Escalation Of Care Expert Witnesses

Oakland, California

Hospitalist - hospital medicine, Internal Medicine, Failure to Diagnose, Medication Errors, Litigation, hospitalist, Standard of Care, Escalation of Care, Medical Malpractice, inpatient care, Misdiagnosis, Failure to Escalate Care, Causation Analysis, Acute Care Medicine, Delayed Diagnosis, Inappropriate Treatment, Retrospective Case Review

Board-certified Internal Medicine physician with 15 years of continuous experience practicing Hospital Medicine in acute-care inpatient settings. I am actively practicing as a hospitalist and remain current on contemporary inpatient standards of care, diagnostic guidelines, and evidence-based clinical decision-making. I provide medical-legal consulting for attorneys evaluating inpatient hospital medicine cases. My work focuses on retrospective review of medical records to assess standards of care, diagnostic decision-making, treatment appropriateness, escalation of care, and medical causation. This includes analysis of complex hospital courses, evolving clinical presentations, delays in diagnosis, and failures or appropriateness of escalation. My consulting work is grounded in real-world inpatient practice and reflects how medical decisions are made in hospital environments, including multidisciplinary communication, handoffs, and time-sensitive clinical judgment under uncertainty...

Peachtree City, Georgia

Physician Assistant, Urgent Care Medicine - Physician Assistant, Urgent Care Standard, Polypharmacy, Diagnostic Work-Up, asthma management, Referral protocol, Primary care, Sepsis, wound repair, escalation of care, mental health, black box warning, pulmonary embolism, intermediate care, Medication safety, Sepsis, ectopic pregnancy

Cynthia McDonald is a nationally board-certified Physician Assistant with over twenty years of broad clinical experience spanning urgent care, primary care and pediatrics. Detail-oriented, she practices with an emphasis on creating an excellent rapport with patients and families, while providing a comprehensive approach to patient care. She provides medical-legal consulting and expert-witness services focused on standards of care in clinical evaluation, diagnostic work-up, treatment, and referral decisions. Her expertise includes failure-to-diagnose and delayed-diagnosis cases, recognition and escalation of potentially life-threatening conditions such as sepsis, and the determination of when outpatient versus higher-level care is appropriate. Ms. McDonald has extensive experience reviewing medical records and formulating clear, evidence-based opinions for malpractice and personal-injury matters. In addition to her clinical work, Ms. McDonald has served as a lecturer for physicia...

Noblesville, Indiana

Hospitalist, Family Medicine - Transitions of care, Use and interpretation of clinical practice guidelines, Supervision of APPs, Polypharmacy, Escalation of care, Medication side effects, Nocturnist, Systems-based care processes, Standard of Care, Available Nationwide

Board-certified Family Medicine physician with experience in inpatient hospital medicine, nocturnist coverage, outpatient primary care, and medical education. Clinical practice has included community hospitals, residency training programs, and integrated health systems. AREAS RELEVANT TO EXPERT WITNESS WORK Standards of care in family medicine and hospital medicine Inpatient and outpatient physician clinical decision-making Hospitalist and nocturnist care Supervision of advanced practice providers Escalation of care decision-making, including timing and appropriateness of consultation, transfer, higher level of monitoring, or higher acuity care settings Use and interpretation of clinical practice guidelines, including guideline strength, level of evidence, applicability to individual patients, and impact on treatment standards Transitions of care, including handoffs, discharge planning, follow-up coordination, and cross-provider communication Impact of medical techn...

Chapel Hill, North Carolina

Internal Medicine, Hospitalist - point of care ultrasound, resident supervision, inpatient care, failure to rescue, ICU triage, APP supervision, sepsis, escalation of care, medical malpractice, clinical deterioration, internal medicine, hospital medicine, respiratory failure, delayed diagnosis, shock, heart failure, acute kidney injury, failure to diagnose

Dr. Pahresah L. Roomiany is a board-certified Internal Medicine physician and practicing academic hospitalist who provides independent, evidence-based expert witness services in adult inpatient internal medicine and hospital medicine matters nationwide. She maintains active inpatient clinical practice and regularly manages complex hospitalized adult patients. Her areas of expertise include hospital medicine standard of care, inpatient internal medicine standard of care, failure to diagnose, delay in diagnosis or treatment, clinical deterioration, escalation of care, sepsis management, chest pain and cardiovascular risk assessment, anticoagulation management, thromboembolic disease, electrolyte and metabolic emergencies, medication-related adverse events, and hospital-based systems issues affecting patient outcomes. Dr. Roomiany serves as Vice Chair of Peer Review at Duke Regional Hospital, where she participates in structured evaluation of physician performance and formal assessme...