Discharge Against Medical Advice, Pitfalls and Troubleshooting. There is a very interesting article from JAMA in Nov. 2013, explaining of misconception and how misleading is information regarding discharge patient with AMA. I always discuss with residents that signing an AMA form does not mean anything unless you document the patient’s condition and mental status and details of your discussion in medical record.
Remember, patient should have discharge instruction and also clearly should understand that we are happy to take care of her/him as soon as return or change their ideas. You should remain doors OPEN and let them to come back if they need help. This article clearly discuss some misleading information regarding insurance and pitfalls in discharge AMA.