Liability in triage: management of EMTALA regulations and common obstetric risks.
The Emergency Medical Treatment and Active Labor Act (EMTALA) affects all clinicians who provide triage care for pregnant women. EMTALA has specific regulations for hospitals relative to women in active labor. Violations can carry stiff penalties. It is critical for clinicians performing obstetric triage to understand the duties and obligations of this law. This article discusses EMTALA and reviews common liability risks in obstetric triage as well as strategies to modify those risks.
Angelini
Diane J
DJ
Department of Obstetrics-Gynecology, Brown University, Providence, RI 02905, USA. dangelini@wihri.org
Mahlmeister
Laura R
LR
D002985:Clinical Protocols; D004282:Documentation / Q000379:methods; D004632:Emergency Medical Services / Q000331:legislation & jurisprudence / Q000592:standards; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D016365:Liability, Legal; D008880:Midwifery / Q000331:legislation & jurisprudence / Q000592:standards; D009774:Obstetrics / Q000331:legislation & jurisprudence* / Q000592:standards; D010351:Patient Discharge / Q000331:legislation & jurisprudence; D010360:Patient Transfer / Q000331:legislation & jurisprudence; D011247:Pregnancy; D012308:Risk Management / Q000379:methods*; D016312:Treatment Refusal / Q000331:legislation & jurisprudence; D014218:Triage / Q000331:legislation & jurisprudence*; D014481:United States