Medical Malpractice Summary
Produces structured medical malpractice case summaries from medical records for personal injury litigation. Extracts chronological care narratives, identifies potential standard-of-care breaches, traces causation, assesses damages, and flags expert needs and statute of limitations issues. Use when evaluating medical negligence claims, onboarding med-mal matters, or assessing case merits during pre-filing or discovery.
Medical Malpractice Summary
Produces a structured med-mal case summary from medical records for attorney case evaluation and litigation planning.
Prerequisites
- Medical records — hospital charts, physician notes, nursing notes, discharge summaries
- Diagnostic materials — lab results, imaging/radiology reports, pathology reports
- Procedure documentation — operative reports, anesthesia records, consent forms
- Pharmacy records — medication administration records, prescription history
- Patient intake — chief complaint, date of incident, treating providers, patient demographics
Output Structure
1. Case Overview Table
| Field | Content |
|---|---|
| Patient | Name, DOB, relevant medical history |
| Date(s) of alleged negligence | Specific dates |
| Facility/Provider(s) | Names, specialties, roles |
| Chief complaint / Presenting condition | Initial presentation |
| Alleged injury/outcome | Summary of harm |
| SOL flag | Statute date + discovery rule considerations |
2. Chronological Care Narrative
For each treatment episode:
| Date | Provider (Specialty) | Clinical Findings | Diagnosis | Treatment/Orders | Outcome/Notes |
|---|---|---|---|---|---|
| ... | ... | ... | ... | ... | ... |
Flag entries with ⚠ where potential standard-of-care issues exist.
3. Standard of Care Analysis
For each identified deviation:
- Provider: Name and specialty
- Action/Omission: What was done or not done
- Expected standard: What a reasonably competent provider in that specialty would have done
- Supporting basis: Clinical guidelines, protocols, or accepted practice (cite where identifiable)
- Severity: Critical / Significant / Minor
Breach categories to evaluate:
- [ ] Diagnostic errors — missed, delayed, or wrong diagnosis
- [ ] Failure to order appropriate tests
- [ ] Misinterpretation of test results
- [ ] Treatment selection errors
- [ ] Surgical/procedural errors
- [ ] Medication errors (wrong drug, dose, interaction)
- [ ] Failure to obtain informed consent
- [ ] Monitoring failures (post-op, medication, vitals)
- [ ] Premature discharge
- [ ] Failure to refer to specialist
- [ ] Communication failures between providers
- [ ] Documentation gaps or alterations
4. Causation Analysis
For each breach, trace: Breach → Mechanism of Harm → Injury/Outcome
Classify each harm:
| Category | Description |
|---|---|
| Attributable to negligence | Would not have occurred but for the breach |
| Underlying condition | Natural disease progression |
| Unavoidable complication | Known risk of necessary treatment |
| Concurrent/intervening cause | Other contributing factors |
5. Damages Assessment
| Category | Details | Documentation Source |
|---|---|---|
| Additional medical treatment | Surgeries, hospitalizations, rehab, future care | Page/record refs |
| Physical impairment | Permanent injury, disability, functional limitations | Page/record refs |
| Pain and suffering | Duration, severity, ongoing nature | Page/record refs |
| Lost wages / Earning capacity | Work restrictions, vocational impact | Page/record refs |
| Life expectancy impact | If applicable | Page/record refs |
6. Legal & Evidentiary Flags
- Expert specialties needed — list by specialty based on providers and issues involved
- Statute of limitations — calculate from treatment dates; note discovery rule triggers
- Record red flags — gaps, late entries, alterations, inconsistencies between providers
- Provider admissions — documented apologies, acknowledgments of error, incident reports
- Applicable guidelines — cite specific clinical practice guidelines or hospital protocols implicated
- Strengths — strongest facts supporting liability and damages
- Weaknesses — defenses, contributory factors, documentation gaps undermining the claim
Guidelines
- Cite every factual assertion to specific page numbers, dates, and document sources
- Use medical terminology with parenthetical plain-language explanations on first use
- Present balanced analysis — identify both strengths and weaknesses of the claim
- Do not render legal conclusions on ultimate liability; frame as "potential" breaches for attorney evaluation
- Flag any records that appear incomplete or were not provided
- If standard-of-care analysis requires subspecialty knowledge beyond the records, note that expert consultation is needed
- Mark any cited clinical guidelines or statistics with
[VERIFY]unless directly quoted from provided records
No additional documents ship with this skill.
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