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Case studies and interviews are aligned with clinical specialties and high risk areas identified in the Harvard system.

Trying M&Ms for Outpatient CareBy Tom A. Augello, CRICO

May 17, 2013

Morbidity and mortality rounds are a time-honored method of learning from difficult hospital cases. Now that most care—and most lawsuits—happen in ambulatory settings, the Harvard teaching hospitals are trying M&Ms at their out-patient sites.

Misread of Data Slowed Response, Hurt PatientBy Roxane Gardner, MD, Tom A. Augello, CRICO

April 17, 2013

Fetal heart rate tracings indicated earlier intervention after prolonged induction of labor. The obstetrician and nurse midwife were faulted for not working more closely together.

Physicians, Patient Safety Experts Dream of a Better EMRBy Tom A. Augello, CRICO

April 9, 2013

Physicians complain that they don’t see patient information they need, yet too much unneeded detail in electronic records hinders care.

Patient Loses Finger after Medication Error in ERBy Tom A. Augello, CRICO, Carrie Tibbles, MD

February 25, 2013

Medication error in the ER was preventable. Culture and communication problems compounded an error that required several surgeries and amputation.

Physician Voice: Why and How Did You Become a Doctor?By Tom A. Augello, CRICO

January 30, 2013

Six Harvard physicians discuss their decision to go into medicine and the sometimes circuitous routes that got them there.

Missed MI and a Failure to Connect the DotsBy Tom A. Augello, CRICO

January 15, 2013

Dr. Gordon Schiff discusses how to prevent a patient’s heart attack, this practice would have needed better systems to monitor and identify chronic risk factors.

Dana-Farber Docs, Nurses, Pharmacists, Techs Make Med Order Changes SaferBy Tom A. Augello, CRICO

January 3, 2013

New approach to safer med delivery requires all disciplines—and top leadership—to commit to making it work.

Accuracy at Issue in New MA Disclosure LawBy Tom A. Augello, CRICO

December 5, 2012

In light of a new disclosure mandate, clinicians are advised to resist the urge to reach a conclusion or speculate when telling patients about care that went wrong.

Surgeon: ‘I Blew It” Hospital: ‘We Blew It’By Tom A. Augello, CRICO

October 19, 2012

A top surgeon mistakenly performed carpal tunnel instead of trigger release procedure after multiple interruptions and personnel shift changes in OR.

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CRICO Podcasts Home

Trying M&Ms for Outpatient Care

Misread of Data Slowed Response, Hurt Patient

Physicians, Patient Safety Experts Dream of a Better EMR

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