Mr. Q visited Dr. A for his health check-up and routine blood tests. Another general practitioner in the radiology department (Dr. B) reviewed his reports and noted moderate renal impairment with an eGFR of 59 ml/min/1.73 m 2 . Dr. B did not take any clinical steps as he assumed that Dr. A will follow-up with his patient as he had ordered the blood tests. After one week, Mr. Q had a sore finger caused by a minor injury during painting his house and visited Dr.
A. Blood results were not discussed as it was assumed that Dr. B would have arranged subsequent testing and follow-up, as he reviewed the reports. After six months, Mr. Q visited Dr. A to consult his painful osteoarthritis and was placed on a repeated prescription of naproxen. No discussion was carried out regarding the patient’s previous blood tests before starting naproxen treatment. After one year, Mr. Q suffered from diarrhea…
