Candidate population — not finalized. All 234 canonical case identities are preserved and shown here for review. Public eligibility is still being resolved: the source-marked reject-candidate list has not yet been established or cleared, so no case is yet published as final. Depth counts below are proposed, pending approval.
Case Explorer
234 accountability cases
Across 54 specialties and 17 accountability patterns. Proposed depth: 196 Inspectable · 37 Operating-capable · 1 Economically demonstrated.
Showing 234 of 234 candidate cases
Interactive Interactive
Positive fecal immunochemical test with no completed diagnostic colonoscopy.
1. GastroenterologyDiagnostic pathway incomplete
PatientUrgent
CASE-01-CAN
Inspectable
STEMI Door-to-Balloon Delay
2. CardiologyTreatment never initiated
PatientImmediate
CASE-02-A
Inspectable
Heart Failure Readmission
2. CardiologyDischarge without ownership
PatientScheduled
CASE-02-B
Inspectable
Abnormal Stress Test Without Timely Follow-up
2. CardiologyDiagnostic pathway incomplete
PatientUrgent
CASE-02-C
Inspectable
New Atrial Fibrillation Without Appropriate Anticoagulation
2. CardiologyMedication management failure
PatientScheduled
CASE-02-D
Interactive Interactive
Critical Ambulatory Rhythm Result Never Acted Upon
2. CardiologyCritical result never acted upon
PatientImmediate
CASE-02-E
Inspectable
Sepsis Recognition Delay
3. Emergency MedicineEscalation failure
PatientImmediate
CASE-03-A
Inspectable
Stroke Door-to-Needle
3. Emergency MedicineTreatment never initiated
PatientImmediate
CASE-03-B
Inspectable
Patient Leaves Without Being Seen
3. Emergency MedicineTreatment never initiated
PatientScheduled
CASE-03-C
Inspectable
Critical Imaging Result Not Acted Upon
3. Emergency MedicineCritical result never acted upon
PatientImmediate
CASE-03-D
Inspectable
Chest Pain Patient With Critical Troponin Result Not Escalated
3. Emergency MedicineCritical result never acted upon
PatientImmediate
CASE-03-E
Interactive Interactive
Emergency Department Discharge With Pending Critical Test Result
3. Emergency MedicineDischarge without ownership
PatientImmediate
CASE-03-F
Inspectable
Incidental Brain Mass Never Communicated
4. NeurologyDiagnostic pathway incomplete
PatientScheduled
CASE-04-B
Inspectable
Critical Carotid Stenosis Not Acted Upon
4. NeurologyCritical result never acted upon
PatientImmediate
CASE-04-C
Inspectable
Transient Ischemic Attack (TIA) Without Urgent Secondary Prevention
4. NeurologyTreatment never initiated
PatientUrgent
CASE-04-D
Interactive Interactive
EEG Demonstrates Status Epilepticus Risk Without Escalation
4. NeurologyEscalation failure
PatientImmediate
CASE-04-E
Inspectable
Abnormal imaging without completed biopsy
5. Medical OncologyDiagnostic pathway incomplete
PatientScheduled
CASE-05-A
Inspectable
Pathology-confirmed cancer without timely oncology referral
5. Medical OncologyReferral never completed
PatientUrgent
CASE-05-B
Inspectable
Chemotherapy authorization delays treatment
5. Medical OncologyAdministrative execution failure
AdministratorScheduled
CASE-05-C
Interactive Interactive
Lung cancer treatment selected without demonstrably complete biomarker and staging evidence
5. Medical OncologyDiagnostic pathway incomplete
PatientUrgent
CASE-05-D
Inspectable
Failure to Recognize Preeclampsia
6. Obstetrics & Maternal-Fetal MedicineEscalation failure
PatientScheduled
CASE-06-A
Inspectable
Delayed Emergency Cesarean Section
6. Obstetrics & Maternal-Fetal MedicineTreatment never initiated
PatientScheduled
CASE-06-B
Inspectable
Positive Group B Streptococcus (GBS) Screen Without Intrapartum Antibiotic Prophylaxis
6. Obstetrics & Maternal-Fetal MedicineMedication management failure
PatientScheduled
CASE-06-C
Inspectable
Rh-Negative Pregnancy Without Timely Rho(D) Immune Globulin Administration
6. Obstetrics & Maternal-Fetal MedicineTreatment never initiated
PatientUrgent
CASE-06-D
Interactive Interactive
Abnormal Prenatal Screening Result Without Demonstrable Genetic Counseling and Diagnostic Follow-up
6. Obstetrics & Maternal-Fetal MedicineCritical result never acted upon
PatientScheduled
CASE-06-E
Interactive Interactive
Kidney Transplant Evaluation Without Demonstrable Completion of Multi-Disciplinary Evaluation and Listing Obligations
