Prescribing unnecessary medication
A 69-year-old woman came to her family physician for hip pain
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Case Studies
Risk management in action. Read case studies based on actual TMLT medical malpractice claims.
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Improper performance of pain management procedure
A patient with chronic pain, spinal injuries and procedures came to Anesthesiologist A for pain management.
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Improper endotracheal tube placement
A 34-year-old man came to a local hospital by EMS with shortness of breath and blood pressure of 218/129 mm Hg. He had prescriptions for four hypertension medications; but only used one of them.
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Failure to properly administer pain medication
A patient was being treated for chronic pain related to failed back syndrome. Her pain management physician was treating her with a spinal cord stimulator and a subarachnoid narcotic infusion system.
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Delay in administering anticoagulant
A 75-year-old woman was admitted to a rehabilitation hospital after experiencing weakness and an increased number of falls at home.
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Improper performance of a hysterectomy
A 58-year-old woman came to Ob-gyn A for treatment of postmenopausal bleeding and dysmenorrhea.
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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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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
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
A 68-year-old man saw Orthopedic Surgeon A for pain in his right knee, leg, and lower back.
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CASE STUDY VIDEO: Failure to Recognize Retained Sponge
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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
A general surgeon performed a sleeve gastrectomy and duodenal switch on a 35-year-old man.
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CASE STUDY VIDEO: Improper Prescribing
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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
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
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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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
A 62-year old man came to the ED with symptoms of a stroke.
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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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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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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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