TMB rules you may not know but should, part 1; CRNAs and the anesthesia care team model (CME);
Failure to diagnose pneumonia; Failure to conduct pre-operative evaluation
CASE STUDY VIDEO: Improper Prescribing
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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.
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.
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.
Reporter 2019 Ophthalmology
Improper performance of cataract surgery; Guidelines for the release of medical records
Reporter 2019 Radiology
Performing an MRI when contraindicated; Guidelines for the release of medical records
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.
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.
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
Reporter 2019 Dermatology
Failure to respond to complications in a timely manner; Guidelines for the release of medical records
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.
Reporter 2018 Orthopedics
Improper performance of left carpal tunnel surgery; Law requires Texas physicians to query PMP before prescribing opioids and other drugs
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.
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.
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
A 33-year-old woman came to the emergency department (ED) complaining of bilateral abdominal pain, back pain, and shortness of breath.
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.
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.
A 54-year-old woman came to an orthopedic surgeon with complaints of chronic bilateral hip pain lasting for 30 years.
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.
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.