7. NephrologyTreatment never initiated
PatientUrgent
CASE-07-CAN
Inspectable
Positive Blood Culture Without Follow-up
8. Infectious DiseaseDiagnostic pathway incomplete
PatientScheduled
CASE-08-A
Inspectable
Delayed Sepsis Treatment
8. Infectious DiseaseEscalation failure
PatientImmediate
CASE-08-B
Inspectable
Tuberculosis Contact Investigation
8. Infectious DiseasePublic health obligation failure
AdministratorScheduled
CASE-08-C
Inspectable
HIV Diagnosis Without Linkage to Care
8. Infectious DiseaseReferral never completed
PatientScheduled
CASE-08-D
Inspectable
Positive Culture Demonstrates Organism Resistant to Current Antibiotics
8. Infectious DiseaseMedication management failure
PatientUrgent
CASE-08-E
Inspectable
Hospital Discharge Before Final Infectious Disease Data Are Complete
8. Infectious DiseaseDischarge without ownership
PatientUrgent
CASE-08-F
Interactive Interactive
Multidrug-Resistant Organism Requiring Simultaneous Patient Care and Public Health Response
8. Infectious DiseasePublic health obligation failure
AdministratorUrgent
CASE-08-G
Inspectable
Recurrent severe hypoglycemia without treatment adjustment
9. EndocrinologyTreatment never initiated
PatientScheduled
CASE-09-A
Inspectable
Diabetic retinopathy detected without ophthalmology follow-up
9. EndocrinologyReferral never completed
PatientScheduled
CASE-09-B
Inspectable
Persistently uncontrolled diabetes without therapeutic intensification
9. EndocrinologySurveillance failure
PatientLongitudinal
CASE-09-C
Interactive Interactive
Diabetic foot ulcer progressing toward amputation
9. EndocrinologyTreatment never initiated
PatientScheduled
CASE-09-D
Inspectable
Hip Fracture Surgery Delay
10. Orthopedic SurgeryTreatment never initiated
PatientUrgent
CASE-10-A
Inspectable
Post-operative Infection
10. Orthopedic SurgeryTreatment never initiated
PatientUrgent
CASE-10-B
Inspectable
Compartment Syndrome Recognition Delay
10. Orthopedic SurgeryEscalation failure
PatientImmediate
CASE-10-C
Inspectable
Failure to Mobilize After Joint Replacement
10. Orthopedic SurgeryTreatment never initiated
PatientUrgent
CASE-10-D
Inspectable
Open Fracture Without Demonstrable Completion of Limb Salvage Coordination
10. Orthopedic SurgeryCommunication failure
PatientScheduled
CASE-10-E
Inspectable
Periprosthetic Joint Infection
10. Orthopedic SurgeryTreatment never initiated
PatientUrgent
CASE-10-F
Inspectable
Polytrauma With Orthopedic Injuries
10. Orthopedic SurgeryTreatment never initiated
PatientScheduled
CASE-10-G
Inspectable
Missed Vaccinations
11. PediatricsPublic health obligation failure
AdministratorScheduled
CASE-11-A
Inspectable
Delayed Autism Evaluation
11. PediatricsDiagnostic pathway incomplete
PatientScheduled
CASE-11-B
Inspectable
Child Abuse Recognition
11. PediatricsTreatment never initiated
PatientScheduled
CASE-11-C
Interactive Interactive
Positive Newborn Screen Without Demonstrable Completion of Confirmatory Testing and Early Treatment
11. PediatricsPublic health obligation failure
AdministratorUrgent
CASE-11-D
Inspectable
Failure to Follow Up After Psychiatric Hospitalization
12. PsychiatryFollow-up never completed
PatientUrgent
CASE-12-A
Inspectable
Suicide Following Missed Outpatient Appointment
12. PsychiatryFollow-up never completed
PatientScheduled
CASE-12-B
Inspectable
Failure to Monitor Lithium or Clozapine
12. PsychiatryMonitoring abandoned
PatientScheduled
CASE-12-C
Inspectable
Involuntary Commitment Process
12. PsychiatryAdministrative execution failure
AdministratorScheduled
CASE-12-D
Interactive Interactive
First-Episode Psychosis Without Demonstrable Completion of Coordinated Specialty Engagement
12. PsychiatryCommunication failure
PatientUrgent
CASE-12-E
Inspectable
Severe asthma exacerbation after medication-access failure
13. PulmonologyMedication management failure
PatientUrgent
CASE-13-A
Inspectable
Pulmonary embolism without anticoagulation follow-up
13. PulmonologyMedication management failure
PatientUrgent
CASE-13-B
Inspectable
Sleep apnea diagnosed without treatment initiation or adherence verification
13. PulmonologyMonitoring abandoned
PatientUrgent
CASE-13-C
Interactive Interactive
Incidental pulmonary nodule lost to follow-up
13. PulmonologyFollow-up never completed
PatientScheduled
CASE-13-D
Inspectable
Wrong-site surgery.
