Claim reviews All claim reviews

Nothing helps prevent a claim better than reviewing past cases to learn from and avoid the mistakes others have made. Our claim reviews are based on real cases (with all identifying information either removed or altered), and include guidance from our patient safety and risk management experts to reduce your potential for similar events.

All claim reviews

Appendicitis — Communication breakdown among providers

A communication breakdown leads to a missed diagnosis of appendicitis.

Specialty: Family practice, general surgery, emergency medicine
Allegation: Failure to diagnose appendicitis
Patient safety and risk management focus: Communication breakdown among providers

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Chemotherapy — High-alert medications

A miscalculated dose of an unfamiliar chemotherapy medication causes a patient's death.

Specialty: Family practice
Allegation: Chemotherapy medication error
Patient safety and risk management focus: High-alert medications

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High-alert medications

A high-alert medication is incorrectly administered resulting in a patient injury.

Specialty: Emergency room
Allegation: Incorrect medication administration
Patient safety and risk management focus: High-alert medication errors

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Lung cancer — Follow-up system failure

A family physician fails to follow up on an abnormal chest X-ray.

Specialty: Family practice
Allegation: Delay in diagnosis of lung cancer
Patient safety and risk management focus: Communication breakdowns resulting in a failure to follow up on abnormal test results

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Meningitis — Inappropriate telephone triage

A family physician fails to diagnose meningitis in a 4-month-old due to inadequate telephone triage.

Specialty: Family practice
Allegation: Failure to diagnose meningitis
Patient safety and risk management focus: Telephone triage

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OB monitoring — Failure to follow chain of command

OB nurses’ failure to notify the physician of the mother's condition results in the death of the baby.

Specialty: Obstetrical nursing
Allegation: Improper monitoring, failure to notify physician, failure to document patient condition
Patient safety and risk management focus: Failure to follow chain of command

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Pulmonary embolus — Repeat visits for unresolved complaints

A patient is examined multiple times for the same complaints; yet a fatal condition goes undiagnosed.

Specialty: Family practice, emergency medicine
Allegation: Failure to diagnose pulmonary embolus
Patient safety and risk management focus: Repeated visits for unresolved complaints, patient care protocols

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Wrong site surgery

A distraction in the OR leads to a wrong site surgery.

Specialty: Nursing and surgery
Allegation: Improper performance of procedure – wrong foot
Patient safety and risk management focus: Prevention of wrong-site surgery

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