Medical Law, Ethics and Bioethics Chapter 5 and 6

agent

Person (the authorized health-care employee) appointed by a principle party (the physician or provider) to perform authorized acts in the name and under the control and direction of the principle.

Alternative Dispute Resolution (ADR)

methods outside the judicial system used to solve potential malpractice actions; methods include arbitration and mediation

assault

a threat or attempt to injure

battery

The unlawful touching beating or laying hold of a person's or their clothing without consent

Breach of Contract

Failure to comply with the terms of a valid contract. Is cause for a litigation

civil liability

conflicts between individuals, corporations, government bodies, and other organizations

compliance plan

guidelines established to protect a clinic from fraud and litigation charges

contract

a voluntary agreement between parties

Criminal liability

when an individual commits an act that is considered to be an offense against society a whole

Defamation 2 types

Slander or libel

Defamation

spoken or written words concerning someone that tend to injure that person's reputation and for what damages can be recovered

libel

false, defamatory writing, such as published material, effigies, or pictures

slander

false, malicious, or defamatory spoken words

fiduciary

Holding in confidence or trust

malfeasance

commission of an unlawful act

Medical Malpractice

professional negligence of physicians or providers

Misfeasance

improper performance of an act resulting injury to another

negligence

doing some act that a reasonable and prudent provider would not do or failing to do some act that a reasonable and prudent provider would do

res ipsa loquitur

the thing speaks for itself; a doctrine of negligence law

Respondeat Superior

Let the master answer; that is, the provider is responsible for employee acts. Legal doctrine

tort

wrong act committed by a person against another person or that person's property; distinguished from breach of contract

Vicarious liability

legal doctrine assigns liability for injury to a person or institution who did not cause the injury but who has a particular legal relationship to the person who did act negligently. Hospital or HMO that employs the providers in their assistants is also l

expressed contract

written or oral

oral contract

legally biding as a written one; more difficult to prove

written contract

requires that all necessary aspect of the agreement be in writing and signed by each party

contract

can be expressed or implied

Standard of care

requires that providers and/or other health-care to use the ordinary, reasonable skill, experience, and knowledge commonly used by other reputable health-care professionals when caring for a client

appellation

one who appeals a court decision to higher court

Arraignment

the procedure of calling someone before a court to answer a charge

civil case

court action between private parties, corporations, government bodies, or other organizations. Compensation is usually monetary. Recovery of private rights is sought.

closing arguments

Summary and last statements made by opposing attorneys at a hearing or trial.

Congress

The law-making group of the federal government. It is made up of 2 separate groups, the House of Representatives and the Senate

court of appeals

Court to refuse decisions made by lower court; may reverse, remand, modify, or affirm lower court decision

court order

In order issued only by a judge to appear or to request certain records. The release of any records requested in a court order does not require the client's permission

Criminal Case

Court action brought by the state against individuals or group of people accused of committing a crime; punishment is usually imprisonment and/or a fine; includes recovery of rights of society

cross-examination

Examination of a witness by an opposing attorney at a hearing or trial

Defendant

The person or group accused in a court action

deliberation

The process whereby a jury considers the evidence present in a case

deposistion

A written record of oral testimony made before a public officer and/or both attorneys. It is for use in either a criminal or civil case and has completed outside of court before the trial begins

direct examination

examination of a witness by his or her attorney calling the witness at a hearing or trial

examination of witness

Questioning of a witness by attorney during a court action

Expert witness

Person train in medicine who can testify in a court of law as to what the professional standard of care is in the same or similar circumstances.
Qualify to testify to professional standards of care; reputable, honest, impartial
Essentiall when subject is

Felony

Is serious crimes, such as murder, larceny, assault, or rape. The punishment is usually severe

higher (superior) court

The court to which appeals of trial court decisions can be made; a court with broader judicial authority than a lower or inferior court

judge

A public official who directs court proceedings, instruct the jury on the law governing the case, and pronounces sentence

Jurisdiction

The limits or territory within which authority may be exercised

jury

6 to 12 individuals, usually randomly selected, who are administered an oath and serve in court proceedings to reach a fair verdict on the basis of evidence presented

law

Rule or regulation that is advisable or obligatory to observe

Litigation

A lawsuit; a contested in court

lower (inferior) court

Usually the court in which a case is 1st presented to the trial court; a court with limited judicial authority

misdimeanor

Type of crime less serious than a felony; examples include property theft, in certain cases of intimate partner violence, elder abuse, disorderly conduct
Punishment is jail term, probation and/or fine

opening statements

statements by opposing attorneys at the beginning of a court action to outline what they hope to establish in the trial

