In Module 1, you learned about Mr. S. Mr. S is a 47 y/o male who presented to his PCP with his 3rd diabetic foot ulcer in two years. Due to poor documentation, his PCP did not realize that Mr. S’s previous ulcers were infected with MRSA. Thus, he prescribed an ineffective antibiotic. Due to the absence of clinical reminders, his PCP also forgot to document a foot exam. Mr. S’s ulcer worsened, but when he returned, he saw a different physician. Because Mr. S’s PCP did not document the prior foot exam, the covering PCP did not realize how much the ulcer had progressed. Likewise, Mr. S’s uncertainty regarding wound care was not addressed. Mr. S’s ulcer eventually progressed to the point where he required an amputation. His PCP was quite distraught about this outcome, and he decided to review the clinic’s entire process of diabetic foot care. After reviewing the process, his PCP worked with the clinic staff to create an intervention to improve diabetic foot care. |
