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Fredericks, J. (2009). Implement a patient-friendly medication plan to improve patient safety within a healthcare system. Journal of Healthcare Risk Management, 29(4), 22-27. However, as competition for patients increases, it is also possible to deny privileges to competent healthcare professionals in order to prevent their entry into the market and avoid competition. Anti-competitive abuse is also on the rise (Cohen, 2009). Health Care Quality Improvement Act of 1986 (HCQIA), 42 U.S.C. §11101 et seq. (Nesse 2009) established certain standards for professional examination measures. Compliance with these standards would ensure that the professional review body and all members or employees associated with it would be charged under professional or state law with respect to their decisions. Many have heard of Scheherazade, the legendary storyteller, but they point out that they may not know their own story. She, a heroine in her own right, agreed to marry the cruel King Shahriyar, whom other women feared for murdering his wives.

All those who married the king lost their lives `underline{text{her}}. Neither Scheherazade nor her sister Dunyazad feared for their lives because they had a plan to save themselves and the other women. The plan was for Dunyazad to ask Scheherazade to tell a story the night after the wedding. She ̅underline{text{She}}She then began a story so enchanting that the king, the `underline{text{who}} who loved stories, spared her life to hear the end of the next night. and the next and so on. The stories of Scheherazade form the Arabian Nights. It contains the stories of Sinbad the sailor and Aladdin and his magic lamp. Scheherazade`s plan worked, because there was no better storyteller than her ̅underline{text{she}}elle. The stories lasted 100110011001 nights during which Scheherazade had three children. The next step would be to compare the results of the ad hoc committee with those of the peer review committee. If the peer review committee`s report appears to be unfounded, the charges against the physician to be reviewed will be dismissed. Confirmation of the peer review committee`s report would begin the next step.

Negligence cannot be derived from a bad outcome. Our law states that a doctor is not a health insurer, and a doctor is not obliged to guarantee results. He undertakes only to meet the level of competence possessed by others who practice in similar circumstances in his field. 12 Bunting, R. (2010). Introduction to a culture, process and philosophy. Journal of Healthcare Risk Management, 29(4), 4-14. The Helling v. Carey has pushed state legislatures to pass laws setting the standard of due diligence in their jurisdictions. Washington State was the first to pass this type of legislation when it concluded that the standard of care is not met when «the defendant or defendants do not exercise the level of ability, care, and learning that others possess in the same profession.» 10 Zimmerman, T. (2007). Involving patients in the analysis of root causes and failures of the system: legal and psychological implications.

Journal of Healthcare Risk Management, 27(2), 27-34. Restricting or revoking a physician`s privileges is the extreme disciplinary measure taken by the chief medical staff of hospitals in the United States. Typically, hospital authorities attempt to resolve issues of physician non-compliance with less stringent means before taking final disciplinary action. However, the primary goal of all healthcare organizations is to optimize patient care, and the continued disruptive behavior of physicians would certainly affect the effective functioning of these organizations. The most significant steps taken to restrict or revoke a physician`s privileges may be organization-specific. However, some of the basic steps are as follows: Harper appealed the decision to terminate his contract and asked Healthsource to disclose the evidence on the basis of which the decision to terminate his contract was made. Healthsource refused to comply with his request, but gave him the opportunity to present evidence in his favor to a clinical quality assurance committee. After refusing to disclose substantial evidence against him, Harper did not appear before the committee. As a result, it was recommended that Harper be fired without reason (Bunting, 2010). The Supreme Court`s decision in the Harper case had a number of implications. First, the Court noted that Harper was neither an employee of Healthcare nor an independent physician. Second, the decision is considered phenomenal in that it led to the formulation of the common law to protect Harper`s «right» to have access to his patients.

In addition, the decision noted that in an ideal physician-patient relationship in managed care, neither the physician nor the patient has the authority to represent the interests of the MCO (Upenieks, 2010). For example, the Harper decision led to the formulation of legitimate public policy to protect the physician-patient relationship. In addition to its initial recommendations, the peer review committee may propose other corrective measures depending on the nature of the case. These additional corrective actions are usually recommended by the Chair of the peer review committee in consultation with the supervising practitioner. Negligence is generally defined by law as «the standard of conduct to which one must comply. [and] is that of a reasonable person in similar circumstances. 4 In law, medical malpractice is regarded as a specific area in the general field of negligence. It presupposes that four conditions (elements) are met for the claimant to be able to claim damages. These conditions are: mandatory; Gap; damage; and causality. The second element, breach of duty, is synonymous with a «standard of care.» Prior to several important cases in the 1900s, the standard of care was defined by the legal concept of «custom.» As in 1934 in Garthe v.