Reporter Q2 2022
CME (2-hour): Electronic medical records; Wearable health technology; Medications: Common risk management issues; Failure to monitor medication and order testing; Delay in treating stroke
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Stroke
Closed claim studies involving the diagnosis and treatment of stroke
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Failure to discuss interruption of anticoagulation
A 72-year-old man came to a surgeon, who confirmed the patient had a reducible right inguinal hernia. The patient’s medical history included a CVA four years earlier.
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Failure to diagnose postpartum stroke
The first documented assessment of the patient in the ED revealed a temperature of 97.9 degrees; pulse 53; respirations 20; blood pressure 147/77 mm Hg; oxygen saturation 97%.
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Failure to monitor patient exhibiting signs of stroke
A 58-year-old woman with a history of morbid obesity, type 2 diabetes, hypertension, and high cholesterol arrived in the ED by ambulance. She reported numbness and blurred vision.
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Failure to monitor warfarin levels
A 70-year-old woman with diabetes, hypercholesterolemia, and hypertension was taken to the hospital due to severe aortic stenosis.
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Failure to restart anticoagulants
A 66-year-old man came to an internal medicine physician reporting a shuffling gait.
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