Isabel Healthcare

Patient Safety & Quality Case studies

Below are real cases that have been diagnosed late or missed.

The use of an instant patient specific check list of likely diagnoses would have asked our colleagues - Have you considered these likely diagnoses?

CASES 2010

CASE	PATIENT SAFETY AND QUALITY CASE STUDIES	ISABEL FINAL DIAGNOSIS
Apr 12 Case 3	A Geriatric Male – Headache, Muscle Aches, Fatigue	YES
Mar 8 Case 2	An Adult Female – Fever, Myalgias, Arthralgias, Paresthesia, Elevated Sedimentation Rate	YES
Feb 6 Case 1	Male Twins – Stature	YES

CASES 2009

CASE	PATIENT SAFETY AND QUALITY CASE STUDIES	ISABEL FINAL DIAGNOSIS
Dec 03 Case 9	An Adult Male - Headache, Fever, Hepatomegaly, Conjunctivitis	YES
Oct 02 Case 8	An Adult Male - Diarrhea, Arthralgias	YES
Sep 03 Case 7	An Adult Female - Bruising, Headaches, Vertigo, Nausea, Rashes, Diaphroesis	YES
May 28 Case 6	An Adult Male–Weakness, tingling numbness, hypokalemia	YES
Apr 10 Case 5	An Adolescent Female – Exudative Pharyngitis, Neck Pain, Fever, Arm Pain and Swelling	YES
Apr 06 Case 4	An Adult Male – Memory Loss, Headaches, Lymphadenopathy, African-American	YES
Mar 18 Case 3	An Adult Male – Fever, Loss of Consciousness, Tachycardia	YES
Feb 13 Case 2	An Adult Male – Transient Complete Blindness, Cerebellar Lesons, HIV	YES
Feb 11 Case 1	An Adult Male – Abdominal Pain, Fever, Heart Valve Replacement	YES

CASES 2008

CASE	PATIENT SAFETY AND QUALITY CASE STUDIES	ISABEL FINAL DIAGNOSIS
Dec 12 Case 16	An Adult Male – Severe Wrist Pain.	YES
Oct 28 Case 15	A 6-Year-Old Female – Facial Palsy, Mouth Pain, Paraesthesia and Ataxia.	YES
Oct 28 Case 14	An Adult Male – Fever, Rigors and Hematuria.	YES
Oct 27 Case 13	An Adult Female - Leukemoid Reaction, Lymphadenopathy, Hypercellular Marrow.	YES
Oct 21 Case 12	Adult Female - Pregnant, Suprapubic Pain, Vaginal Bleeding with Multiple Gestation.	YES
Oct 15 Case 11	An Adolescent Male – Generalized Muscle Weakness.	YES
Oct 15 Case 10	An Adult Male – Visual Scotoma, Headache and Ptosis.	YES
June Case 9	A Four-Month-Old Male Infant - Hypotonia and Weak Cry.	YES
June Case 8	An Adult Female – Tiredness, Depression, Lack of Energy, Muscular Pains and Bloated.	YES
June Case 7	An Adult Male - Painful Leg with Blisters.	YES
June Case 6	An Adult Female - Headache and Blurred Vision.	YES
June Case 5	An Adult Male - Fatigue, Arthralgia and Abnormal LFTs.	YES
June Case 4	A Geriatric Male with Fever, Erythematous Rash, Dry mucous membranes and Leucocytosis.	YES
May Case 3	An Young Asian Female Adult - Fever, Weight Loss and Cervical Lymphadenopathy	YES
April Case 2	An Adolescent Female - Back Pain, RUQ pain, Lymphocytosis and Jaundice.	YES
Mar Case 1	A 55-year-old Male - Low Grade Fever and Back Pain.	YES

CASES 2007

CASE	PATIENT SAFETY AND QUALITY CASE STUDIES	ISABEL FINAL DIAGNOSIS
Dec 07 Case 8	A 55-Year-Old Male - Cough, Weight Loss and a Smoker.	YES
Dec 07 Case 7	A 30-Year-Old Male - Fever, Rhinorrhea and Ear Pain.	YES
Nov 07 Case 6	A 5-Month-Old Infant - Fever, Neck Stiffness, Drooling and Leucocytosis.	YES
Nov 07 Case 5	A Geriatric Female – Confusion, Metabolic Alkalosis and Obesity	YES
Oct 07 Case 4	A 60-Year-Old Male – Dementia and Cogwheel Rigidity	YES
Oct 07 Case 3	A 5-Year-Old Male – Abdominal Pain, Scrotal Edema, Leukocytosis, Raised ESR, Hypoalbuminemia	YES
Sept 07 Case 2	A 6-Month-Old Male – FTT, Thin Hair and Scleroderma Skin Changes	YES
Aug 07 Case 1	A 33-Year-Old Male - Retrosternal Chest Pain	YES