By Douglas J. Marchant MD
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Extra resources for Contemporary Diagnosis and Management of Breast Disease, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine)
If, for any reason, a delay in diagnosis occurs, the record should reﬂect the cause of the delay. If patient neglect or resistance is the reason, it must be documented, and it should be noted in the record that the patient was informed of the possible serious adverse effects of her action or inaction. Comprehensive documentation ensures quality care, appropriate reimbursement, and diminished legal risk. A RISK REDUCTION PRESCRIPTION The physician should establish an ofﬁce protocol for use in patients with breast complaints.
If the patient is referred, one must document the reason for referral, to whom the patient is referred, and the ﬁnal result. Related medicolegal issues are discussed in greater detail elsewhere in this issue. Patients often come to the physician well prepared for a discussion of their chief complaint. They have discussed the problem with friends and consulted the media, including the Internet. The physician should be prepared to discuss these issues with the patient. During the past 2 decades, the lay press has paid increasing attention to breast self-examination, suggesting that it is a simple, noninvasive, inexpensive, and attractive screening procedure for breast cancer.
DuBarkarte v Louvar, 393 NW2d 131 (Iowa 1986) 5. Harris G, Bartlett E, Rehmar M, et al: Early diagnosis of breast changes: Risk management and quality of care approach. J Fla Med Assoc 83:466, 1996 6. Physician Insurers Association of America: Breast Cancer Study. Rockville, MD, Physician Insurers Association of America, 1995 7. Physicians Insurers Association of America (PIAA) Claim Trend Analysis: A Comprehensive Analysis of Medical Malpractice Data Reported to the PIAA Data Sharing Project. Rockville, MD, PIAA, 1999 8.
Contemporary Diagnosis and Management of Breast Disease, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine) by Douglas J. Marchant MD