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Malpractice risk assessment among different approaches for informed consent.

R L Sato, L G Yamamoto, G G Li

    Hawaii Medical Journal
    |October 31, 2000
    PubMed
    Summary

    Hawaii medical malpractice attorneys generally believe full disclosure in informed consent reduces malpractice risk. However, opinions varied in a pediatric emergency case, highlighting the need for case-by-case assessments.

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    Area of Science:

    • Medical Law
    • Informed Consent
    • Medical Malpractice

    Background:

    • Hawaii Revised Statutes mandate physicians disclose information necessary for informed consent.
    • Physicians must disclose what a reasonable person needs to make an informed decision.
    • This study examines attorney opinions on disclosure and malpractice risk.

    Purpose of the Study:

    • To survey medical malpractice attorneys' opinions on disclosure strategies.
    • To assess whether full or limited disclosure of alternative treatments lowers malpractice risk.

    Main Methods:

    • Hawaii medical malpractice attorneys reviewed arguments for/against full and limited disclosure.
    • Attorneys completed surveys after analyzing disclosure statements in two case scenarios.
    • Case scenarios included a pediatric emergency and an obstetrics case.
    Keywords:
    Empirical ApproachLegal ApproachProfessional Patient Relationship

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    Main Results:

    • A majority of attorneys believe full disclosure generally leads to less liability.
    • In an obstetrics case, most attorneys favored full disclosure for lower liability.
    • In a pediatric emergency case, opinions were divided on disclosure's impact on liability.

    Conclusions:

    • Attorneys overwhelmingly agree full disclosure typically reduces medical legal liability.
    • Full disclosure was favored in the obstetrics case, but opinions differed in the pediatric case.
    • Assessing liability risk is complex and should be determined on a case-by-case basis.