Closed claim studies involving the diagnosis and treatment of heart and vascular disease
Failure to follow up on CT scan
On May 1, 2013, a 69-year-old man came to the ED with worsening shortness of breath. The patient’s history included smoking, COPD, and an occluded right coronary artery.
Failure to monitor patient’s INR
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 properly treat
A 74-year-old woman visited Cardiologist A with symptoms of congestive heart failure.
Failure to diagnose and treat acute coronary artery syndrome
A 43-year-old man came to the ED of a metropolitan hospital reporting chest pain, dizziness, diaphoresis, shortness of breath, and pain going down his arms.
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.
Failure to diagnose and treat thrombosis
A 66-year-old man came to his internist reporting shortness of breath and chest pain for three to four weeks.
Failure to diagnose myocardial infarction
A 66-year-old man came to the ED at 9:11 p.m. with chest pain. He was triaged at 9:14 p.m.
Failure to treat myocardial infarction
A 62-year-old man came to the ED of a local hospital reporting pain in the “chest wall area.”
Failure to diagnose myocardial infarction 2
A 57-year-old man came to the ED by ambulance after developing chest tightness and shortness of breath followed by a syncopal episode.
Failure to properly manage resuscitation efforts
An 8-year-old girl with a history of a congenital bicuspid aortic valve and aortic stenosis was scheduled for restorative dental work for dental decay/cavities.
Failure to monitor patient during stress test
A woman in her early 60s was referred to a cardiologist for chest pain and dyspnea on exertion.
Informed refusal: When patients decline treatment
Case study and article on how to document the informed refusal, and recommendations that may help minimize the risk of lawsuits related to patient refusals.