| Nota di contenuto |
Intro -- Preface -- Contents -- Contributors -- Part I: Malpractice Law -- 1: Principles of Malpractice Litigation in Psychiatry -- The Theory of Malpractice and Its Limitations -- The Frequency of Psychiatric Malpractice Claims and Board Complaints -- The Elements of a Malpractice Action -- Duty -- Dereliction -- Damages -- Direct Causation -- Causes of Action -- Liability Prevention -- References -- 2: History of Malpractice -- Early Cultural and Spiritual Formulations -- Evolving Liability Law and the Problem of Quackery -- Psychiatric Malpractice Litigation in Nineteenth-Century America -- Twentieth-Century Developments -- International Comparisons -- Conclusions -- References -- 3: Liability for the Acts of Others -- Definitions -- Liability -- Parties and Situations Involved -- Case Laws and Clinical Examples -- How to Reduce the Risk of Liability from Others -- Conclusion -- References -- 4: Professional Liability Insurance -- How to Manage Professional Liability Risk -- What Professional Liability Insurance Is and Is Not -- Professional Liability Insurance Policies -- Occurrence Versus Claims-Made Insurance Policies -- Limits of Liability -- Policy Period -- Extended Reporting (Tail) Coverage -- The Insurance Contract -- The Declarations Page -- The Insuring Agreement -- Conditions -- Exclusions -- Endorsements -- Things to Look for in a Professional Liability Insurance Policy -- About the Policy -- About the Insurer -- Professional Liability Insurance Policy Pricing -- When the Policy Is Received -- References -- Part II: Litigation -- 5: Do's and Don'ts After an Adverse Event -- Risk Management After an Adverse Event -- Immediate Clinical Interventions -- Report the Adverse Event to Your Professional Liability Insurance Carrier -- Discussing the Adverse Event with the Patient -- Do's and Don'ts if Sued -- References.
6: The Litigation Process -- Basic Legal Terms in Malpractice Litigation -- Jurisdiction -- Burden of Proof and Standard of Proof -- Statute of Limitations -- Stages of Litigation -- Pre-filing Requirements -- Summons and Complaint -- Answer -- Discovery -- Mediation/Arbitration -- Trial -- Tort Reform -- References -- 7: The Plaintiff Attorney's Perspective: Avoiding the Malpractice Snare -- Removing the Fear of Lawsuits: Make the Main Support Person a Part of the Treatment Team -- Case Selection: Method (and How to Avoid Being Selected) -- Vignette: Inpatient Suicide -- Cross-Examination of the Defendant Psychiatrist -- References -- 8: The Defense Attorney's Perspective -- Basis of Liability -- Duty -- Third-Party Duty -- Negligence -- Informed Consent -- Relations with Patient -- Common Situations in Psychiatric Settings -- Damages -- How to Minimize the Chance of Being Sued, and What to Do Before Being Sued -- Keeping Up to Date -- Communication and Continuation of the Patient Relationship -- Documentation -- What to Do After Being Sued -- Notify the Malpractice Insurer Immediately -- The Attorney-Client Privilege and Communications with Third Parties -- Altered Medical Records -- Assessing the Strengths and Weaknesses of a Malpractice Case -- First Impressions -- Optics -- Assessing the Physician as to Appearance and Attitude -- Medical Records Review -- Analysis of Plaintiff and Plaintiff's Family, and the Defendant Physician -- The Key Next Step -- Meeting with the Doctor -- Initial Assessment -- Selection of Expert Witnesses -- Discovery -- The Deposition of the Defendant -- Experts -- Final Pretrial Analysis -- The Trial -- Settlement and Negotiations -- Recommending Settlement -- References -- 9: Expert Witnesses -- Fact Witness Versus Expert Witness -- Expert Witness Tasks in Psychiatric Malpractice Cases -- Screening the Referral.
Initial Steps in Malpractice Case Review Organization -- Communications with Retaining Counsel -- Scheduling a Plaintiff's Evaluation -- Assessing the Plaintiff -- Finalizing the Expert Opinion on Alleged Malpractice -- Providing Expert Witness Testimony -- Summary -- References -- 10: The Defendant Psychiatrist as Witness -- Interrogatories -- Depositions -- Preparing for a Deposition -- Etiquette and Demeanor During a Deposition -- Potential Types of Questions and How to Answer -- Trial Testimony -- Conclusion -- References -- 11: The Stress of Being Sued -- Part I: Understanding the Process of a Lawsuit and Vulnerabilities to Stress in Each Phase -- The Complaint -- The Discovery Process -- The Trial -- Specific Strategies for Reducing the Stress of the Legal Process and Increasing Resilience and Enhancing Self-Care -- Reducing Stress of the Legal Process -- Increasing Resilience and Enhancing Self-Care -- Conclusion -- References -- Part III: Malpractice Allegations -- 12: Suicide -- Legal Framework -- Epidemiology and Phenomenology of Suicide -- Self-Injury Labeled as "Non-suicidal" and Self-Injury Unrelated to Suicide -- Types of Allegations -- Screening and Assessment of Suicide Risk -- Suicide Risk and Protective Factors -- Assessment of Foreseeability -- Suicide and Firearms -- Risk Mitigation Strategies -- Documentation -- Conclusion -- References -- 13: Patient Violence -- Legal Framework -- Expansions of the Tarasoff Doctrine -- Limitations of the Tarasoff Doctrine -- Tarasoff Duties by State -- Tarasoff-Limiting Statute Protections -- Examples of Malpractice Allegations Related to Patient Violence -- A Systematic Approach to Violence Risk Assessment Reduces Liability Risk -- Additional Suggestions to Reduce Potential Liability for Violence by Patients -- Obtain Collateral Information -- Inquire About Access to Weapons -- Issue a Warning.
