Case Studies

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

  • Improper patient transfer: EMTALA case study

    Improper patient transfer: EMTALA case study

    A pregnant woman arrived in the ED at or near term. She was experiencing one-minute, moderate contractions every three minutes.

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  • Failure to recognize sepsis

    Failure to recognize sepsis

    A woman came to the ED in labor. Her scheduled cesarean delivery had been changed due to low amniotic fluids on a recent sonogram.

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  • Improper performance of a chemical peel procedure

    Improper performance of a chemical peel procedure

    Dermatologist A performed a TCA chemical peel to minimize the appearance of a patient’s facial skin discolorations.

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  • Failure to treat suspected deep vein thrombosis

    Failure to treat suspected deep vein thrombosis

    A man living in a nursing home reported right leg pain. Staff documented a 2+ edema in his right foot and notified the facility's consulting 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 for pain in his right knee, leg, and lower back.

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  • Failure to recognize bowel injury

    Failure to recognize bowel injury

    A 42-year-old woman came to Ob-Gyn A with abnormal uterine bleeding and abdominal and pelvic pain.

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  • Complications after bariatric surgery

    Complications after bariatric surgery

    A general surgeon performed a sleeve gastrectomy and duodenal switch on a 35-year-old man.

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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 at a local hospital.

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  • Failure to diagnose pulmonary embolism

    Failure to diagnose pulmonary embolism

    A 51-year-old woman came to the ED with excessive vaginal bleeding, progressive diarrhea, and dizziness.

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  • Ordering incorrect dose of corticosteroid

    Ordering incorrect dose of corticosteroid

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

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  • CASE STUDY VIDEO: Failure to Recognize Retained Sponge

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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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  • CASE STUDY VIDEO: Improper Prescribing

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  • Failure to properly treat

    Failure to properly treat

    A 16-year-old boy came with his mother to dermatologist. The patient had face and back acne.

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  • Complications from hernia repair procedure

    Complications from hernia repair procedure

    A 35-year-old man came to the 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 came to the ED due to pain in her left eye.

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  • Delay in surgery and improper performance

    Delay in surgery and improper performance

    A 64-year-old man fell from a ladder and injured his left forearm. An x-ray showed a displaced fracture of radial and ulnar shafts.

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  • Failure to admit, diagnose, and treat

    Failure to admit, diagnose, and treat

    A 48-year-old man was brought to the ED by air ambulance following an auto accident.

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  • Failure to follow up on CT scan

    Failure to follow up on CT scan

    A 69-year-old man came to the ED with worsening shortness of breath. His history included smoking, COPD, and an occluded right coronary artery.

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  • Improper management of diabetic ketoacidosis

    Improper management of diabetic ketoacidosis

    A 12-year-old boy with insulin-dependent diabetes mellitus came to an ED with abdominal pain, nausea, vomiting, and diarrhea.

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