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March 4, 1992

Medical-Legal Survival: A Risk Management Guide for Physicians

Author Affiliations

Thomas Jefferson University Philadelphia, Pa Alfred I. Du Pont Institute Wilmington, Del

JAMA. 1992;267(9):1273-1274. doi:10.1001/jama.1992.03480090121041

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This manual was prepared by 12 representatives of major medical centers in the United States and reviewed by three faculty members from major universities and two administrators from similar institutions. It has 11 sections and comes in a small (five- by seven-inch), loose-leaf format.

The introduction describes the riskmanagement department and discusses specific issues of confidentiality, records, early warning systems, communication, and the resources that are available to the physician. The next section, "Policy Resources," provides a list of administrative staff who could be helpful to the physician in answering questions about risk management or medicolegal situations that may arise. Within this section is also an excellent discussion of the patient's bill of rights and patient responsibilities.

The next section deals with documentation and is an analytical approach to all aspects of record keeping with regard to medical care in a hospital. Besides discussing each of the various types of