Many delayed diagnosis cases in Monterey don’t stem from one dramatic “mistake.” They often come from breakdowns in the handoffs:
- Urgent care visits during peak travel periods (when staffing and scheduling can be strained)
- Specialist referrals that stall—for example, when imaging or lab results are available but follow-up isn’t completed promptly
- Patient communication gaps, such as unclear discharge instructions or delays in notifying patients about abnormal findings
- Multiple facilities and systems—common when care begins in one setting and continues elsewhere
In California, these gaps matter because a claim typically turns on what the provider knew at each point in time and whether they acted as a reasonably careful clinician would have under similar circumstances.


