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April 6, 2018 The Risks to Patient Safety From Health System Expansions

CRICO partnered with Ariadne Labs, a health systems research center, to analyze the patient safety risks for medical institutions undergoing substantial consolidation, including mergers, acquisitions, and service agreements.

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January 6, 2018 Implementation of Diagnostic Pauses in the Ambulatory Setting
January 1, 2018 Partnering With a Medical Malpractice Insurer to Improve Patient Safety and Decrease Risk

In this study, CRICO staff members and a physician from Brigham and Women’s Hospital (a CRICO member institution) explored the value of partnering with a captive medical malpractice insurance company and its Patient Safety Organization (PSO).

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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