR. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187–1189. DOI:10.1001/archinternmed.2012.2371.Google Scholar
Virapongse, A, Bates, DW, Shi, P, Jenter, CA, Volk, LA, Kleinman, K et al. Electronic health records and malpractice claims in office practice. Arch Intern Med. 2008;168(21): 2362–2367. DOI:10.1001/archinte.168.21.2362.CrossRefGoogle ScholarPubMed
Maryland State Board of Medicine v. Eist. Court of Special Appeals of Maryland. No. 329, Sept Term, 2006.Google Scholar
Maryland Code (1981, 2000 Rep.Vol., 2004 Supp.), Section 14–404 (a)(22).Google Scholar
Lofton v. Grieco, 2012 NY Slip Op 52003 (U).Google Scholar
New York Civil Practice Law and Rules §310. Scope of Disclosure.Google Scholar