A step-by-step approach to patients leaving against medical advice (AMA) in the emergency department - PMC

Comprehensive Documentation
Capacity assessment
Description of the interaction with the patient
Physician’s concerns
Extent and limitations of the ED evaluation
Explications of risk and benefits
Alternatives discussed
Use of a language the patient understands
Patient opportunity to ask question
Evidence the patient/family understands
Patient was informed to return to the ED at anytime
Notification to the primary physician
Evidence of a harm reduction approach