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Discharge against medical advice ama in which a patient chooses to leave the hospital before the treating physician recommends discharge is a problem for many physicians who treat hospitalized patients 12 leaving the hospital against the physicians advice may expose the patient to risk of an inadequately treated medical problem and result in the need for readmission 3 the ethical against medical advice ama sometimes known as discharge against medical advice dama is a term used in health care institutions when a patient leaves a hospital against the advice of their doctor while leaving before a medically specified endpoint may not promote the patients health above their other values there is widespread ethical and legal consensus that competent patients or request to leave against medical advice the medical risksbenefits have been explained to me by a member of the medical staff and i understand those risks i hereby release the medical center its administration personnel and my attending andor resident physicians from any responsibility for allagainst medical advice ama a phrase pertaining to a clients decision to discontinue a therapy despite the advice of medical professionals ama ayurvedic medicine a physiologic impurity in the ayurvedic construct medspeak abbreviation for against medical advice the self discharge of a patient from a healthcare facility contrary to what his or patients who leave against medical advice are up to 10x more likely to sue the emergency physician when compared to other ed patients some estimate that 1 in 300 ama cases results in a lawsuit compared to 1 in 30000 standard ed visits 3

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