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136 Cards in this Set

  • Front
  • Back
What three branches make up the federal government?
Legislative, Executive, Judicial
The ..... & ......make up the legislative branch(congress)
Senate & House of Representatives
The Senate is comprised of .....per state and has .....seats
2 & 100
The House of Representatives is based on .....and is comprised of .....seats
population & 435
Members of the House of Representatives are elected for .....year terms and senators are elected for ....year terms
2; 6
What is the primary duty of Congress?
Write, debate, & pass bills
What are three other powers of Congress?

1. Making laws regarding trade between U.S. and other countries


2.Make laws about taxes and borrowing money


3.Approving the printing of money

A rule or regulation issued by the president of the US that becomes law without the prior approval of Congress.
executive order
The president is the chief executive of the .......branch
Executive
The ......orders become law w/o approval of .......
executive; Congress
Who heads the judicial branch?
Supreme Court
What is the main duty of the judicial branch?
Interprets & oversees laws (ex: judges)
......governments also have 3 branches which are.....,.....,.....
State; legislative, executive, judicial
Those responsibilities not governed by the federal government are duties of the state
legislative
Governor is the head of the state
Executive
What are four types of laws?
constitutional law, case law, statutory law, and administrative law
law that derives from federal and state constitutions
constitutional law
law established through common law and legal precedent
case law
law passed by the U.S. Congress or state legislatures
statutory law
enabling statutes enacted to define powers and procedures when an agency is created
administrative law
the body of unwritten law developed in England, primarily from judicial decisions based on custom and tradition
common law
decisions made by judges in various courts that become rule of law and apply to future cases, even though they were not enacted by legislation
legal precedents
........ ....... law is based on U.S. Constitution
Federal constitutional law
........ ....... law derives from state's constitution
State constitutional
Which branch has exclusive authority to declare war on another country?
Legislative

Legislative ...... laws


Executive ...... laws


Judicial......laws

Writes


Enforces


Interprets

Which chamber of the U.S. Congress has exclusive authority to hold an impeachment trial?
Senate
What are 3 exclusive powers of the national government?

Print money


Declare ware


Establish post offices

What are 3 exclusive powers of the national government?

Issue licenses


Conduct elections


Establish local governments

Why do the highways throughout the U.S. state 60, 70, 80, and never 90?
The Gov't mandates and says that if the speed limit for roads are below 70/80 then money will be provided. (If you do this then you will receive $$)
What are the 6 classifications of law?

substantive


procedural


criminal


civil


felony


misdemeanor

Defines and regulates legal rights and obligations
substantive law
defines rules used to enforce substantive law
procedural law
law involving crimes against state
criminal
an offense punishable by death or by imprisonment in a state or federal prison for more than one year
felony
a crime punishable by fine or by imprisonment in a facility other than a prison for less than one year
misdemeanor
law involves wrongful acts against persons; ppl can sue another person, a business, or gov't
civil
The written law that says murder is a crime is an example of........ law
criminal
The law that says a law enforcement officer must read a prisoner his or her rights is an example of which type of law?
Procedural
One who contributes to or aids in the commission of a crime
Accessory
The laws that determine the rules for one person's suing of another are broadly classified as .....law
Civil
.......laws involves crimes against the state
criminal
Which two types of law are most likely to affect health care providers?
Criminal & civil
under criminal law, practicing medicine w/o a license is classified as a(n)
felony
Which type of law does not involve crimes, but may involve one person suing another?
civil

a civil wrong committed against a person or property excluding breach of contract;




must involve injury, damage to property or deprivation of civil liberties




may be intentional/unintentional

tort
person guilty of a tort
tortfeasor
What are four intentional torts?

Assault


Battery


Trespass


Deceit

an unintentional tort alleged when one may have performed or failed to perform an act that a reasonable person would or would not have done in similar circumstances
negligence
......is charged when a health care practitioner fails to exercise ordinary care & a patient is injured; can be charged to institution
negligence
What are 3 types of evidence of medical malpractice?

