Foreword |
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Foreword |
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ix | |
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William T. Thorwarth, Jr. |
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Preface |
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xi | |
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Part I Malpractice Litigation |
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3 | (19) |
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4 | (9) |
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13 | (1) |
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13 | (1) |
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14 | (1) |
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14 | (1) |
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Defenses and Limitations to a Malpractice Suit |
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15 | (7) |
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22 | (9) |
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Employees Versus Independent Contractors |
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23 | (1) |
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Liability for Acts of Technologists |
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23 | (2) |
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Liability for Acts of Residents |
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25 | (1) |
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Liability of Chairpersons Administering Departments |
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26 | (1) |
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Liability for Acts of Partners |
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27 | (1) |
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Hospital Liability for Acts of Physicians |
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27 | (4) |
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Standards and Practice Guidelines |
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31 | (6) |
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American College of Radiology Standards |
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33 | (1) |
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33 | (1) |
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Legal Effect of Standards and Practice Guidelines |
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34 | (1) |
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35 | (2) |
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Anatomy of a Malpractice Lawsuit |
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37 | (9) |
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37 | (1) |
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38 | (1) |
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39 | (1) |
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40 | (1) |
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41 | (1) |
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41 | (1) |
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42 | (1) |
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42 | (2) |
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44 | (2) |
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46 | (10) |
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46 | (1) |
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47 | (1) |
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48 | (1) |
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48 | (2) |
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Consequences of Disqualification to the Witness |
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50 | (1) |
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Proper Behavior of an Expert Witness |
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50 | (1) |
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``Reasonable Degree of Medical Certainty'' Standard |
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51 | (1) |
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Practical Tips for the Radiology Expert Witness |
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52 | (1) |
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52 | (1) |
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Adverse Consequences of Being an Expert Witness |
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52 | (1) |
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Protecting the Radiologist from Being Falsely Accused by an Expert Witness |
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53 | (3) |
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56 | (3) |
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Possible Causes of Action |
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56 | (1) |
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What Should a Radiologist Do If Subjected to an Unjustified Suit? |
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57 | (2) |
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Alternative Dispute Resolution |
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59 | (3) |
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Limitations of Formal Adjudication |
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59 | (1) |
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59 | (1) |
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60 | (1) |
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Alternative Dispute Resolution in Medical Malpractice |
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60 | (2) |
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62 | (2) |
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Professional Liability Insurance |
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64 | (7) |
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64 | (1) |
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Occurrence Versus Claims-Made Policies |
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64 | (1) |
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65 | (1) |
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Mandatory Insurance Requirements |
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66 | (1) |
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Amount of Insurance Coverage |
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66 | (1) |
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67 | (1) |
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Defense of Malpractice Claims |
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67 | (1) |
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68 | (3) |
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71 | (3) |
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71 | (1) |
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72 | (2) |
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Reactions of Physicians Sued for Malpractice |
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74 | (4) |
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Supporting a Sued Radiologist |
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75 | (3) |
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Role of the Radiologist-Defendant at Trial |
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78 | (2) |
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80 | (5) |
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Communication with Patients |
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80 | (5) |
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Part II The Missed Diagnosis: Overview |
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The Missed Diagnosis: Overview |
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85 | (16) |
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85 | (1) |
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86 | (5) |
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91 | (2) |
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Reporting the ``Missed'' Diagnosis |
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93 | (2) |
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Defending the ``Missed'' Radiographic Diagnosis |
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95 | (6) |
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Interpreting Too Many Studies Per Day |
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101 | (6) |
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Part III Communication and Records |
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107 | (8) |
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Comparison with Previous Examinations and Reports |
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109 | (1) |
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Significant Discrepancy Between the Final and Emergency/Preliminary Reports |
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110 | (1) |
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Signing the Radiology Report |
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111 | (1) |
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Correction/Alteration of the Radiology Report |
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112 | (3) |
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Communication of the Radiologic Findings |
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115 | (8) |
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Failure to Issue a Report |
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115 | (1) |
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Delay in Issuing a Report |
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116 | (1) |
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117 | (6) |
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Release and Storage of Radiologic Images |
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123 | (5) |
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123 | (1) |
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123 | (2) |
