Delay in Malignancy Diagnosis Reflects Systemic Failures. Hang Mieu Ha, DO and Kristin Alexis Olson, MD | October 31, 2023

https://psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures In this WebM&M Case a 32-year-old man presented to the hospital with a comminuted midshaft femoral fracture after a bicycle accident. Imaging suggested the fracture was pathologic and an open biopsy specimen was submitted to pathology for intraoperative consultation. However, this procedure was followed by a series of events that increased the likelihood for harm, including the inability to provide a definitive diagnosis at the time of frozen section examination, the subsequent delayed diagnosis, lack of cross coverage for leave among care team members, and poor communication and handoffs.