What is an ethically informed approach to managing patient safety risk during discharge planning?

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Abstract

Hospital discharge planning for patients who might not be safe at home- particularly those leaving against medical advice-can require risk managers to navigate the complex intersection of tort law, federal and state regulations, and clinical ethics. An overarching duty is to ensure that a patient is as safe as possible in the environment to which the patient is being discharged, although it's not always possible to formulate a safe discharge plan. When patients have decision-making capacity, they can make a decision to be in an environment that's not safe. When patients do not have decision-making capacity, it is not always legally permissible to hold them against their wishes to keep them in a safe environment, so some kind of discharge plan must be made. This article considers the role of a risk manager in navigating this set of circumstances.

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APA

West, J. C. (2020, November 1). What is an ethically informed approach to managing patient safety risk during discharge planning? AMA Journal of Ethics. American Medical Association. https://doi.org/10.1001/amajethics.2020.919

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