14. General SurgeryMedication management failure
PatientScheduled
CASE-14-A
Inspectable
Retained foreign body.
14. General SurgeryFollow-up never completed
PatientScheduled
CASE-14-B
Inspectable
Postoperative complication.
14. General SurgeryTreatment never initiated
PatientScheduled
CASE-14-C
Inspectable
Failure to Act on Acute Abdomen
14. General SurgeryEscalation failure
PatientScheduled
CASE-14-D
Inspectable
Failure to Complete Surgical Cancer Pathway
14. General SurgeryTreatment never initiated
PatientScheduled
CASE-14-E
Inspectable
Failure to Remove Temporary Diversion
14. General SurgeryFollow-up never completed
PatientScheduled
CASE-14-F
Inspectable
Surgical Incidental Finding Requiring Independent Follow-up
14. General SurgeryDiagnostic pathway incomplete
PatientScheduled
CASE-14-G
Inspectable
Stoma Creation Without Demonstrable Longitudinal Transition Obligations
14. General SurgeryCare transition failure
PatientLongitudinal
CASE-14-H
Inspectable
Uncontrolled Hypertension
15. Family Medicine / Primary CareTreatment never initiated
PatientLongitudinal
CASE-15-A
Inspectable
Missed Preventive Screening
15. Family Medicine / Primary CareDiagnostic pathway incomplete
PatientScheduled
CASE-15-B
Inspectable
Medication Reconciliation Failure
15. Family Medicine / Primary CareMedication management failure
PatientScheduled
CASE-15-C
Inspectable
Incidental Finding Lost During Transition Between Specialists
15. Family Medicine / Primary CareCare transition failure
PatientLongitudinal
CASE-15-D
Inspectable
Hospital Discharge Without Demonstrable Completion of Primary Care Reconciliation
15. Family Medicine / Primary CareDischarge without ownership
PatientScheduled
CASE-15-E
Inspectable
Multi-Morbidity Care Plan Fragmentation
15. Family Medicine / Primary CareCommunication failure
PatientScheduled
CASE-15-F
Inspectable
Wrong Medication
16. AnesthesiologyMedication management failure
PatientScheduled
CASE-16-A
Inspectable
Malignant Hyperthermia
16. AnesthesiologyEscalation failure
PatientScheduled
CASE-16-B
Inspectable
Difficult Airway
16. AnesthesiologyEscalation failure
PatientImmediate
CASE-16-C
Inspectable
Failure of Perioperative Medication Management
16. AnesthesiologyMedication management failure
PatientScheduled
CASE-16-D
Inspectable
Surgery Cancelled Because Required Preconditions Were Never Satisfied
16. AnesthesiologyTreatment never initiated
PatientUrgent
CASE-16-E
Inspectable
Polypharmacy without deprescribing
18. Geriatric MedicineMedication management failure
PatientLongitudinal
CASE-18-A
Inspectable
Recurrent falls without multifactorial assessment
18. Geriatric MedicineTreatment never initiated
PatientScheduled
CASE-18-B
Inspectable
New dementia diagnosis without completed care planning
18. Geriatric MedicineCommunication failure
PatientUrgent
CASE-18-C
Interactive Interactive
Hospital discharge after delirium
18. Geriatric MedicineDischarge without ownership
PatientUrgent
CASE-18-D
Inspectable
Delayed Rheumatoid Arthritis Diagnosis
19. RheumatologyDiagnostic pathway incomplete
PatientScheduled
CASE-19-A
Inspectable
Biologic Therapy Without Tuberculosis Screening
19. RheumatologyPublic health obligation failure
AdministratorScheduled
CASE-19-B
Inspectable
Immunosuppression Without Infection Monitoring
19. RheumatologyMonitoring abandoned
PatientUrgent
CASE-19-C
Inspectable
Rheumatologic Disease Managed by Multiple Specialists Without Unified Immunosuppression Governance
19. RheumatologyCommunication failure
PatientUrgent
CASE-19-D
Inspectable
Critical thrombocytopenia without escalation
20. HematologyEscalation failure
PatientImmediate
CASE-20-A
Inspectable
Anticoagulation interrupted around a procedure
20. HematologyMedication management failure
PatientScheduled
CASE-20-B
Inspectable
Chronic transfusion without demonstrable iron-overload management
20. HematologySurveillance failure
PatientLongitudinal
CASE-20-C
Interactive Interactive
Sickle cell transition from pediatric to adult care
20. HematologyCare transition failure
PatientLongitudinal
CASE-20-D
