Adult Primary Care

News and case studies for primary care physicians

  • Failure to follow up on MRI test results

    Failure to follow up on MRI test results

    A 40-year-old man came to his family physician with complaints of left shoulder pain for two weeks. The physician ordered an MRI and administered an injection of methylprednisolone and lidocaine.

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  • Most common medical liability claims and costs: Internal medicine

    Most common medical liability claims and costs: Internal medicine

    A summary of internal medicine claims data from the MPL Association Data Sharing Project.

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  • Failure to diagnose and treat

    Failure to diagnose and treat

    On January 10, a 35-year-old man was transported by ambulance to a hospital’s emergency department (ED) reporting headache and dizziness. The patient had a history of hypertension and hypothyroidism.

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  • Reporter 2018 Adult Primary Care

    Reporter 2018 Adult Primary Care

    Failure to monitor warfarin levels; Law requires Texas physicians to query PMP before prescribing opioids and other drugs

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  • Failure to monitor warfarin levels

    A 70-year-old woman with a history of diabetes, hypercholesterolemia, and hypertension was taken to Hospital A, due to severe aortic stenosis.

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  • Discover risk exposures in your practice and get a 5% discount on your premium with a PRACTICE REVIEW

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  • Failure to properly manage warfarin dose

    An 89-year-old woman suffered a fractured right femur requiring surgical repair. She had a complicated history and comorbidities.

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  • Failure to monitor patient’s INR

    In 2007, a 65-year-old man began seeing Family Physician A for treatment of high cholesterol and bronchitis. Over the next two years, the patient was seen for routine care.

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  • Failure to confirm diagnosis of polycythemia vera

    In November 2007, a 40-year-old man was referred to an internal medicine physician by his primary care physician. The patient reported feeling weak and tired.

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  • Delay in diagnosing breast cancer

    A 77-year-old woman with a history of cigarette smoking and COPD came to her family physician reporting a lump in her right breast.

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  • Failure to treat myocardial infarction

    Failure to treat myocardial infarction

    At 6:51 p.m., a 62-year-old man came to the emergency department (ED) of a local hospital reporting pain in the “chest wall area.”

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  • Overprescribing NSAIDs

    Overprescribing NSAIDs

    A 50-year-old man came to the emergency department (ED) of a large medical center with symptoms that suggested cellulitis. He had a fever of 102.4 degrees, and his blood pressure was 163/92 mm Hg.

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  • Failure to report misplaced central line

    On July 22, a 64-year-old woman came to the emergency department (ED) of a local hospital. The patient had undergone back surgery five days earlier, and she came to the ED for a possible overdose.

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  • Reporter 2017 Internal Medicine

    Reporter 2017 Internal Medicine

    Failure to properly manage warfarin dosage; Case closed: HIPAA and patient privacy

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  • Delay in detecting melanoma

    A 58-year-old man came to his family physician for evaluation of a lesion on his back. The man was a long-time patient of this physician.

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  • Failure to insist on EMS transport

    At 8:30 a.m., a patient’s wife called her husband’s family physician and requested an appointment because her husband was experiencing chest pain that began the previous evening.

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  • Failure to follow up on mammogram

    Failure to follow up on mammogram

    A 54-year-old woman returned to her primary care physician, Family Physician A. The patient reported pain in her left arm, chest, and back that had continued for a week.

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  • Failure to restart anticoagulants

    A 66-year-old man came to an internal medicine physician with a complaint of shuffling gait. He had a complex medical history, including a history of stroke.

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  • Failure to diagnose breast cancer

    A 49-year-old African-American woman came to an internal medicine physician in August 2001. She continued to see this physician and his physician’s assistant for several years.

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  • Failure to diagnose Churg-Strauss Syndrome

    A 44-year-old man came to the ED with swelling of the lower extremities and ecchymosis present for the past six days. He denied nausea, vomiting, or diarrhea.

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  • Failure to manage medications

    In December 2008, a 76-year-old woman came to an internist to establish a primary care relationship and to seek treatment for itching.

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