Risk Management Tools & Resources

 

CASE STUDY: Failure to Evaluate Medical History Prior to Prescribing Results in Anaphylactic Reaction

In this case, a primary care provider prescribed an antibiotic to a patient without reviewing the patient's chart to confirm any existing allergies. The chart contained documentation of an allergy to a certain class of antibiotics.

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Family Medicine: Addressing Clinical System Risk Factors

Clinical systems failures, a contributing factor in family medicine claims, involve breakdowns in office systems and procedures, namely tracking and follow-up systems. Technical issues — such as problems with system interfaces, user errors, software or hardware glitches, and technology failures — also can play a role in clinical system failures.

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CASE STUDY: Physician Fails to Investigate Abnormal Lab Value; Patient Dies From Gastric Carcinoma

Modern medicine offers healthcare providers an impressive cadre of diagnostic tools and techniques, including a multitude of different laboratory tests. When lab studies produce abnormal results, investigating the etiology to determine an appropriate explanation is essential. This case illustrates what can happen when a healthcare provider abandons an investigation before a satisfactory explanation is established.

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CASE STUDY: Failure to Monitor Patient for Obstructive Sleep Apnea; Physician Implicated in Death Following Surgery

The patient was a 4-year-old male who presented to an outpatient surgery center for a tonsillectomy and adenoidectomy. He had a history of OSA and enlarged tonsils, and he was mildly obese; however, the patient was otherwise healthy.

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