Diagnosis

• A Less-Than-Thorough Work-Up for Chest Pain
• Attending Needed at Bedside for Emergency Abdominal DX
• Boy Dies after Missed Ischemic Bowel
• Breast Lump Complaint Wrongly Followed With Screening Test
• Communication Gaps Hinder Preventative Measures
• Delay in Post-op Hematoma Diagnosis Causes Paralysis
• Delayed Heart Care Due to Lack of Expertise, Hospital Capability
• Discharged from ED Before MI Death
• Failure to Rule Out Bacterial Meningitis
• From Chronic Problems to an Acute Dilemma
• Girl Loses Ovary After Repeated Visits, Delayed Diagnosis
• Inattention to Allergy
• Incidental Finding Not Followed
• Lost Vision After DX Delay
• Miscommunication Leads to Retained Foreign Body
• Missed Follow-up, Missed Cancer
• Missed MI and Failure to Connect the Dots During Multiple Visits
• Missed MI Despite Family History
• Missed Opportunities to Diagnose Pancreatitis
• Missed Opportunities in the ED
• Mixed Symptoms, Narrow Focus Contribute to PE Death
• Multiple Complaints and Non-compliance
• Multiple MDs ID Chronic Origin for Headaches Before Brain Aneurysm Death
• Narrow Diagnostic Focus in the ED
• Narrow Focus Obscures Cancer Diagnosis
• No Screening Discussion, Then Prostate Cancer
• Not Offered Screening Test Before Colorectal Cancer
• PCP Didn’t Verify Prior Colorectal Screening
• PCP/Specialist Communication Undermines Prostate Cancer Defense
• Physicians Unaware of Nodule on Routine X-ray
• Primary Complaint Masks Breast Cancer
• Rare Blood Disease Fatal after Slow Labs Review, Narrow Focus
• Reliance on Patient’s Self Diagnosis Obscures Fatal Condition
• The Best Laid Plans: Delayed Diagnosis of Colorectal Cancer
• Treatment Delayed Despite Multiple Visits and Phone Calls
• Undetected Med Toxicity in Child Seen by Multiple MDs

Medication

• An Unsupervised Dosing Error
• Failed Physician-Nurse Communication, Post-Op Sleep Apnea, Death
• Inattention to Allergy
• Undetected Med Toxicity in Child Seen by Multiple MDs

Obstetrics

• An Unsupervised Dosing Error
• Complications Follow Questionable Induction of Labor
• Decreased Fetal Activity and Inaction Prior to Stillbirth
• Defending Appropriate Care in Light of Tragic Outcome
• MD Indecision Blamed for Compromised Baby
• Results Recorded for a Test not Performed
• Sent Home Twice Before Birth of Compromised Baby NEW!
• Teamwork Failures in Labor and Delivery
• Unfamiliarity Breeds Contempt
• Unprepared for Labor & Delivery Worst Case Scenario
• Vague Talk Between OB and RN Caused Delay

Surgery

• Attending Needed at Bedside for Emergency Abdominal DX
• Blindness Following Spine Surgery
• Death By Complication
• Delay in Post-op Hematoma Diagnosis Causes Paralysis
• Delayed Diagnosis of Post-operative Complication
• Failed Physician-Nurse Communication, Post-Op Sleep Apnea, Death
• Failure to Attend to the Main Concern
• Inadequate Supervision On The O.R.
• Late X-ray Review Slowed Infection DX
• Miscommunication Leads to Retained Foreign Body
• Misplaced and Misread: Patient’s Death Follows Multiple Mix-ups
• Missed Complication
• Narrow Diagnostic Focus and Removal of Infant’s Healthy Kidney NEW!
• Whose Patient Is She?
• Wrong Site, Quickly Settled

Anesthesia

• An Unsupervised Dosing Error
• Blindness Following Spine Surgery
• Failed Physician-Nurse Communication, Post-Op Sleep Apnea, Death

Cardiology

• Delayed Heart Care Due to Lack of Expertise, Hospital Capability
• Discharged from ED Before MI Death

Emergency Medicine

• A Less-Than-Thorough Work-Up for Chest Pain
• Attending Needed at Bedside for Emergency Abdominal DX
• Boy Dies after Missed Ischemic Bowel
• Discharged from ED Before MI Death
• From Chronic Problems to an Acute Dilemma
• Girl Loses Ovary After Repeated Visits, Delayed Diagnosis
• Misplaced and Misread: Patient’s Death Follows Multiple Mix-ups
• Missed Opportunities in the ED
• Missed MI Despite Family History
• Narrow Diagnostic Focus in the ED
• Physicians Unaware of Nodule on Routine X-ray
• Reliance on Patient’s Self Diagnosis Obscures Fatal Condition
• Whose Patient Is She?

