Medical Malpractice Claims Investigation: A Step-by-step Approach

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Jones & Bartlett Learning, 1997 - Insurance, Physicians' liability - 268 pages
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The book is designed as a primer for claims investigators, health care managers, QA/QI personnel, in-house counsel, paralegals, personal injury attorneys, and others whose duties include the investigation of actual and potential medical malpractice lawsuits. It can be used as a desktop reference, self-study guide, or as part of a formal orientation program for risk managers and quality assurance personnel. The book contains a step-by-step description of the claims investigation. It also provides instruction on reviewing medical records; identifying adverse patient occurrences; selecting, locating and interviewing personnel involved in occurrences; analyzing investigative findings; and writing the investigation report.
 

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Contents

Chapter 1Reviewing the Medical Record
3
Further Guidelines for Reviewing Summonses
18
Chapter 3Identifying the MedicalLegal Issues
33
Chapter 4Interviewing Techniques
39
Beginning the Interview
47
Chapter 5Developing Interview Questions
53
Chapter 6Investigating EquipmentRelated
85
Products Liability
93
Appendix 8AExamples of Forms for Use in Reporting
156
Chapter 10Making Quality Improvement
163
Chapter 11Confidentiality of Medical Records
169
Chapter 12What the Investigator Needs To Know
185
Chapter 13The Life of a Medical Malpractice Claim
195
Motion Practice
202
Advance Directives
215
Chapter 16Claims Management
231

Appendix 6AProtocol for Responding to EquipmentRelated
104
Chapter 8Writing the Investigation Report
119
Sample Investigation Report
149
Chapter 17Writing the Report Clearly and Concisely
247
About the Authors
269
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