Expert testimony


Existing federal & state laws


Person permanently injured

power of a court to hear and decide a case before it
jurisdiction
This court system hears cases involving federal matters
Federal
Each state has its own ....system
court
the person bringing charges in a lawsuit
plaintiff
the gov't as plaintiff in a criminal case
prosecution
the person or party against whom charges are brought in a criminal or civil lawsuit
defendant
.... of the court are responsible for carrying out courtroom duties
Officers
elected or appointed to preside over the court
judges
represent plaintiffs and defendants
attorneys
keep court records and seals, enter court orders and judgments
Court clerks
keep order in the courtroom
bailiffs
make a running account of all court proceedings
court reporters
most often selected from lists of registered voters
juries
A voluntary agreement between two parties in which specific promises are made for consideration
contract
What are 4 elements of contracts?

Agreement


Consideration


Legal subject matter


contractual capacity

without legal force or effect
void
failure of either party to comply w/ the terms of a legally valid contract
breach of contract

anyone under the age of majority; 18 yrs in most states, 21 yrs in some jurisdictions
minor
The two main types of contracts are..... & ......
expressed & implied
written or oral agreement in which all terms are explicitly stated
expressed contract
unwritten or unspoken agreement whose terms result from actions of the parties involved; (ex person unconscious from falling and medical professional saves the person's life)
implied contract
state legislation governing written contracts
statute of frauds
the contract between physician and patient is usually .... when all treatment has been completed and the bill has been paid
terminated
what are 4 examples of premature termination?

Failure to pay for services


Failure to keep schedule appointments


Failure to follow the physician's instructions


Patient seeks services of another physician

law that governs the relationship between a principal and his/her agent
law of agency
one who acts for another
agent
physician is responsible for acts of employee
respondeat superior
All competent adults are ....., or legally responsible for their actions on job and private life
liable
What 3 things do physicians have general liability for?

The practice's building & grounds


Automobiles


Employee safety

level of performance expected of a health care practitioner in carrying out his/her professional duties
standard of care
legal obligation of health care workers to patients and sometimes nonpatients
duty of care
standard of behavior that judges a person's actions in a situation according to what a reasonable person would or would not do under similar circumstances
reasonable person standard
What are four guidelines for physicians/health care practitioners?

Practice w/in scope of training/capabilities


Maintain confidentiality


Prepare & maintain health records


Document accurately



act of holding information in confidence, not to be released to unauthorized individuals
confidentiality
information held confidential w/in protected relationship
privileged communciation
What are 3 ways to maintain confidentiality?

Obtain signed consent


Use caution when leaving voice messages on the phone

While on phone do not use patient's name if others are around


performance of a totally wrongful and unlawful act
malfeasance
performance of a lawful act in an illegal or improper manner
misfeasance
failure to act when one should
nonfeasance
What are the 4 Ds of Negligence?

Duty


Dereliction


Direct cause


Damages

person charged owed a duty of care to the accuser
duty
the health care provider breached the duty of care to the patient
dereliction
the breach of the duty of care to the patient was direct cause of patient's injury
direct cause
legally recognizable injury to the patient
damages
What are three implementations of the joint commission?

Improve accuracy of patient identification


Improve effectiveness of communication among caregivers


improve safety of using high-alert medications

"The thing speaks for itself"; also known as doctrine of common knowledge
Res ipsa loquitur
What 3 conditions must apply for Res ipsa loquitur to apply?

Act must be under defendant's control


Patient must not have contributed to act


Must be apparent that the patient would not have been harmed if reasonable care were used



what are 3 cases for res ipsa loquitur?

1.leaving foreign objects in patient's body during surgery


2.damaging healthy tissue during surgery


3.causing an infection by using unsterilized instruments

What are the four phases of a lawsuit?

Pleading phase


Interrogatory/pretrial discovery phase


Trial phase

Appeals phase


Summons is issued
pleading phase
subpoena and deposition may occur
Interrogatory/pretrial discovery phase
What are the two types of witness testimonies?

