Improper Performance
Malpractice claims alleging improper performance
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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
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
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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Reporter 2019 Ophthalmology
Improper performance of cataract surgery; Guidelines for the release of medical records
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Reporter 2019 Radiology
Performing an MRI when contraindicated; Guidelines for the release of medical records
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Failure to properly interpret BRCA test results
In December 2011, a 40-year-old woman came to her ob-gyn for a well-woman visit. Per the patient’s request, breast cancer susceptibility gene (BRCA) testing was scheduled to take place in 10 days.
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Improper performance of carpal tunnel surgery
A 56-year-old man with a history of fibromyalgia and depression went to his his primary care physician due to sensory changes in his upper arms. The patient was referred to an orthopedic surgeon.
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Reporter Quarter 2 2019
From difficult to dangerous: How to handle disruptive patients; How to address ethical misconduct by a colleague or staff member; Improper performance of breast biopsy; Improper prescribing
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Reporter 2019 Dermatology
Failure to respond to complications in a timely manner; Guidelines for the release of medical records
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Case Study: Failure to supervise aesthetician
A 33-year-old woman sought laser hair removal at a plastic surgeon’s medical spa, located next to his medical office.
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Reporter 2018 Orthopedics
Improper performance of left carpal tunnel surgery; Law requires Texas physicians to query PMP before prescribing opioids and other drugs
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Failure to obtain consent for esophageal dilation
On May 6, a 79-year-old man came to a gastroenterologist for an evaluation of iron deficiency anemia.
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Failure to monitor thiamine levels
A 50-year-old woman consulted with a bariatric surgeon for weight reduction surgery. The patient was 5’ 4” and weighed 265 pounds.
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Reporter Quarter 3 2018
CME - Human Trafficking; Communicating with millennials; Wernicke's encephalopathy: Failure to monitor thiamine levels; Failure to obtain consent for esophageal dilation; TMLT Board Election 2019
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Failure to diagnose cornual pregnancy
A 33-year-old woman came to the emergency department (ED) complaining of bilateral abdominal pain, back pain, and shortness of breath.
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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 that began the previous evening.
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Failure to diagnose rhabdomyolysis
At 3:20 p.m., a 3-year-old girl was brought to the emergency department (ED) with complaints of fever, lethargy, sore throat, severe leg pain bilaterally with decreased sensation, and absent reflexes.
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Failure to monitor patient’s postoperative INR
A 54-year-old woman came to an orthopedic surgeon with complaints of chronic bilateral hip pain lasting for 30 years.
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Failure to properly supervise
A 28-year-old woman came to an orthopedic clinic with right hip pain lasting for two weeks. Orthopedist A’s physician’s assistant (PA) examined the patient and obtained x-rays.
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Failure to evaluate patient
A 72-year-old man was evaluated by Ophthalmologist A on several occasions. The patient had cataracts, with best corrected visual acuity of 20/25 in the right eye and 20/40 in the left eye.
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