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| Preface | p. xi |
| Acknowledgments | p. xv |
| Historical Perspective | p. 1 |
| Early Hindu and Egyptian Hospitals | p. 1 |
| Greek and Roman Hospitals | p. 1 |
| Hospitals of the Early Christian Era | p. 2 |
| Mohammedan Hospitals | p. 2 |
| Early Military Hospitals | p. 3 |
| Medieval Hospitals | p. 3 |
| Hospitals of the Renaissance | p. 4 |
| Hospitals of the 18th Century | p. 5 |
| Early Hospitals in the United States | p. 5 |
| 19th-Century Hospitals | p. 6 |
| 20th-Century Progress | p. 8 |
| Health Care and Hospitals in the 21st Century | p. 9 |
| Just a Beginning | p. 9 |
| Introduction to Law | p. 13 |
| Sources of Law | p. 13 |
| Government Organization | p. 19 |
| Administrative Departments and Agencies | p. 24 |
| Tort Law | p. 31 |
| Introduction | p. 32 |
| Intentional and Negligent Wrongdoing | p. 32 |
| Negligence | p. 33 |
| Intentional Torts | p. 43 |
| Products Liability | p. 53 |
| Criminal Aspects of Health Care | p. 63 |
| Introduction | p. 64 |
| Criminal Procedure | p. 64 |
| Case Reviews | p. 65 |
| Patient Abuse | p. 76 |
| Contracts and Antitrust | p. 85 |
| Introduction | p. 86 |
| Purpose of a Contract | p. 86 |
| Types of Contracts | p. 86 |
| Elements of a Contract | p. 87 |
| Competent Parties | p. 88 |
| Legality of Object | p. 90 |
| Conditions | p. 91 |
| Performance | p. 91 |
| Nonperformance Defenses | p. 91 |
| Remedies | p. 91 |
| State Laws/Uniform Commercial Code | p. 92 |
| Contracts of Adhesion | p. 92 |
| Guaranty and Warranty | p. 92 |
| Employment Contracts | p. 92 |
| Exclusive Contracts | p. 95 |
| Restraint of Trade | p. 98 |
| Hospital Staff Privileges | p. 101 |
| Patient Transfer | p. 102 |
| Insurance Denials | p. 104 |
| Civil Procedure and Trial Practice | p. 107 |
| Introduction | p. 108 |
| Pleadings | p. 108 |
| Discovery and Examination Before Trial | p. 110 |
| Motions | p. 112 |
| Notice of Trial | p. 114 |
| Memorandum of Law | p. 114 |
| The Court | p. 114 |
| The Jury | p. 115 |
| Subpoenas | p. 115 |
| Opening Statements | p. 116 |
| Burden of Proof | p. 116 |
| Evidence | p. 119 |
| Defenses Against Recovery | p. 126 |
| Closing Statements | p. 134 |
| Judge's Charge to the Jury | p. 134 |
| Jury Deliberation and Determination | p. 135 |
| Damages | p. 135 |
| Appeals | p. 139 |
| Execution of Judgments | p. 140 |
| Corporate Liability | p. 143 |
| Introduction | p. 143 |
| Authority of Health Care Corporations | p. 144 |
| Corporate Organization and Committee Structure | p. 145 |
| Doctrine of Respondeat Superior | p. 147 |
| Corporate Negligence | p. 150 |
| Duties of Health Care Corporations | p. 152 |
| CEO/Administrator's Role and Responsibility | p. 160 |
| Medical Staff | p. 162 |
| Medical Staff | p. 167 |
| Introduction | p. 167 |
| Medical Staff Organization | p. 167 |
| Medical Staff Privileges | p. 169 |
| Delineation of Clinical Privileges | p. 172 |
| Appeal Process | p. 173 |
| Medical Staff Bylaws--A Contract | p. 174 |
| Physician Supervision and Monitoring | p. 175 |
| Reappointments | p. 176 |
| Medical Director | p. 176 |
| Negligent Acts | p. 176 |
| Physician-Patient Relationship | p. 205 |
| Nursing and the Law | p. 209 |
| The Practice of Nursing | p. 210 |
| The Broadening Scope of Practice | p. 211 |
| Nurse Licensure | p. 211 |
| American Nurses Association | p. 212 |
| National League for Nursing | p. 212 |
| Nurse Practice Roles | p. 212 |
| Negligent Acts | p. 219 |
| Liability by Departments and Health Care Professionals | p. 247 |
| Introduction | p. 248 |
| Ambulatory Care Centers | p. 248 |
| Anesthesia | p. 248 |
| Chiropractor | p. 250 |
| Dentist | p. 250 |
