Case Studies

Risk management in action. Read case studies based on actual TMLT medical malpractice claims.

  • Failure to treat suspected deep vein thrombosis

    Failure to treat suspected deep vein thrombosis

    A man living in a nursing home and rehab center complained of right leg pain. The staff documented a 2+ edema in his right foot and notified the facility's consulting internal medicine physician.

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  • Failure to communicate and delay in diagnosing lung cancer

    Failure to communicate and delay in diagnosing lung cancer

    A 68-year-old man saw Orthopedic Surgeon A over the course of several months for pain in his right knee, leg, and lower back. Right knee arthroscopic surgery was recommended and scheduled.

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  • Failure to recognize bowel injury

    Failure to recognize bowel injury

    A 42-year-old woman came to see her obstetrician-gynecologist (Ob-Gyn A) on January 10 with abnormal uterine bleeding and abdominal and pelvic pain. She had been a patient of Ob-Gyn A for nine years.

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  • Complications after bariatric surgery

    Complications after bariatric surgery

    A 35-year-old man consulted with a general surgeon regarding bariatric surgery. A sleeve gastrectomy and duodenal switch was performed.

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  • Failure to recognize esophageal intubation

    Failure to recognize esophageal intubation

    A 51-year-old man was scheduled for a right knee replacement revision on August 3 at a local hospital. The revision was required because of loosening hardware.

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  • Failure to diagnose pulmonary embolism

    Failure to diagnose pulmonary embolism

    A 51-year-old woman came to the emergency department (ED) of a large hospital with excessive vaginal bleeding, progressive diarrhea, and dizziness over the past three days.

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  • Ordering incorrect dose of corticosteroid

    Ordering incorrect dose of corticosteroid

    A 50-year-old man was referred to a nephrologist for renal insufficiency. The patient's history included ankylosing spondylitis and scleroderma.

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  • 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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  • Delay in the diagnosis of lung cancer

    Delay in the diagnosis of lung cancer

    A 62-year old man came to the ED with symptoms of a stroke.

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  • Failure to properly treat

    Failure to properly treat

    A 16-year-old boy came with his mother to an appointment at a dermatology practice. At the request of the mother, a PA wrote a prescription for a compound scar gel containing a steroid.

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  • Complications from hernia repair procedure

    Complications from hernia repair procedure

    On June 25, a 35-year-old man came to an emergency department (ED) reporting right lower abdominal pain following exercise.

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  • Failure to properly manage shoulder dystocia

    Failure to properly manage shoulder dystocia

    A 35-year-old woman went to an obstetrics/gynecology practice for confirmation of pregnancy and prenatal care. She had a history of three prior pregnancies, with two ending in miscarriage.

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  • Failure to diagnose and treat infection

    Failure to diagnose and treat infection

    A 72-year-old woman with a history of diabetes went to the emergency department due to pain in her left eye. The ED physician suspected orbital cellulitis, but CBC and CT scans were normal.

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  • Delay in surgery and improper performance

    Delay in surgery and improper performance

    On December 24, a 64-year-old man fell from a ladder and injured his left forearm. He came to the emergency department. An x-ray showed a displaced and complete fracture of radial and ulnar shafts.

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  • Failure to admit, diagnose, and treat

    Failure to admit, diagnose, and treat

    On July 13 at 12:45 a.m., a 48-year-old man was brought to a hospital emergency department (ED) by air ambulance.

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  • Failure to follow up on CT scan

    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.

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  • Improper management of diabetic ketoacidosis

    Improper management of diabetic ketoacidosis

    On Dec. 15 at 10:23 a.m., a 12-year-old boy with a history of insulin-dependent diabetes mellitus came to an ED with sore throat, cough, abdominal pain, anorexia, nausea, vomiting, and diarrhea.

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  • Incorrect course of treatment and diagnosis

    Incorrect course of treatment and diagnosis

    On June 2, a 61-year-old man came to the emergency department (ED) of a large hospital. He reported recurring, right-sided, lower abdominal pain for two days. He rated the pain as a 9 out of 10.

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  • Delay in recognizing intraoperative complications

    Delay in recognizing intraoperative complications

    A 58-year-old woman came to an orthopedic surgeon reporting unrelenting back pain and radiculopathy into her right leg. The patient described the pain as 10 out of 10.

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