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Blood Disorders

Blood Disorders

Author Hayden Stewart

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Improper endotracheal tube placement

A 34-year-old man came to a hospital by EMS with shortness of breath and high blood pressure.
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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.

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Failure to prevent aspiration

A woman came to the ED with abdominal pain, nausea, and constipation.

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Failure to properly evaluate and treat depression

A 51-year-old man came to his primary care physician and reported insomnia.

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Improper administration of anesthesia and surgical awareness

A 34-year-old man was taken to the OR for a hernia repair.

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Failure to supervise advanced practice provider

A 40-year-old man with an 18-year history of migraine headaches came to his family physician.

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Improper prescribing following surgery

A 43-year-old man came to the emergency department (ED) on August 21 with sudden epigastric pain radiating to his back with severe nausea and vomiting.

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Failure to respond to abnormal liver function test results

A 60-year-old woman came to her primary care physician’s office with abdominal pain and fullness

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Failure to treat plagiocephaly in a timely manner

A woman brought her 10-month-old son to Pediatrician A’s office for evaluation of reported head asymmetry and earache.

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Failure to communicate diagnosis of ectopic pregnancy

A 26-year-old woman came to her ob-gyn after visiting the ED with pain in her right lower abdomen

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Failure to properly administer pain medication

A patient was being treated for chronic pain related to failed back syndrome

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Improper endotracheal tube placement

A 34-year-old man came to a hospital by EMS with shortness of breath and high blood pressure.

Read Article
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.

Read Article
Failure to diagnose Churg-Strauss Syndrome

A 44-year-old man came to the ED with leg swelling and bruising for the past six days.

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Failure to diagnose anemia

A 17-month-old girl was brought her pediatrician to complete vaccinations, a visit documented as “vaccines only.”

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Failure to confirm diagnosis of polycythemia vera

A 40-year-old man came to an internal medicine physician and reported feeling weak and tired.

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Digestive Diseases

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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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Risk alert and closed claim study — Wernicke's Encephalopathy after bariatric surgery

The TMLT claims and risk management departments have seen an alarming increase in the number of claims filed related to Wernicke’s encephalopathy (WE) following bariatric surgery.

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Procedure performed when contraindicated

A 67-year-old man was referred to a gastroenterologist for a screening colonoscopy.

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Overprescribing NSAIDs

A 50-year-old man came to the ED with symptoms that suggested cellulitis.

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Risk Alert: Wernicke's Encephalopathy

The TMLT claims and risk management departments have seen an alarming increase in the number of claims filed related to Wernicke’s encephalopathy following bariatric surgery.

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