| Emergency Department | p. 252 |
| The Environment | p. 261 |
| Laboratory | p. 268 |
| Medical Imaging | p. 271 |
| Nutritional Services | p. 273 |
| Paramedic | p. 273 |
| Pharmacy | p. 274 |
| Physical Therapy | p. 278 |
| Physician Assistant | p. 279 |
| Podiatrist | p. 279 |
| Respiratory Therapist | p. 279 |
| Security | p. 279 |
| Sexual Improprieties | p. 280 |
| Surgery | p. 281 |
| Certification of Health Care Professionals | p. 282 |
| Licensing Health Care Professionals | p. 282 |
| Helpful Advice for Caregivers | p. 283 |
| Information Management and Health Care Records | p. 287 |
| Introduction | p. 287 |
| Managing Information | p. 287 |
| Medical Records | p. 288 |
| Patient Consent | p. 313 |
| Introduction | p. 314 |
| Consent--A Definition | p. 314 |
| Patient Self-Determination Act | p. 314 |
| Informed Consent | p. 315 |
| Right to Refuse Treatment | p. 324 |
| Proof of Consent | p. 325 |
| Who May Consent | p. 326 |
| Religious Beliefs | p. 329 |
| Refusal of Treatment | p. 330 |
| Release Form | p. 330 |
| Exculpatory Agreement | p. 330 |
| Statutory Consent | p. 331 |
| Consent and Judicial Intervention | p. 331 |
| Defense and Failure to Inform | p. 331 |
| Legal Reporting Requirements | p. 335 |
| Introduction | p. 335 |
| Child Abuse | p. 335 |
| Elder Abuse | p. 336 |
| Communicable Diseases | p. 337 |
| Births and Deaths | p. 337 |
| Suspicious Deaths | p. 337 |
| National Practitioner Data Bank | p. 338 |
| Risk Management and Incident Reporting | p. 339 |
| Sentinel Events and The Joint Commission | p. 340 |
| Corporate Compliance Programs | p. 341 |
| Issues of Procreation | p. 345 |
| Introduction | p. 345 |
| Abortion | p. 346 |
| Circuit and District Court Decisions | p. 348 |
| State Regulation | p. 350 |
| Sterilization | p. 355 |
| Artificial Insemination | p. 356 |
| Wrongful Birth, Life, and Conception | p. 357 |
| Patient Rights and Responsibilities | p. 365 |
| Introduction | p. 366 |
| Patient Rights | p. 366 |
| Admission | p. 366 |
| Discharge | p. 368 |
| Transfer | p. 370 |
| Patient Bill of Rights | p. 370 |
| Patient Responsibilities | p. 371 |
| Patient Advocacy | p. 373 |
| Acquired Immune Deficiency Syndrome | p. 375 |
| AIDS and Health Care Workers | p. 378 |
| Suspension of Surgical Privileges | p. 378 |
| Confidentiality | p. 378 |
| Medical Records | p. 380 |
| AIDS and the Right to Know | p. 380 |
| AIDS: The Right To Treatment | p. 380 |
| Mandatory Testing | p. 380 |
| News Media and Confidentiality | p. 381 |
| Discrimination | p. 381 |
| Negligence | p. 382 |
| Criminal Actions | p. 383 |
| Reporting Requirements | p. 383 |
| AIDS Emergency Act | p. 383 |
| Occupational Safety and Health Act | p. 384 |
| AIDS Education | p. 384 |
| Health Care Ethics | p. 387 |
| Introduction | p. 388 |
| Ethics Committee | p. 388 |
| End-of-Life Issues | p. 392 |
| Autopsy | p. 411 |
| Organ Donations | p. 413 |
| Experimentation | p. 415 |
| Malpractice Insurance | p. 423 |
| Introduction | p. 423 |
| The Insurance Policy | p. 424 |
| Liability of the Professional | p. 425 |
| The Insurance Policy | p. 425 |
| Medical Liability Insurance | p. 428 |
| Medical Malpractice Insurance Associations | p. 428 |
| Self-Insurance | p. 429 |
| Trustee Coverage | p. 429 |
| Mandated Medical Staff Insurance Coverage | p. 429 |
| Investigation and Settlement of Claims | p. 430 |
| Labor Relations | p. 433 |
| Introduction | p. 434 |
| Unions and Health Care Organizations | p. 434 |
| Federal Labor Acts | p. 434 |
| State Laws | p. 442 |
| Labor Rights | p. 443 |
| Management Rights | p. 444 |
| Equal Employment Opportunity--Affirmative Action Plan | p. 445 |
