Legal and Ethical Issues – Flashcards
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law
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is a general rule of conduct that is enforced by the government. When a law is violated, the government imposes a penalty.
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public law
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laws deal with the relationships between individuals and the government. Criminal law is a segment of public law.
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common law
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law is derived from judicial decisions. U.S. common law has its roots in English common-law system.
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statutory law
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law can be amended, repealed, or expanded by the legislature. States and local jurisdictions can enact and enforce only laws that do not conflict with federal laws.
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administrative law
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is a public law issued by administrative agencies to administer the enacted laws of the federal and state governments. This branch of law controls the administrative operations of the government.
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administrative agencies
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implement and administer the administrative law. The rules and regulations established by an agency must be administered within the scope of the authority delegated to the agency by Congress.
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separation of powers
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provides that no one branch of the government-legislative, executive, or judicial- will be clearly dominant over the two.
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legislative branch
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composed of the House of Representatives and the Senate, both enacts laws that can amend or repeal existing legislation and creates new legislation.
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judicial branch
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resolves disputes in accordance with laws
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executive branch
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administers and enforces the law
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HHS
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develops and implements administrative regulations for carrying out national health and human service policy objectives. It is the main source of regulations that affect the health care industry.
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Two basic types of private law
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tort and contract actions
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Res judicata
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means "the thing is decided" -refers to that which has been previously acted on or decided by the courts.
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Stare decisis
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common law principle "let the decision stand" provides that when a decision is rendered in a lawsuit involving a particular set of facts, another lawsuit involving an identical or substantially similar situation is to be resolved in the same manner as the first lawsuit.
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Bill of Rights
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The conventions of a number of the states, at the time of adopting the U.S. Constitution, expressed a desire to prevent the abuse of its powers. Bill of Rights, the first 10 amendments to the constitution, was added to protect the rights of citizens.
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tort
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is a civil wrong-not including breach of contract-that is committed against a person or property for which a court provides a correction in the form of an action for damages.
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negligence
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is a tort, a civil or personal wrong. It is the unintentional commission or omission of an act that a reasonably prudent person would or would not perform under given circumstances. Intentional wrongdoing involves an act that violates another person's interest.
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3 basic forms of negligence
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malfeasance, misfeasance, nonfeasance
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malfeasance
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is the execution of an unlawful or improper act
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misfeasance
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is the improper performance of an act that results in injury or another
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nonfeasance
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is a failure to act when there is a duty to do so
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to recover damages caused by negligence 4 elements must be present
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duty to care, breach of duty, without proof of harm or injury, causation
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duty of care
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exists when there is a legal obligation of care, performance, or observance imposed on one party to guard the rights of others
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breach of duty
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is the failure to meet a prevailing standard of care
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without proof of harm or injury
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a defendant can not be found liable
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causation
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refers to the idea that the defendant's negligence must be a substantial factor in having caused an injury
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foreseeability
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is the reasonable anticipation that harm or injury will result form an act or a failure act. The test for foreseeability is whether or not one should have reasonably anticipated that event in question or similar event would occur
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assault
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is the infringement on the mental security or tranquility of another person; battery is the violation of another person's physical integrity
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false imprisonment
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is the unlawful restraint of an individual's personal liberty or the unlawful restraint or confinement of an individual
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defamation of character
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is a false oral or written communication to someone other than the individual defamed, subjecting that individual's reputation to scorn or ridicule.
