A case of not reading the chart and ineffective hand off communication.
Wilson
Joseph S
JS
MAG Mutual Insurance Company, USA.
D003142:Communication; D003675:Defensive Medicine / Q000331:legislation & jurisprudence*; D055991:Health Records, Personal; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications / Q000628:therapy; D016365:Liability, Legal; D008297:Male; D019300:Medical Errors / Q000331:legislation & jurisprudence*; D008875:Middle Aged; D012308:Risk Management; D014481:United States