Iowa Colony sits in a fast-growing part of the Texas Gulf Coast region, with patients often cycling between primary care, urgent care, ER visits, and specialty referrals. Diagnostic errors can slip through those handoffs—especially when:
- A patient visits an urgent care clinic more than once before being referred
- ER discharge instructions don’t lead to timely follow-up
- Records don’t transfer cleanly between facilities
- Imaging or lab results are delayed, partially communicated, or misinterpreted
- Automated tools influence triage or documentation, and the underlying concern isn’t escalated
In real life, families often feel like they did everything they could—until the diagnosis finally changed after symptoms worsened. Our work is to trace the timeline and identify where the standard of care broke down.