Fact


Expert

Witness provides facts he or she has observed
fact
experts in particular fields have the education, skills, knowledge, and experience to give expert witness
expert
techniques for resolving civil disputes w/o going to court; uses neutral mediators/arbitrators
alternative dispute resolution(ADR)
method of settling disputes w/o going to court; voluntary, neutral third party; can't impose a solution on parties involved
mediation

method of settling disputes in which opposing parties agree to abide by the decision of an arbitrator




Chosen by the court/by the American Arbitration Association





Arbitration
What are 3 top medical specialties sued for malpractice?

Internal medicine


family medicine


Ob/Gyn

state statutes that allow a person's beneficiaries to collect for loss to the estate of the deceased for future earnings when a death is judged to have been due to negligence
wrongful death statutes
a written notification issued by the clerk of court and delivered w/ a copy of the complaint to the defendant in a lawsuit, directing him/her to respond to the charges brought in a court of law
summons
a legal document requiring the recipient to appear as a witness in court or to give a deposition
subpoena
sworn testimony given and recorded outside the courtroom during the pretrial phase of a case
deposition
a written set of questions requiring written answers from a plaintiff/defendant under oath
interrogatory
......is preferable to litigating a malpractice suit
prevention
What are the four C's medical malpractice prevention?

Caring


Communication


Competence


Charting



What do these represent?




*Error, failure, delay in cancer diagnosis


*Birth injury/negligent maternity care


*Wrong diagnosis of negligent fracture


*Medication errors

Common reasons for malpractice
What are the 4 actions that might prevent litigation?

*Explanation & apology


*Correction of the mistake


*Listening to the patient


*Honesty

What are 4 ways to communicate w/ patients?

*Develop good listening


*Set aside time of day to call back patients & provide advice


*Make sure informed consent forms are signed


*Avoid statements admitting faults

Medical facility employees should pay particular attention to what types of documentations?

Referrals


Missed appointments


Dismissals


Treatment Refusals


All other patient contact

a defense that claims innocence of the charges or that one or more of the four Ds of negligence are lacking
denial
defenses used by defendants in medical professional liability suits that allow the accused to prevent factual evidence that the patient's condition was caused by some factor other than the defendant's negligence
affirmative defenses
an affirmative defense that alleges that the plaintiff, through lack of care, caused or contributed to his/her own injury
contributory negligence
an affirmative defense claimed by the defendant, alleging that the plaintiff contributed to the injury by a certain degree
comparative negligence
a legal defense that holds that the defendant is not guilty of a negligent act because the plaintiff knew of and accepted beforehand any risks involved
assumption of risk
a type of affirmative defense in which the person who comes to the aid of a victim in an emergency is not held liable under certain circumstances
emergency
What are 3 types of technical defenses?

Release of tortfeaser


Res Judicata

Statute of limitations


a technical defense that prohibits a lawsuit against the person who caused an injury(the tortfeasor) if he or she was expressly released from further liability in the settlement of a suit;




(the victim can't sue the physician unless the right to do so was reserved in the release)

release of tortfeasor
The thing has been decided; a claim can't be retried between the same parties if it has already been resolved
Res judicata

that period of time established by state law during which a lawsuit may be filed;




when a statute of limitations begins


modified for minors, ppl who are legally insane or special circumstances

statute of limitations

The taking of steps to minimize danger, hazard, and liability




*May reduce possibility of lawsuits


*Identify problem practices


*Problem solve to eliminate problems

risk management

program of measures taken by health care providers and practitioners to uphold the quality of patient care




*parts of methods used to manage risk


*compliance w/ federal, state, local laws

quality improvement/quality assurance
contract coverage for potential damages incurred as a result of a negligent act
liability insurance
What are 5 types of medical liability insurance?

Claims-made insurance


Occurrence Insurance


Tail coverage


Prior acts insurance


self-insurance

Covers the insured only for those claims made (not for any injury occurring) while the policy is in force
claims-made insurance
covers the insurer for any claims made that occurred while policy is in force regardless of when claim is made
occurrence insurance