Page 51 - 2022 Risk Basics - Radiology
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SVMIC Risk Basics: Radiology
Although each state establishes its own criteria and laws for determining
when the physician-patient relationship exists, it is safe to say that if
radiology services are being performed on behalf of or for the benefit of
a patient, the physician-patient relationship has been established, and
that radiologist owes the patient the applicable duty of care regardless of
where the patient is located. Thus, the radiologist can expect to be sued
in the event there has been perceived negligence.
As previously stated, as a general rule, the practice of medicine is
deemed to have occurred at the location where the patient is located.
This is true regardless of whether or not the radiologist had any direct
communication with the patient. For example, if a CT scan is performed
in Philadelphia, PA, and is sent electronically to Memphis, TN, to be
interpreted by a radiologist who reports his or her findings to the referring
physician in Pennsylvania, the radiologist (located in TN) is practicing
medicine in Philadelphia, PA. The radiologist must be licensed in PA,
familiar with the standard of care in PA, and be prepared to be sued in
PA.
Final Impressions
• Minimize distractions when reading studies.
• Note all potential limitations or factors that might compromise
sensitivity or specificity of a study or exam.
• Perception and interpretation can improve by availing yourself of all
readily accessible clinical information.
• Seek additional clinical information when presented with incomplete
or questionable studies.
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