Medication Monitoring Missteps Lead to Vision Loss
Case Study
Insufficient medication monitoring, misread diagnostic studies, and poor team communication led to a patient's permanent eye damage and impaired vision.
Newsletter
Medication Monitoring Missteps Lead to Vision Loss, Data-Driven Priorities in Ambulatory Care, and More
Sep 25, 2025
3 Key Ways to Avoid a Delayed Cancer DX Claim |
|
| September marks Prostate Awareness Month. In observance, we revisit a CRICO case study titled "Unacknowledged PSA Test Result Delays Prostate Cancer Diagnosis." The analysis underscores three vital practices that can help physicians enhance patient safety and mitigate medical malpractice risks. The patient in the featured case claimed that their physician failed to review and respond to an abnormal test finding, resulting in a delayed diagnosis of prostate cancer. The case settled in the high range ($500,000 to $999,999).
|
Here are the main risk prevention takeaways highlighted in the case analysis:
|
Data-Driven Priorities in Ambulatory Care
Strategies for Patient Safety
Several forces are driving the increased demand for ambulatory care, include an aging population, the rapid expansion of ambulatory surgical centers, rising health care costs for patients, and the growing prevalence of chronic conditions such as diabetes and cardiovascular disease. For many of these patients, receiving treatment in outpatient facilities is more cost-effective than inpatient care, further accelerating the shift.
New Podcast Alert!
Podcast
Multiple Swiss Cheese Slices and the Holes Line Up in RN Med Error Case
Related To: Communication, Diagnosis, EHR, Medication, Nursing, Other Specialities
About the series
Even in the safest healthcare setting, things can go wrong. For more than 40 years, CRICO has analyzed MPL cases from the Harvard medical community. Join our experts as they unpack what occurred and the lessons learned for safer patient care from the causes of these errors.
AMC PSO
Newsletter
Non-Operating Room Anesthesia Self-Assessment Tool
Related To: Medication, Nursing, Other Specialities, Patient Safety Awareness, Publications
Recent Issues
Explore the archives.
Poor Teamwork Contributes to Anesthesiology Errors and Patient Harm, Mitigating Medication Mistakes, and More
Newsletter
CRICO on Call: June 2025
Outpatient Adverse Events Often Preventable, Delayed Cancer Diagnosis Case Study, and More
Newsletter
CRICO on Call: September 2024
Missed Lung Nodule Results in Fatal Diagnosis, Navigating the Risks and Benefits of AI in Clinical Diagnosis, and More
Newsletter
CRICO on Call: March 2025
Combating Workplace Violence in Health Care, Inadequate Documentation Leads to Complications, and More
Newsletter
CRICO on Call: November 2024