#48 AMA Discharges: At the Bedside Segment

Do we have to sign the AMA form? Do insurances deny payment for patients who leave AMA? What is your approach to AMA discharges? Core IM At the Bedside speaks to ethics researcher, Dr. David Alfandre, author of Things We Do For No Reason (https://www.journalofhospitalmedicine.com/jhospmed/article/147925/hospital-medicine/things-we-do-no-reason-against-medical-advice-discharges): Against Medical Advice Discharges Show Notes, Full Transcript and References (https://www.coreimpodcast.com/2019/09/04/ama-discharges/) Time Stamps * 3:03 Demographics of AMA discharges * 5:59 Clinician/System related factors of AMA discharges * 10:30 Strategies for mitigating AMA Discharges * 15:59 Do we have to make patients sign the AMA form? * 18:27 Do insurances deny payment for patients who leave AMA? * 23:09 Take Away Points Tags: shared-decision making, harm reduction

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Core Internal Medicine via following series: 5 Pearls || Clinically relevant pearls Mind the Gap || Why do we do what we do? Gray Matters || Management Reasoning Hoofbeats || Dissecting clinical reasoning At the Bedside || Explore everyday challenges