Plaintiff

The person or group initiating the action in litigation

Probate (estate) court

State court that manages wills and settles estates

Sentencing

Imposition of punishment in a criminal proceeding

Small Claims Court

Special court intended to simplify and extradite the handling of small claims or debts

Subpoena

In order to appear in court under the penalty for failure to do so

Subpoena duces tecum

A court order requiring a witness to appear and bring certain records or tangible items to a trial or deposition

summons

In order, in civil case, from the court directing the sheriff or other appropriate official she notified the defendant where and when to appeared to answer charges against him or her

verdict

Findings or decision of a jury

Contract to be valid

An agreement between 2 or more can competent people
An agreement to do or not to do a certain task for payment or for rendering of a benefit
A lawful agreement

Implied Contract

Most common. Does not require expression of parties involved. Usually set up by circumstances

Abandoment

Providers are liable if they abandon a client. Prevention formally withdraw from a case

Professional Negligence

Failure to perform professional duties according to accepted standards of care
Performing at a reasonable, prudent provider would not perform OR failure to perform an act that a reasonable, prudent provider would perform
Same as malpractice

4 D's of negligence

Duty, Derelict, Direct cause, Damages

Duty

Both provider and client are doing what is expected

Derelict

Client must prove that provider failed to comply with the standards

Direct cause

Providers breach of duty directly caused the injuries

Damages

Compensation is provided for injury suffered by a client

actual damages

Loss of wages past and future medical care

exemplary and punitive damages

Compensation to the client for pain suffering and mental anguish

Torts

Private or civil wrongs
Frankel acts committed against clients that cause harm to the client
Damage to client caused by conduct of provider that falls below the standard of care

intentional tort

Intentional acts of violate another person's rights or property

Unintentional Torts

Results of the ommission or commission of an act

invasion of privacy

unauthorize publicities of a client information

Malpractice

A unintentional tort

Professional liability insurance

Malpractice insurance
Financial protection
States may mandate minimum amount
Cost depends and risk of specialty
Employees ought to carry on professional liability insurance

Cost of malpractice insurance

Exorbitant premiums
Vary by state
Vary by specialty
Causing providers to limit their practices

Arbitration

Impartial 3rd party, decision of arbitrator is binding, limited judicial review of process

Mediation

No 3rd party. A mediator is selected by both parties, attempted to facilitate negotiation between both parties

US constitution

Legislative branch: Congress
Judicial branch: US Supreme Court
Executive branch: President

Legislative branch/Congress

Lawmaking body

Judicial branch

US Supreme Court. Judges and court; reviews infractions

Executive branch

President. Administrator of the law

Types of laws

Common
Statutory
Administrative
Civil
Criminal

Judge made law or case law

Common law

Common law

Created by judicial branch through decisions in cases decided by courts.
Narrow in scope; limited to actual cases
Created by congressional and state legislative bodies
Publish in stature it's known as codes
Broad scope subject only to constitutional limit

Administrative law

Type or extension of statutory/legislative law
Power given to agencies to enact regulations have the force of law

Criminal Law

Court actions brought by state against individuals or group of people accused of committing a crime
Punishment usually in prison and/or a fine
Recovery of rights of society

lower court

District or municipal court-hears civil matters small claims and misdemeanors

higher/superior court

Hear civil and criminal cases

3 jurisdictions

Federal crimes
Constitutional issues
Civil actions between parties from different States

Jurisdiction

Territory within which authority may be exercised

Jurisdictions covered by state courts

Civil matters
Small claims
Housing
Traffic
Some misdemeanors

Probate court

Overseas distribution of persons the state upon death
Sometimes called estate court
Requires filed claim

Small claims court

File action against client for unpaid/delinquent account
No attorney representation
Judge rules

Trial process

Case tried by a judge or judge and jury
Opening statements
Direct examination
Cross examination
Closing arguments
Verdict
Ruling

Statute of limitation

These are time restrictions on initiating legal action
Time restrictions vary state to state
For minors, time limitations start when they reach age of maturity