Inspectable
Delayed Melanoma Diagnosis
21. DermatologyDiagnostic pathway incomplete
PatientScheduled
CASE-21-A
Inspectable
Biologic Therapy Monitoring
21. DermatologyMonitoring abandoned
PatientLongitudinal
CASE-21-B
Inspectable
Severe Drug Rash
21. DermatologyTreatment never initiated
PatientScheduled
CASE-21-C
Inspectable
Dermatopathology Result Without Demonstrable Closure of the Diagnostic Pathway
21. DermatologyDiagnostic pathway incomplete
PatientScheduled
CASE-21-D
Inspectable
Chronic Non-Healing Skin Wound Managed Across Dermatology, Vascular Surgery, Wound Care, and Primary Care
21. DermatologyTreatment never initiated
PatientLongitudinal
CASE-21-E
Inspectable
Positive Skin Biopsy Requiring Margin-Dependent Surgical Planning
21. DermatologyDiagnostic pathway incomplete
PatientScheduled
CASE-21-F
Inspectable
Retinal detachment symptoms without urgent evaluation
22. OphthalmologyTreatment never initiated
PatientUrgent
CASE-22-A
Inspectable
Diabetic retinopathy detected without treatment follow-up
22. OphthalmologySurveillance failure
PatientScheduled
CASE-22-B
Inspectable
Cataract surgery without postoperative follow-up
22. OphthalmologyTreatment never initiated
PatientScheduled
CASE-22-C
Interactive Interactive
Glaucoma progression despite fragmented longitudinal monitoring
22. OphthalmologyMonitoring abandoned
PatientLongitudinal
CASE-22-D
Inspectable
Sudden Sensorineural Hearing Loss Without Demonstrable Completion of Urgent Diagnostic Confirmation and Time-Sensitive Treatment Obligations
23. OtolaryngologyDiagnostic pathway incomplete
PatientUrgent
CASE-23-CAN
Inspectable
Delayed Physical Therapy
24. Physical Medicine & Rehabilitation (PM&R)Treatment never initiated
PatientScheduled
CASE-24-A
Inspectable
Failure to Follow Rehabilitation Plan
24. Physical Medicine & Rehabilitation (PM&R)Care transition failure
PatientLongitudinal
CASE-24-B
Inspectable
Stroke Rehabilitation
24. Physical Medicine & Rehabilitation (PM&R)Care transition failure
PatientImmediate
CASE-24-C
Inspectable
Spinal Cord Injury Rehabilitation
24. Physical Medicine & Rehabilitation (PM&R)Care transition failure
PatientLongitudinal
CASE-24-D
Inspectable
Functional Goals Never Become Operational Obligations
24. Physical Medicine & Rehabilitation (PM&R)Communication failure
PatientScheduled
CASE-24-E
Inspectable
Delayed Return-to-Work
25. Occupational MedicineEmployer execution failure
EmployerScheduled
CASE-25-A
Inspectable
Workers' Compensation Claim Delay
25. Occupational MedicineEmployer execution failure
EmployerUrgent
CASE-25-B
Inspectable
OSHA Recordability
25. Occupational MedicineEmployer execution failure
EmployerScheduled
CASE-25-C
Inspectable
Independent Medical Examination
25. Occupational MedicineEmployer execution failure
EmployerScheduled
CASE-25-D
Economically demonstrated Avoidable cost
Work Restrictions Issued Without Demonstrable Employer Acceptance and Operational Execution
25. Occupational MedicineEmployer execution failure
EmployerUrgent
CASE-25-E
Inspectable
Hospice Referral Delay
26. Palliative MedicineReferral never completed
PatientUrgent
CASE-26-A
Inspectable
Failure to Document Advance Directives
26. Palliative MedicineCommunication failure
PatientScheduled
CASE-26-B
Inspectable
End-of-Life Conflict
26. Palliative MedicineCommunication failure
PatientScheduled
CASE-26-C
Interactive Interactive
Goals-of-Care Established but Not Operationalized Across the Care System
26. Palliative MedicineCommunication failure
PatientScheduled
CASE-26-D
Inspectable
Infertility Evaluation Without Completion of Diagnostic Workup
27. Obstetric & Gynecologic Oncology / Reproductive MedicineDiagnostic pathway incomplete
PatientScheduled
CASE-27-A
Inspectable
Abnormal Cervical Cancer Screening Without Diagnostic Resolution
27. Obstetric & Gynecologic Oncology / Reproductive MedicineDiagnostic pathway incomplete
PatientScheduled
CASE-27-B
Interactive Interactive
Fertility Preservation Opportunity Lost Before Gonadotoxic Therapy
27. Obstetric & Gynecologic Oncology / Reproductive MedicineTreatment never initiated
