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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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Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data

  • June 27, 2017

CRICO Strategies and The Doctors Company partnered to conduct an in-depth analysis of cardiovascular disease-related medical malpractice claims data in outpatient general medicine. The data used in the study are from the CRICO Strategies Comparative Benchmarking System (CBS).


Researchers looked at 251 closed medical malpractice cases in the CRICO Strategies National Comparative Benchmarking System (CBS) where patients alleged that the general medical practitioner who treated them in an outpatient setting missed a cardiovascular diagnosis. These cases were more likely to result in higher severity injury than malpractice claims in general, the study showed. Key findings included:

  • Almost a quarter of the patients in the analysis who were eventually diagnosed with myocardial infarction or coronary atherosclerosis had a history of prior cardiovascular disease—one of the highest pretest predictors of cardiovascular disease.

  • The majority of patients with missed outpatient coronary artery disease had initial diagnoses that were either nonspecific or common disease mimics (for example, esophageal reflux or musculoskeletal pain), despite the high prevalence of cardiovascular risk factors among those patients.

The article is available as open access through the Joint Commission Journal on Quality and Patient Safety.

 

Citation for the Full-text Article

Quinn G, Ranum D, Song E, Linets M, Keohane C, Riah H, Greenberg P. Missed diagnosis of cardiovascular disease in outpatient general medicine: Insights from malpractice claims data. The Joint Commission Journal on Quality and Patient Safety. 2017. https://doi.org/10.1016/j.jcjq.2017.05.001