Sanford patients commonly cycle through multiple points of care: same-day urgent visits, imaging appointments, ER returns, specialist referrals, and follow-up calls. That can be necessary—but it also increases the risk that a key result isn’t acted on quickly, or that information doesn’t transfer clearly.
In many cases, families later learn that:
- A provider relied too heavily on a risk score or imaging interpretation without adequate verification
- Abnormal labs or imaging findings weren’t flagged for timely follow-up
- A “normal” read delayed escalation while symptoms continued to worsen
- A clinician didn’t adequately document differential diagnoses or red-flag reasoning
- Communications failed between a clinic, hospital, lab, and the next appointment
When automated tools are part of the workflow—such as clinical decision support, triage routing, documentation assistance, or predictive analytics—the investigation often turns on how the tool’s output was used and whether it was properly reviewed.


