Failure to monitor warfarin levels; Law requires Texas physicians to query PMP before prescribing opioids and other drugs
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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.
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.
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.
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.
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.
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.
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.”
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.
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.
Reporter 2017 Internal Medicine
Failure to properly manage warfarin dosage; Case closed: HIPAA and patient privacy
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.
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.
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.
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.
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.
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.
In December 2008, a 76-year-old woman came to an internist to establish a primary care relationship and to seek treatment for itching.
On December 3, a 27-year-old woman came to the office of Internist A. The patient reported abdominal pain.
Failure to insist on EMS transport
This is an actual TMLT medical malpractice case, involving the treatment of a patient with chest pain.
Reporter 2016 Internal Medicine
Failure to diagnose and treat liver cancer; Law enforcement exceptions to HIPAA