San Diego patients interact with many parts of the healthcare system—urgent care chains, hospital emergency departments, imaging centers, specialty clinics, and lab networks. In that environment, diagnostic errors can be amplified when information moves quickly between providers.
Common San Diego scenarios we investigate include:
- Abnormal results not escalated quickly (e.g., imaging or lab findings that should have triggered a follow-up plan)
- Inconsistent charting across visits after a patient is routed through triage or automated intake
- Decision-support being treated as a “final answer” rather than a prompt for clinician review
- Workflow handoffs where the right note, report, or warning didn’t reach the next decision-maker
- Misinterpretation of imaging/lab reports when automated flags conflicted with clinical findings
Importantly, these cases are not about blaming “a computer.” They’re about whether the care team and the system followed the standard of care—including appropriate verification, communication, and escalation when risk indicators appeared.