Risk Mitigation Strategies -- Documentation -- Seek a Second Opinion in Difficult Cases -- Conclusion -- References -- 14: Boundary Violations -- Boundaries and Boundary Violations -- Boundary Violations and the Law -- Digital Medicine and Boundaries: Emails and Social Media -- Conclusion -- References -- 15: Breach of Confidentiality -- Introduction -- Legal Framework -- History and Sources of Law -- Grounds for Disclosure -- HIPAA: Preemption and Expansion -- Types of Allegations -- Evidentiary Requests -- Emergency Care -- Intentional Disclosures -- Confidentiality After Death -- Psychotherapy Notes -- Reducing Risk -- Communication -- Documentation -- Conclusion -- References -- 16: Negligent Psychopharmacology -- Legal Framework -- Informed Consent -- Psychiatrists and Pharmaceutical Companies -- Types of Allegations -- Negligence in Prescribing, Administering, and Monitoring Medications -- Failure to Obtain Informed Consent or Adequate Informed Consent -- Specific Areas of Risk -- Off-Label Use -- Disclosure of Errors -- Prescribing Risks in Specific Populations -- Reducing Risk -- Take a Thorough History Prior to Treatment -- Documentation -- Ordering and Monitoring Labs, Weight, and Vital Signs -- Maintain Up-to-Date Knowledge About Medications and Safety Information -- Communicate with Patient, Family, and Other Involved Healthcare Professionals -- References -- 17: Abandonment and Unnecessary Commitment -- Legal Framework for Abandonment -- Types of Allegations About Abandonment -- Reducing Risk Regarding Abandonment -- Specific Risk Areas -- Internal Abandonment -- Pharmacology -- Expertise -- Noncompliant Patient -- Fired by a Patient -- Psychiatrists on Leave -- Documentation -- Legal Framework for Unnecessary Confinement -- Types of Allegations Regarding Unnecessary Confinement -- Reducing Risk -- References.
18: Negligent Psychotherapy -- Types of Allegations -- Ineffective Treatment -- Informed Consent and Medication Management (See Also Chap. 16) -- Harmful Treatment, Adverse Reactions, and Negligent Diagnosis -- Impaired Therapist (Psychiatric Illness, Physical Illness, and Substance Abuse - See Also Chap. 36) -- Suicide (See Also Chap. 12) -- Failure to Document Appropriately -- Patient Abandonment (See Also Chap. 17) -- Performing Therapy Without Credentials or with False Credentials -- Confidentiality (See Also Chap. 15) -- Duty to Warn/Protect (See Also Chap. 13) -- "Recovered" Memory Cases -- Sexual Misconduct and Sexual Boundary Violations (See Also Chap. 14) -- Non-sexual Boundary Violations (See Also Chap. 14) -- Strategies to Reduce Risk -- What Not to Do -- References -- Part IV: Practice Areas -- 19: Inpatient General Psychiatry -- Suicide -- Inadequate Risk Assessment -- Physical Environment -- Inadequate Diagnosis and Treatment -- Failure to Monitor Patients at Elevated Risk -- Communication Failures -- Elopement -- Reducing Risk -- Violence -- Reducing Risk -- Security, Officers, and Restraints -- Civil Commitment -- Reducing Risk -- Treatment Modalities -- Reducing Risk -- Boundaries -- Reducing Risk -- Discharge from Hospital -- Reducing Risk -- Conclusion -- References -- 20: Outpatient General Psychiatry -- The Physician-Patient Relationship in the Outpatient Psychiatry Setting -- Specific Areas of Risk in the Outpatient Psychiatry Setting -- Suicide/Attempted Suicide -- Failure to Hospitalize -- Improper Commitment -- Medication Issues -- Misdiagnosis -- Long-Term Treatment Issues -- Coordination of Care -- Breach of Confidentiality -- Boundary Violations -- Harm to Third Parties -- Mismanagement of Medical Conditions -- Lack of Informed Consent -- Abandonment -- Practicing Outside of Expertise.
Reducing Risk in the Outpatient Psychiatry Setting.
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Family murder : pathologies of love and hate / / edited by Susan Hatters Friedman
