Risk Management Tools & Resources

 

CASE STUDY: Narrow Diagnostic Focus and Inadequate Communication Lead to Delayed Diagnosis of Stroke

The patient, a women in her mid-forties, developed dizziness and vomiting during exercise. Upon presentation to an emergency department (ED), staff noted that the patient was unable to verbally communicate, but she could follow instructions. An examination revealed bilateral nystagmus, and a urine toxicology screen was positive for opiates.

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CASE STUDY: Lapses in Clinical Judgment Lead to Poor Patient Outcome and Malpractice Suit

A patient who had undergone radiation therapy for cancer of the soft palate presented to his general dentist for routine care. Because of severe xerostomia, the dentist and patient were unable to control the patient's caries.

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CASE STUDY: Inadequate Communication Between Provider and Patient Leads to Misdiagnosis

A doctor on call for his group practice received an after-hours call from a male patient in his sixties. The patient was complaining of weakness and reported that he had started a new blood pressure pill (hydrochlorothiazide) 3 days earlier. He also reported taking lisinopril daily for more than a year.

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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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