Jul 9, 2020BoardMeeting
BoardMedical Affairs Root Cause Analysis Meeting
The meeting was held to perform a root cause analysis of an adverse event involving the management of an ectopic pregnancy. The discussion centered on the misinterpretation of ultrasound findings, which led to the inappropriate recommendation of methotrexate therapy instead of surgery, despite the patient's condition presenting relative contraindications. Attendees reviewed the clinical timeline, evaluated the decision-making process, and identified communication failures and adherence to protocols as key areas for improvement to prevent similar occurrences in the future.