PatientImmediate
CASE-27-C
Inspectable
Elevated PSA without completed diagnostic resolution
28. UrologyDiagnostic pathway incomplete
PatientScheduled
CASE-28-A
Inspectable
Obstructing stone with infection without urgent decompression
28. UrologyTreatment never initiated
PatientUrgent
CASE-28-B
Inspectable
Urinary retention discharged without accepted follow-up
28. UrologyDischarge without ownership
PatientScheduled
CASE-28-C
Interactive Interactive
Ureteral stent placed but never demonstrably removed or exchanged
28. UrologySurveillance failure
PatientScheduled
CASE-28-D
Inspectable
Ruptured Abdominal Aortic Aneurysm
29. Vascular SurgeryTreatment never initiated
PatientImmediate
CASE-29-A
Inspectable
Acute Limb Ischemia
29. Vascular SurgeryTreatment never initiated
PatientImmediate
CASE-29-B
Inspectable
Dialysis Access Failure
29. Vascular SurgeryTreatment interrupted
PatientScheduled
CASE-29-C
Inspectable
Carotid Stenosis Management
29. Vascular SurgeryTreatment never initiated
PatientScheduled
CASE-29-D
Inspectable
Peripheral Arterial Disease Without Demonstrable Longitudinal Limb-Preservation Execution
29. Vascular SurgeryTreatment never initiated
PatientLongitudinal
CASE-29-E
Inspectable
Inferior Vena Cava (IVC) Filter Placement Without Demonstrable Retrieval or Permanent Management Decision
29. Vascular SurgerySurveillance failure
PatientScheduled
CASE-29-F
Inspectable
Epidural Hematoma
30. NeurosurgeryEscalation failure
PatientScheduled
CASE-30-A
Inspectable
Intracranial Pressure Crisis
30. NeurosurgeryEscalation failure
PatientScheduled
CASE-30-B
Inspectable
Brain Tumor Surgery
30. NeurosurgeryTreatment never initiated
PatientScheduled
CASE-30-C
Inspectable
Cerebral Aneurysm
30. NeurosurgeryTreatment never initiated
PatientScheduled
CASE-30-D
Inspectable
Shunt Placement Without Demonstrable Longitudinal Surveillance and Malfunction Accountability
30. NeurosurgerySurveillance failure
PatientLongitudinal
CASE-30-E
Inspectable
Missed Fracture
31. Diagnostic RadiologyDiagnostic pathway incomplete
PatientScheduled
CASE-31-A
Inspectable
Incidental Finding
31. Diagnostic RadiologyDiagnostic pathway incomplete
PatientScheduled
CASE-31-B
Inspectable
Critical Result Communication
31. Diagnostic RadiologyCritical result never acted upon
PatientImmediate
CASE-31-C
Interactive Interactive
Radiology Recommendation Without Demonstrable Obligation Acceptance
31. Diagnostic RadiologyCritical result never acted upon
PatientScheduled
CASE-31-D
Inspectable
Delayed Cancer Diagnosis
32. PathologyDiagnostic pathway incomplete
PatientScheduled
CASE-32-A
Inspectable
Critical Pathology Result
32. PathologyCritical result never acted upon
PatientImmediate
CASE-32-B
Inspectable
Specimen Mislabeling
32. PathologyCritical result never acted upon
PatientScheduled
CASE-32-C
Inspectable
Unexpected Pathologic Finding Requiring Additional Surgery
32. PathologyDiagnostic pathway incomplete
PatientScheduled
CASE-32-D
Interactive Interactive
Margin-Positive Surgical Pathology Without Demonstrable Acceptance of Re-excision or Alternative Management
32. PathologyDiagnostic pathway incomplete
PatientScheduled
CASE-32-E
Inspectable
Critical Potassium
33. Laboratory MedicineCritical result never acted upon
PatientImmediate
CASE-33-A
Inspectable
Hemolyzed Specimen
33. Laboratory MedicineCritical result never acted upon
PatientScheduled
CASE-33-C
Inspectable
Unexpected Laboratory Result Without Demonstrable Clinical Acceptance
33. Laboratory MedicineCritical result never acted upon
PatientScheduled
CASE-33-D
Inspectable
HbA1c
33. Laboratory MedicineDiagnostic pathway incomplete
PatientScheduled
CASE-33-E
Inspectable
Positive Hepatitis B or Hepatitis C Screening Without Demonstrable Diagnostic Confirmation and Longitudinal Management
33. Laboratory MedicineDiagnostic pathway incomplete
PatientLongitudinal
CASE-33-F
Operating
Critical New Diagnosis Established by Laboratory Evidence
33. Laboratory MedicineCritical result never acted upon
PatientImmediate
CASE-33-G
Inspectable
