Medicolegal Issues

What is your liability for involuntary commitment based on faulty information?

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References

Ways to reduce liability risk

Although an involuntary hospitalization could have an uncertain basis, psychiatrists can reduce the risk of legal liability for their decisions. Good documentation is important. Admitting psychiatrists usually make sound decisions, but the corresponding documentation frequently lacks clinical justification.42-44 As the rate of appropriate documentation of admission decision-making improves, the rate of commitment falls,44 and patients’ legal rights enjoy greater protection.43 Poor communication can decrease the quality of care and increase the risk of a malpractice lawsuit.45 This is just one of many reasons why you should explain your reasons for involuntary hospitalization and inform patients of the procedures for judicial review.8,9 Table 3 summarizes other steps to reduce liability risk when committing patients to the hospital.1,8,15,21,33,35-37,42,45-47

Bottom Line

Admitting a patient in bad faith can lead to both civil and criminal sanctions. A thorough, well-documented clinical evaluation supplemented with collateral information should have statutory immunity from legal action so long as your reasons for involuntary hospitalization adhere to state law on civil commitment. Improving your patient’s subjective experience and satisfaction with hospitalization should improve treatment outcomes and may lower your risk of facing adverse legal action.

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