► Authority to keep a patient in a facility against their will is limited by law and decision
makers must address legal, professional, and ethical obligations. A framework that …

In this situation and many others, healthcare professionals must carefully balance
considerations of beneficence, justice, and patient autonomy. Swidler, et al. mention that “a …

Every day, in every hospital, hospital staff members, patients, and families wrestle with
critically important discharge decisions. Those decisions can raise complex issues with …

Patients who sign out or choose to leave the emergency department (ED) against medical
advice (AMA) present important challenges. The current approach to the complex legal …

Disagreements between patient and clinician about the need for hospitalization focus on
discharges against medical advice (AMA), when a patient with decision‐making capacity …

Discharges against medical advice (AMA) account for approximately 1% of discharges for
general medical patients. Patients discharged AMA have longer eventual hospital stays and …

1The Patient Self Determination Act (PSDA), adopted in 1991, 2 requires hospitals, nursing
facilities, home health care providers, hospice programs, HMOs, and other health care …

British Columbia has three pieces of legislation that are relevant to the protection and
treatment of vulnerable adults who require hospitalization but decline to stay voluntarily: the …

What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge
Planning? | Journal of Ethics | American Medical Association Skip to main content AMA Journal …

Purpose/objective: To describe steps in offering a patient a choice of post–acute care
providers during the discharge planning process that reflects the case management …