Positive BRCA Mutation Without Completion of Risk-Management Obligations
34. Medical Genetics / Clinical GenomicsDiagnostic pathway incomplete
PatientScheduled
CASE-34-A
Inspectable
Lynch Syndrome Without Family Cascade Testing
34. Medical Genetics / Clinical GenomicsDiagnostic pathway incomplete
PatientScheduled
CASE-34-B
Inspectable
Pharmacogenomic Result
34. Medical Genetics / Clinical GenomicsMedication management failure
PatientScheduled
CASE-34-C
Operating
Incidental Pathogenic Variant
34. Medical Genetics / Clinical GenomicsDiagnostic pathway incomplete
PatientUrgent
CASE-34-D
Inspectable
Discharge Summary Not Sent
35. Hospital MedicineDischarge without ownership
PatientScheduled
CASE-35-A
Inspectable
Readmission
35. Hospital MedicineDischarge without ownership
PatientScheduled
CASE-35-B
Inspectable
Failure to Reconcile Consultant Recommendations
35. Hospital MedicineCommunication failure
PatientScheduled
CASE-35-C
Operating
Multiple Consultant Recommendations Without Demonstrable Synthesis Into One Executable Inpatient Plan
35. Hospital MedicineCommunication failure
PatientUrgent
CASE-35-D
Inspectable
Chronic Opioid Therapy Without Monitoring
36. Pain MedicineMonitoring abandoned
PatientLongitudinal
CASE-36-A
Inspectable
Procedure Performed Without Follow-up
36. Pain MedicineTreatment never initiated
PatientScheduled
CASE-36-B
Inspectable
Interventional Pain Procedure Without Functional Outcome Assessment
36. Pain MedicineTreatment never initiated
PatientScheduled
CASE-36-C
Operating
Escalating Pain Treatment Without Demonstrable Reassessment of Therapeutic Goals and Functional Benefit
36. Pain MedicineEscalation failure
PatientUrgent
CASE-36-D
Inspectable
Delayed Epinephrine
37. Allergy & ImmunologyMedication management failure
PatientScheduled
CASE-37-A
Inspectable
Allergy Mislabeling
37. Allergy & ImmunologyMedication management failure
PatientScheduled
CASE-37-B
Operating
Penicillin Allergy Label Never Reassessed
37. Allergy & ImmunologyMedication management failure
PatientScheduled
CASE-37-C
Inspectable
ACL Rehabilitation
38. Sports MedicineCare transition failure
PatientLongitudinal
CASE-38-B
Inspectable
Stress Fracture
38. Sports MedicineTreatment never initiated
PatientScheduled
CASE-38-C
Inspectable
Sudden Cardiac Screening
38. Sports MedicineDiagnostic pathway incomplete
PatientUrgent
CASE-38-D
Interactive Interactive
Concussion Return-to-Play Without Demonstrable Completion of Progressive Functional Clearance Obligations
38. Sports MedicineTreatment never initiated
PatientUrgent
CASE-38-E
Inspectable
Failure to Attend Treatment
39. Addiction MedicineFollow-up never completed
PatientScheduled
CASE-39-B
Inspectable
Medication for Opioid Use Disorder (MOUD) Initiated Without Demonstrable Continuity of Care
39. Addiction MedicineCare transition failure
PatientUrgent
CASE-39-C
Inspectable
Withdrawal Management
39. Addiction MedicineTreatment interrupted
PatientScheduled
CASE-39-D
Operating
Hospital-Initiated MOUD Without Demonstrable Acceptance and Continuity Across the Transition to Community Care
39. Addiction MedicineCare transition failure
PatientUrgent
CASE-39-E
Inspectable
Cosmetic Surgery Complication
40. Plastic & Reconstructive SurgeryTreatment never initiated
PatientScheduled
CASE-40-A
Inspectable
Burn Reconstruction
40. Plastic & Reconstructive SurgeryTreatment never initiated
PatientScheduled
CASE-40-B
Inspectable
Free Flap Failure
40. Plastic & Reconstructive SurgeryTreatment never initiated
PatientScheduled
CASE-40-C
Inspectable
Staged Reconstruction Without Demonstrable Continuity of the Reconstructive Plan
40. Plastic & Reconstructive SurgeryCare transition failure
PatientScheduled
CASE-40-D
Inspectable
Massive Hemorrhage
41. Trauma SurgeryTreatment never initiated
PatientImmediate
CASE-41-A
Inspectable
Missed Injury
41. Trauma SurgeryDiagnostic pathway incomplete
PatientScheduled
CASE-41-B
Inspectable
Damage-Control Surgery Without Demonstrable Completion of the Planned Definitive Care Pathway
41. Trauma SurgeryTreatment never initiated
