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The quality of health care and its effects on patient care are priority concerns in today' s highly regulated and ever changing health care delivery system. A hospital is a multi-care facility, integrating all aspects of patient care, and operating as a profit making entity. 1 Hospitals hold themselves out to be health care providers, and patients rely on these entities to provide appropriate care. Many hospitals advertise and market their equipment, services, staff, and physicians. A hospital has a duty to ensure that its physicians abide by proper patient care standards. When a patient does not select his or her physician before entering the hospital, the patient must trust that the hospital has assembled a competent staff that can and will perform the procedure properly. In such circumstances, a hospital has a stronger role in ensuring patient safety and care. The future ofhospitalliability may involve accountability for physicians who fail to obtain informed consent from their patients and who work primarily within the walls of the hospital. Informed consent is an important aspect of patient care and is an evolving cause of action in medical malpractice liability. A majority of hospitals already assert some control over the informed consent process, by way of policies and procedures, forms, compliance with standards set by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and by hiring physicians to perform procedures that require informed consent. Hospital control over the conduct of its staff or physicians is a consideration for liability.2 If courts decide to expand certain theories of liability, hospitals will have to be aware of the potential for legal responsibility.

Hospital Liability: Drawing a Fine Line with Informed Consent in Today's Evolving Health Care Arena