Many diagnostic errors don’t come from a single “bad result.” Instead, they can come from how information moves through a system—especially when a tool’s output is treated as a shortcut.
In real Duarte-area cases, the issues often look like:
- Imaging or report workflows where a radiology finding is missed or not escalated despite abnormal indicators.
- Lab and results timing problems—where a clinician receives results later than they should or fails to act on “abnormal” flags.
- Clinical decision support that suggests a likely diagnosis, but doesn’t fully account for patient-specific factors (symptoms, history, or red flags).
- Triage and documentation tools that shape what gets ordered, what gets recorded, and what gets communicated.
The legal question isn’t whether technology exists—it’s whether the care team and facility met the California standard of care for verifying, communicating, and acting on diagnostic information.