PatientUrgent
CASE-41-D
Inspectable
Percutaneous Abscess Drain Without Demonstrable Removal Strategy
42. Interventional RadiologySurveillance failure
PatientUrgent
CASE-42-A
Inspectable
Percutaneously Placed Feeding Tube Without Longitudinal Ownership
42. Interventional RadiologySurveillance failure
PatientLongitudinal
CASE-42-B
Inspectable
Image-Guided Biopsy
42. Interventional RadiologyDiagnostic pathway incomplete
PatientScheduled
CASE-42-C
Inspectable
Embolization
42. Interventional RadiologyTreatment never initiated
PatientScheduled
CASE-42-D
Inspectable
Percutaneous Drain Placement Without Demonstrable Ownership of Ongoing Management and Removal
42. Interventional RadiologySurveillance failure
PatientScheduled
CASE-42-E
Inspectable
Acute hemolytic transfusion reaction
43. Transfusion MedicineTreatment never initiated
PatientScheduled
CASE-43-A
Inspectable
Massive transfusion protocol activation
43. Transfusion MedicineTreatment never initiated
PatientImmediate
CASE-43-B
Inspectable
Blood-product shortage and allocation
43. Transfusion MedicineAdministrative execution failure
AdministratorScheduled
CASE-43-C
Operating
Delayed hemolytic transfusion reaction with newly identified red-cell antibody
43. Transfusion MedicineTreatment never initiated
PatientScheduled
CASE-43-D
Inspectable
CPAP Non-Adherence
44. Sleep MedicineMonitoring abandoned
PatientLongitudinal
CASE-44-A
Inspectable
Missed Sleep Study
44. Sleep MedicineDiagnostic pathway incomplete
PatientScheduled
CASE-44-B
Inspectable
Untreated Obstructive Sleep Apnea
44. Sleep MedicineTreatment never initiated
PatientUrgent
CASE-44-C
Operating
Positive Sleep Study Without Demonstrable Translation Into Longitudinal Therapeutic Execution
44. Sleep MedicineDiagnostic pathway incomplete
PatientLongitudinal
CASE-44-D
Inspectable
Mandibular Fracture
45. Oral & Maxillofacial SurgeryTreatment never initiated
PatientScheduled
CASE-45-A
Inspectable
Third Molar Extraction
45. Oral & Maxillofacial SurgeryTreatment never initiated
PatientScheduled
CASE-45-B
Inspectable
Oral Cancer
45. Oral & Maxillofacial SurgeryTreatment never initiated
PatientScheduled
CASE-45-C
Inspectable
Medication-Related Osteonecrosis of the Jaw
45. Oral & Maxillofacial SurgeryMedication management failure
PatientScheduled
CASE-45-D
Interactive Interactive
Dental Infection Requiring Medical–Dental Coordination Without Demonstrable Closure of the Infection Source
45. Oral & Maxillofacial SurgeryCommunication failure
PatientUrgent
CASE-45-E
Inspectable
In-Flight Medical Emergency
46. Aerospace MedicineTreatment never initiated
PatientScheduled
CASE-46-A
Inspectable
Pilot Medical Certification
46. Aerospace MedicineEmployer execution failure
EmployerScheduled
CASE-46-B
Interactive Interactive
Return-to-Flight After Illness or Injury
46. Aerospace MedicineEmployer execution failure
EmployerUrgent
CASE-46-C
Inspectable
Battlefield Casualty Evacuation
47. Military MedicineHandoff failure
PatientScheduled
CASE-47-A
Inspectable
Deployment Health Screening
47. Military MedicineEmployer execution failure
EmployerScheduled
CASE-47-B
Inspectable
Return-to-Duty Determination
47. Military MedicineEmployer execution failure
EmployerScheduled
CASE-47-C
Inspectable
Medical Readiness Classification Without Demonstrable Completion of the Obligations Required for Deployment Status
47. Military MedicineEmployer execution failure
EmployerUrgent
CASE-47-D
Inspectable
Opioid overdose reversed with naloxone
48. Medical ToxicologyTreatment never initiated
PatientImmediate
CASE-48-A
Inspectable
Toxic alcohol ingestion requiring antidote and dialysis
48. Medical ToxicologyMedication management failure
PatientImmediate
CASE-48-B
Inspectable
Delayed pulmonary toxicity after chemical exposure
48. Medical ToxicologyTreatment never initiated
PatientImmediate
CASE-48-C
Operating
Acetaminophen overdose without demonstrable completion of serial reassessment and evidence-based antidote discontinuation obligations
48. Medical ToxicologyMedication management failure
PatientImmediate
CASE-48-D
