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Recent Coverage

July 1, 2018 The Impact of Automated Notification on Follow-up of Actionable Tests Pending at Discharge: A Cluster-Randomized Controlled Trial

A physician’s failure to follow-up on test results that are still pending at a patient’s discharge could lead to a missed diagnosis or preventable adverse event. This CRICO-funded study researched a potential solution.

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May 17, 2018 What’s the key to accelerating progress in patient safety over the next five years?
May 15, 2018 Poor Communication and Teamwork from Surgeons Linked with Increased Likelihood of Malpractice Claims

CRICO partnered with Ariadne Labs of Brigham and Women’s Hospital, to explore whether surgeons who receive poor ratings in communication and teamwork skills from their coworkers during 360-degree performance reviews are more likely to face malpractice claims from their patients.

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Taking Root Cause Analysis to the Next Level: From Rearview Mirror to Looking Out the Front Window

  • September 13, 2013

The evolution of RCAs at medical institutions is described by using the new Root Cause Analysis Information Exchange (RCAIE) established by CRICO’s Academic Medical Center Patient Safety Organization (AMC PSO).


The power of aggregation, and of insights gleaned from data analysis, coupled with the collective wisdom of shared experiences, helps in creating a powerful tool for advancing the nation’s quest for a culture of safety. [...] The RCAIE helps healthcare professionals track each root cause investigation, identify the contributing factors and system failures associated with the event, and note the actions taken in response to these incidents. The actions can be followed in detail, to the end points of completion and assessment of effectiveness.

 

 

Read the full-text article:

Keohane C, Kumar A, Sato L, Bingham KM. Taking Root Cause Analysis to the Next Level: From Rearview Mirror to Looking Out the Front Window. Inside Medical Liability. [Reprinted from the Third Quarter 2013 issue of Inside Medical Liability, PIAA.  Copyright, 2013]