| 1. Contextual red flag: a diabetic patient’s glycated hemoglobin A1C had gone up (7.2 to 9.1) |
1. Red flag: a diabetic patient’s glycated hemoglobin A1C had gone up (6.8 to 8.3) |
| 2. Contextual probe: the physician asked the patient why |
2. No probe: the clinician did not ask why |
| 3. Contextual factor: the patient explained that their medications were stolen twice from their apartment entryway |
3. Contextual factor revealed by patient: the patient mentioned that he was no longer playing basketball because he had a knee injury |
| 4. Contextual plan of care: the clinician rerouted medications to the facility pharmacy |
4. Contextual plan of care: the clinician examined the knee and prescribed pain medication but did not discuss strategies for exercising without stressing the knee |
| Outcome of red flag: at 4 mo the patient’s glycated hemoglobin A1C came down to 7.4 |
Outcome of red flag: at 5 mo, the patient’s glycosylated hemoglobin A1C was up to 8.7 |