Inspectable
Delayed PET Scan
49. Nuclear MedicineDiagnostic pathway incomplete
PatientScheduled
CASE-49-A
Inspectable
Missed Thyroid Uptake Study
49. Nuclear MedicineDiagnostic pathway incomplete
PatientScheduled
CASE-49-B
Interactive Interactive
Radioiodine Therapy Without Demonstrable Completion of Radiation-Safety and Longitudinal Follow-up Obligations
49. Nuclear MedicineTreatment never initiated
PatientLongitudinal
CASE-49-D
Inspectable
Eating Disorders
50. Adolescent MedicineTreatment never initiated
PatientScheduled
CASE-50-A
Inspectable
Depression Screening
50. Adolescent MedicineDiagnostic pathway incomplete
PatientScheduled
CASE-50-B
Inspectable
Adolescent Vaccination
50. Adolescent MedicinePublic health obligation failure
AdministratorScheduled
CASE-50-C
Inspectable
Chronic Pediatric Condition Transitioned to Adult Care Without Demonstrable Acceptance of Longitudinal Responsibility
50. Adolescent MedicineCare transition failure
PatientLongitudinal
CASE-50-E
Inspectable
Vaccination Campaign
51. Preventive Medicine / Public HealthPublic health obligation failure
AdministratorScheduled
CASE-51-A
Inspectable
Disease Surveillance
51. Preventive Medicine / Public HealthSurveillance failure
PatientLongitudinal
CASE-51-B
Inspectable
Outbreak Investigation
51. Preventive Medicine / Public HealthPublic health obligation failure
AdministratorScheduled
CASE-51-C
Operating
Reportable Communicable Disease Without Demonstrable Completion of Public Health Notification, Investigation, and Community Protection Obligations
51. Preventive Medicine / Public HealthPublic health obligation failure
AdministratorUrgent
CASE-51-D
Inspectable
Adverse Drug Reaction
52. Clinical PharmacologyMedication management failure
PatientScheduled
CASE-52-A
Inspectable
Drug–Drug Interaction
52. Clinical PharmacologyMedication management failure
PatientScheduled
CASE-52-B
Inspectable
Pharmacogenomic Dose Selection
52. Clinical PharmacologyMedication management failure
PatientScheduled
CASE-52-C
Inspectable
Therapeutic Drug Monitoring
52. Clinical PharmacologyMedication management failure
PatientLongitudinal
CASE-52-D
Operating
Narrow-Therapeutic-Index Medication Without Demonstrable Completion of Therapeutic Drug Monitoring and Dose-Adjustment Obligations
52. Clinical PharmacologyMedication management failure
PatientLongitudinal
CASE-52-E
Inspectable
Chronic Wound Treatment
53. Hyperbaric MedicineTreatment never initiated
PatientLongitudinal
CASE-53-A
Inspectable
Carbon Monoxide Poisoning
53. Hyperbaric MedicineTreatment never initiated
PatientScheduled
CASE-53-B
Inspectable
Radiation Tissue Injury
53. Hyperbaric MedicineTreatment never initiated
PatientScheduled
CASE-53-C
Operating
Hyperbaric Oxygen Therapy Without Demonstrable Completion of the Planned Therapeutic Course and Reassessment Obligations
53. Hyperbaric MedicineTreatment never initiated
PatientUrgent
CASE-53-D
Inspectable
Snakebite
54. Wilderness MedicineTreatment never initiated
PatientImmediate
CASE-54-A
Inspectable
Hypothermia
54. Wilderness MedicineTreatment never initiated
PatientImmediate
CASE-54-B
Inspectable
Delayed Evacuation
54. Wilderness MedicineHandoff failure
PatientScheduled
CASE-54-C
Operating
Evacuation Decision Without Demonstrable Reassessment as Conditions Change
54. Wilderness MedicineHandoff failure
PatientUrgent
CASE-54-D
Inspectable
Acute Medical Emergency in Orbit
55. Space MedicineTreatment never initiated
PatientScheduled
CASE-55-A
Inspectable
Bone Loss During Long-Duration Flight
55. Space MedicineTreatment never initiated
PatientScheduled
CASE-55-B
Inspectable
Behavioral Health During Isolation
55. Space MedicineTreatment never initiated
PatientScheduled
CASE-55-C
Inspectable
Medical Fitness for Extravehicular Activity (EVA)
55. Space MedicineEmployer execution failure
EmployerScheduled
CASE-55-D
Inspectable
Mission-Critical Activity Without Demonstrable Completion of Physiologic, Operational, and Environmental Readiness Obligations
55. Space MedicineEmployer execution failure
EmployerImmediate
CASE-55-E