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September 12, 2017 The Key to Reducing Doctors' Misdiagnoses

This Wall Street Journal article reports on novel solutions being developed by researchers to help eliminate misdiagnoses. Among the initiatives featured are CRICO’s recent research and patient safety efforts in helping clinicians make the right diagnosis.

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September 4, 2017 The Role of Radiology in Diagnostic Error: A Medical Malpractice Claims Review

Through medical malpractice claims analysis, we can identify areas to improve the medical diagnostic process.

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July 19, 2017 Using Simulation to Improve Systems-Based Practices

CRICO is noted for having embraced the value of simulation by offering premium reductions for participants in simulation-based team training.

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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