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125 | (1) |
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125 | (1) |
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Storage and Destruction of Images |
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126 | (2) |
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128 | (4) |
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Importance of Proper Medical Records |
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128 | (1) |
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Correction/Alteration of the Medical Record |
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129 | (1) |
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Adverse Consequences of Improper Alteration of Medical Record |
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129 | (1) |
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130 | (2) |
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132 | (7) |
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134 | (5) |
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Part IV Radiology Practice and Specific Procedures |
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139 | (10) |
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139 | (1) |
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140 | (9) |
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Do Not Resuscitate (DNR) Orders |
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149 | (5) |
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Compliance with DNR Orders |
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150 | (1) |
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151 | (1) |
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Consequences of Failure to Comply with a DNR Order |
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152 | (2) |
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154 | (2) |
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156 | (16) |
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Risk of Women Developing Breast Cancer |
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156 | (1) |
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157 | (1) |
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157 | (1) |
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Effect of Mammography on Lengthening Survival Time and Reducing Death Rates |
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158 | (1) |
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Effect of Delayed Diagnosis of Breast Cancer |
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159 | (1) |
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Screening Versus Diagnostic Mammograms |
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160 | (2) |
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162 | (1) |
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Reporting the Mammographic Study |
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162 | (2) |
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False-Negative Core Biopsy of the Breast |
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164 | (1) |
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165 | (1) |
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Tracking Patients with Negative Biopsies |
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166 | (6) |
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Interventional Procedures |
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172 | (4) |
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172 | (1) |
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173 | (3) |
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Ionic Versus Nonionic Contrast Material |
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176 | (3) |
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179 | (4) |
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179 | (2) |
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Adult Magnetic Resonance Imaging |
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181 | (1) |
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Interventional Procedures |
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182 | (1) |
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183 | (6) |
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184 | (2) |
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Informed Consent for Off-Label Use |
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186 | (1) |
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Reprocessing and Reuse of Single-Use Devices |
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186 | (3) |
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189 | (4) |
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Effect of Radiation Exposure on the Fetus |
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189 | (1) |
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Determining Whether a Woman Is Pregnant |
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190 | (1) |
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Examining the Pregnant Patient |
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190 | (1) |
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191 | (2) |
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Computed Tomography Screening Studies |
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193 | (12) |
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General Criteria for Effective Screening |
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193 | (1) |
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194 | (1) |
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CT Screening for Lung Cancer |
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195 | (1) |
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CT Screening for Coronary Artery Disease |
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196 | (1) |
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CT Screening for Abdominal Pathology |
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197 | (1) |
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Use of Contrast Material in Screening CT Studies |
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198 | (1) |
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Medical-Legal Implications |
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198 | (7) |
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Part V Electronic Imaging |
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205 | (5) |
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Establishment of Physician-Patient Relationship |
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205 | (1) |
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Medical Licensing and Insurance |
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206 | (1) |
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Jurisdiction for Malpractice Suits |
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207 | (1) |
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Other Medical-Legal Aspects |
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207 | (1) |
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Relationship Between Local and Distant Radiologists |
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208 | (2) |
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210 | (5) |
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Other Potential Problems with E-Mail |
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212 | (3) |
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Picture Archiving and Communications Systems (PACS) |
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215 | (6) |
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Failure to Interpret ``Lost'' PACS Images |
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216 | (5) |
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Part VI Governmental/Regulatory |
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Credentialing and Peer Review |
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221 | (5) |
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221 | (2) |
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223 | (3) |
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Infected or Substance-Abuse-Impaired Radiologist |
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226 | (4) |
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Liability of the Infected/Impaired Radiologist |
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226 | (1) |
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Liability of Other Parties |
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227 | (1) |
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228 | (2) |
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Federal Fraud and Abuse Enforcement and Compliance Plans |
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230 | (7) |
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230 | (2) |
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232 | (3) |
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235 | (2) |
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237 | (3) |
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240 | (4) |
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240 | (1) |
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Allegations of Sexual Harassment |
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241 | (1) |
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What to Do If One Is a Victim of Sexual Harassment |
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241 | (1) |
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Employer Course of Action |
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242 | (2) |
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Employee Retirement Income Security Act (ERISA) |
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244 | (5) |
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247 | (2) |
Index |
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249 | |