Risk Alert: Wernicke's Encephalopathy

The TMLT claims and risk management departments have seen an alarming increase in the number of claims filed related to Wernicke’s encephalopathy following bariatric surgery. 

These claims involve allegations of failure to monitor thiamine levels in post-bariatric surgery patients and failure to treat symptoms of nausea, vomiting, visual disturbances, and motor impairments with thiamine supplementation. Specialties included in these claims are general surgery, emergency medicine, internal medicine, and gastroenterology.

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Overprescribing NSAIDs

A 50-year-old man came to the ED with symptoms that suggested cellulitis.

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Failure to monitor thiamine levels
Failure to monitor thiamine levels

A 50-year-old woman consulted with a bariatric surgeon for weight reduction surgery.