| Patient Rights During Labor Disputes | p. 446 |
| Injunctions | p. 446 |
| Administering a Collective Bargaining Agreement | p. 446 |
| Employment, Discipline, and Discharge | p. 449 |
| Introduction | p. 450 |
| Employment at Will | p. 450 |
| Public Policy Issues | p. 451 |
| Interference with Employment Activities | p. 454 |
| Defamation Actions | p. 454 |
| Retaliatory Discharge | p. 454 |
| Fairness: The Ultimate Test | p. 456 |
| Unemployment Compensation | p. 457 |
| Termination | p. 457 |
| Effective Hiring Practices | p. 461 |
| Managed Care and Organizational Restructuring | p. 465 |
| Introduction | p. 465 |
| Common Models of Managed Care Organizations | p. 465 |
| Horizontal Consolidations | p. 467 |
| Federally Qualified HMOs | p. 467 |
| State Laws | p. 467 |
| Case Management Firms | p. 468 |
| Third-Party Administrators | p. 468 |
| Utilization Review | p. 468 |
| Liability for Nonparticipating Physicians | p. 469 |
| Employee Retirement Income Security Act | p. 469 |
| Reducing Exposure to Liability | p. 469 |
| Health Care Quality Improvement Act of 1986 | p. 469 |
| Managed Care and Legal Actions | p. 470 |
| Antitrust | p. 472 |
| Corporate Reorganization | p. 474 |
| Restructuring Alternatives | p. 476 |
| General Considerations | p. 477 |
| Medical Staff and Restructuring | p. 478 |
| Fund-Raising | p. 478 |
| Regulatory Authority Checklist | p. 479 |
| Anticompetition | p. 479 |
| Safe-Harbor Regulations | p. 480 |
| Statements of Antitrust Enforcement Policy in the Health Care Area | p. 481 |
| Tort Reform and Reducing the Risk of Malpractice | p. 485 |
| Introduction | p. 485 |
| Arbitration and Mediation | p. 485 |
| Structured Awards | p. 485 |
| Pretrial Screening Panels | p. 486 |
| Collateral Source Rule | p. 486 |
| Contingency Fee Limitations | p. 488 |
| Frivolous Claim | p. 488 |
| Joint and Several Liability | p. 489 |
| Malpractice Caps | p. 489 |
| No-Fault System | p. 489 |
| Peer Review Organizations | p. 489 |
| Medical Misconduct | p. 490 |
| Regulation of Insurance Practices | p. 491 |
| Setting Standards of Medical Care | p. 491 |
| National Health Care Reform | p. 491 |
| Risk Management | p. 491 |
| Continuous Quality Improvement | p. 492 |
| Patient Safety and Zero Tolerance | p. 497 |
| Introduction | p. 497 |
| Leadership | p. 498 |
| Medical Staff | p. 499 |
| Human Resources | p. 499 |
| Educations | p. 500 |
| Information Technology (IT) | p. 501 |
| Planning | p. 501 |
| Resource Allocation | p. 502 |
| Performance Improvement (PI) | p. 502 |
| Abbreviations | p. 502 |
| Blood Transfusions | p. 503 |
| Emergency Department (ED) | p. 503 |
| Environmental Safety | p. 504 |
| Identifying the Correct Patient | p. 507 |
| Illegible Handwriting | p. 507 |
| Infant Security | p. 507 |
| Infection Control | p. 508 |
| Laboratory | p. 508 |
| Medication Use | p. 509 |
| Patient Assessment | p. 511 |
| Patient Care Unit | p. 512 |
| Patient Rights | p. 512 |
| Sterile Supply | p. 512 |
| Surgery | p. 513 |
| Verbal Orders | p. 513 |
| Ventilator-Related Injuries | p. 514 |
| Spiritual Care Services | p. 514 |
| Web Sites | p. 514 |
| Worldwide Search | p. 515 |
| Introduction | p. 515 |
| Web Site Directory | p. 517 |
| International Web Sites | p. 520 |
| Journey to Excellence | p. 521 |
| A Patient's Perspective | p. 521 |
| Creating a New World Order | p. 522 |
| The Journey Begins | p. 522 |
| The Health Care War Room | p. 522 |
| Dream Boards | p. 523 |
| Ideas for Getting Started | p. 523 |
| Funding Your Programs | p. 524 |
| The Five Senses | p. 525 |
| Glossary | p. 527 |
| Index | p. 535 |
| Table of Contents provided by Rittenhouse. All Rights Reserved. |