General Medicine

• Failure to Rule Out Bacterial Meningitis
• From Chronic Problems to an Acute Dilemma
• Lost Vision After DX Delay
• Missed MI and Failure to Connect the Dots During Multiple Visits
• Missed MI Despite Family History
• Missed Opportunities in the ED
• Missed Opportunities to Diagnose Pancreatitis
• Mixed Symptoms, Narrow Focus Contribute to PE Death
• Multiple Complaints and Non-compliance
• Multiple MDs ID Chronic Origin for Headaches Before Brain Aneurysm Death
• Narrow Diagnostic Focus in the ED
• Narrow Focus Obscures Cancer Diagnosis
• No Screening Discussion, Then Prostate Cancer
• PCP Didn’t Verify Prior Colorectal Screening
• PCP/Specialist Communication Undermines Prostate Cancer Defense
• Physicians Unaware of Nodule on Routine X-ray
• Primary Complaint Masks Breast Cancer
• Rare Blood Disease Fatal after Slow Labs Review, Narrow Focus
• The Best Laid Plans: Delayed Diagnosis of Colorectal Cancer
• Treatment Delayed Despite Multiple Visits and Phone Calls

General Surgery

• Against her wishes, a Jehovah’s Witness receives 30 blood transfusions
• Attending Needed at Bedside for Emergency Abdominal DX
• Blindness Following Spine Surgery
• Death By Complication
• Delay in Post-op Hematoma Diagnosis Causes Paralysis
• Failed Physician-Nurse Communication, Post-Op Sleep Apnea, Death
• Inattention to Allergy
• Narrow Diagnostic Focus and Removal of Infant’s Healthy Kidney NEW!
• PCP Didn’t Verify Prior Colorectal Screening

Neurology

• Delay in Post-op Hematoma Diagnosis Causes Paralysis
• Multiple MDs ID Chronic Origin for Headaches Before Brain Aneurysm Death

Neurosurgery

• Death By Complication
• Miscommunication Leads to Retained Foreign Body
• Wrong Site, Quickly Settled

Nursing

• Dodging Responsibility and Placing Blame
• Failed Physician-Nurse Communication, Post-Op Sleep Apnea, Death
• Failure to Attend to the Main Concern
• Missed Follow-up, Missed Cancer
• Results Recorded for a Test not Performed
• Treatment Delayed Despite Multiple Visits and Phone Calls

OB/GYN

• An Unsupervised Dosing Error
• Breast Lump Complaint Wrongly Followed With Screening Test
• Complications Follow Questionable Induction of Labor
• Decreased Fetal Activity and Inaction Prior to Stillbirth
• Defending Appropriate Care in Light of Tragic Outcome
• MD Indecision Blamed for Compromised Baby
• Results Recorded for a Test not Performed
• Sent Home Twice Before Birth of Compromised Baby NEW!
• Teamwork Failures in Labor and Delivery
• Unfamiliarity Breeds Contempt
• Unprepared for Labor & Delivery Worst Case Scenario
• Vague Talk Between OB and RN Caused Delay

Oncology

• Breast Lump Complaint Wrongly Followed With Screening Test
• Communication Gaps Hinder Preventative Measures
• Missed Follow-up, Missed Cancer
• PCP Didn’t Verify Prior Colorectal Screening

Opthalmology

• Lost Vision After DX Delay
• Failed Physician-Nurse Communication, Post-Op Sleep Apnea, Death

Orthopedics

• Failure to Attend to the Main Concern
• Inadequate Supervision On The O.R.

Pediatrics/Neonatology

• Failure to Rule Out Bacterial Meningitis
• Girl Loses Ovary After Repeated Visits, Delayed Diagnosis
• Undetected Med Toxicity in Child Seen by Multiple MDs

Psychiatry

• Narrow Diagnostic Focus in the ED

Radiology

• From Chronic Problems to an Acute Dilemma
• Incidental Finding Not Followed
• Misplaced and Misread: Patient’s Death Follows Multiple Mix-ups
• Physicians Unaware of Nodule on Routine X-ray
• Results Recorded for a Test not Performed

Urology

• PCP/Specialist Communication Undermines Prostate Cancer Defense