• J Healthc Risk Manag · Jan 2009

    Leaving against medical advice: facing the issue in the emergency department.

    • Edward P Monico and Ian Schwartz.
    • Yale University, New Haven, CT, USA.
    • J Healthc Risk Manag. 2009 Jan 1;29(2):6-9, 13, 15.

    AbstractPatients leaving the emergency department (ED) against medical advice (AMA) represent 0.1% to 2.7% of all ED patients. These patients create significant angst for emergency physicians because these patients frequently have serious underlying medical pathology and tend to represent a higher-than-average source of medical-legal liability than other ED patients. This article attempts to mitigate these risks by reviewing what we know about AMA encounters from the ED and providing documentation guidelines for the encounter.

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