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libel
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an aspect of defamation; results from written word
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slander
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an aspect of defamation; results from spoken word
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crime
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a social harm defined and made punishable by law- is generally either a misdemeanor or a felony
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misdemeanor
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is an offense punishable by less than 1 year in jail and/or a fine
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felony
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is generally punishable by imprisonment in a state or federal prison for a period of more than 1 year
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criminal negligence
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is the reckless disregard for the safety of others and is the willful indifference to an injury that could result from an act
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contract
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is a written or oral agreement that involves legally binding obligations between two or more parties
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exclusive contract
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allow organizations to contract with physicians and/or medical groups to provide specific services to the organization
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subpoena
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is a legal order requiring that a person appear in court or that documents be presented to a court or administrative body
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direct evidence
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is proof that is offered via direct testimony
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demonstrative evidence
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is offered by objects themselves
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documentary evidence
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is written evidence capable of making a truthful statement
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assumption of risk
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is knowing that a danger exists and voluntarily accepting the risk by exposing oneself to it, knowing that harm might occur
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comparative negligence
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provides that the degree of negligence or carelessness of each party to a lawsuit must be established by the finder of fact and that each party then is responsible for his or her proportional share of any damages awarded
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contributory negligence
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can be defined as nay lack of ordinary care on the part of the person injured that, combined with negligent act of another, caused the injury; person does not exercise reasonable care for his or her own safety
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good samaritan laws
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relieve health care professionals, and in some instances laypersons, from liability in certain emergency situations
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statute of limitations
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refers to legislatively imposed time constraints that restrict the period of time after an injury occurs during which a legal actions must be commenced
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sovereign immunity
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refers to the common-law doctrine by which federal and state governments historically have been immune from liability for harm suffered from the tortious conduct of employees; both federal and state governments have abolished sovereign immunity
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damages
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in the context of negligent act, refers to an award of money to be paid to a person as compensation for loss or injury resulting from a negligent act
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punitive damages
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sometimes awarded and above that which is intended to compensate the plaintiff for economic losses form the damage
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battery
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violation of another's physical integrity-intentional touching
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malpractice
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negligence of a professional person. Involves either malfeasance or misfeasance or nonfeasance
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manslaughter
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unlawful killing without malice aforethought. Voluntary-heat of passion or involuntary-negligent act
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Agency for Healthcare Research and Quality (AHRQ)
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established in 1989, is charged with researching ways to improve quality of health care, reduce its costs, and broaden access to essential services
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civil rights act
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pursuant to title VI; 1964 the guidelines of HHS prohibit the practice of racial discrimination by any organization
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distributive justice
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is a principle requiring that all persons be treated equally and fairly and that no person, for example should get a disproportional share of society's resources or benefits, discuss how society's resources are distributed disproportionately
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Emergency Medical Treatment and Active Labor Act (EMTALA)
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forbids Medicare-participating hospitals from dumping patients out of emergency departments
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Ethics in Patient Referral Act
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of 1989 prohibits physicians who have ownership interest or compensation arrangements with a clinical laboratory from referring Medicare patients to that laboratory
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Health Care Quality Improvement Act (HCQIA)
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was enacted in part to provide those persons giving info to professional review bodies and those assisting in review activities limited immunity from damages that may rise as a result of adverse decisions that affect a physician's medical staff privileges
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Health Insurance Portability and Accountability Act (HIPPA)
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public law was designed to protect the privacy, confidentially, and security of patient info. formats include: electronic, paper, and verbal
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Office of government ethics
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is an agency within the executive branch of government responsible for directing executive branch policies relating to the prevention of conflicts of interest on the part of Federal executive branch officers and employees
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Patient Protection and Affordable Care Act (PPACA)
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and the Healthcare and Education Reconciliation Act of 2010 made up the health care reform of 2010; the laws focus on reform of the private health insurance market
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Patient Self-Determination Act (PSDA)
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was enacted to ensure that patients are informed of their rights to executive advance directives and accepts or refuse medical care. Each state is required under the PSDA to provide a description of the law in the state regarding advance directives to providers, whether such directives are based on state statutes or judicial decisions
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political malpractice
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is an instance of negligent or unethical conduct on the part of an elected official. Like medical malpractice, political malpractice involves a failure to offer professional services as expected. Political malpractice usually hurts the citizens to whom the politician is accountable.
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Privacy Act of 1974
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was enacted to safeguard individual privacy form the misuse of federal records, to give individual access to records concerning themselves that are maintained by federal agencies, and to establish a Privacy Protection Safety Commission
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public policy
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is that principle of law that holds that no one can lawfully do that which tends to be injurious to the public or against the public law
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Sarbanes-Oxley Act
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requires for example, executives of public corporations to vouch for the financial reports and encourages self-regulation
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Sherman Antitrust Act
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prescribes that every contract, combination in the form of trust or otherwise, or conspiracy in restraint of trade or commerce among the several states is declared to be illegal. Those who attempt to monopolize, combine, or conspire with any other person or persons to monopolize any part of the trade or commerce can be deemed guilty of felony.