At a primary care clinic, a healthcare risk management case

At a primary care clinic, a healthcare risk management case arises related to outpatient safety due to miscommunication and inadequate follow-up regarding abnormal test results of a patient. A patient undergoes routine laboratory tests, including blood work and imaging studies, but due to an oversight in the clinic’s system, the abnormal results are not promptly communicated to the patient or the responsible provider in a timely fashion. This communication issue results in a diagnosis and treatment delay resulting in an avoidable emergency department visit and subsequent hospitalization related to colon cancer.

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