The lack of a discharge order may indicate that the patient left against medical advice. If this

situation occurs, you would expect to see the circumstances of the leave
A. documented in an incident report and filed in the patient's health record.
B. reported as a potentially compensable event.
C. reported to the Executive Committee.
D. documented in both the progress notes and the discharge summary.

D "Documented in an incident report and filed in the patient's health record" is incorrect
because incident reports are written accounts of unusual events that have an adverse effect on
a patient, employee, or facility visitor and should never be filed with the patient's
record. "Reported as a potentially compensable event" is incorrect because PCEs are
occurrences that could result in financial liability at some future time. A patient leaving AMA
does not in itself suggest a PCE. "Reported to the Executive Committee" is incorrect because it
is not typical to report AMAs to the Executive Committee. The answer is "documented in
both the progress notes and the discharge summary" because documenting the event is
crucial in protecting the legal interests of the health care team and facility.