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Recent Coverage

November 9, 2017 Medical Malpractice and the Hospitalist: Reasons for Optimism

Adam Schaffer, MD of CRICO and Brigham and Women's Hospital and Allen Kachalia, MD of Brigham and Women’s Hospital analyzed medical malpractice data to understand the potential risk for hospitalists of facing a claim.

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October 25, 2017 A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain

The goal of this study was to identify patient medical comorbidities and aberrant drug behaviors, as well as prescriber practices associated with patient injury and malpractice claims.

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October 18, 2017 Use of an objective structured clinical exam (OSCE) for early identification of communication skills deficits in interns

Given the importance of physician communication skill, this CRICO-funded study researched whether an objective structured clinical exam (OSCE) during Graduate Medical Education orientation can identify trainee communication deficits before these become evident via clinical performance evaluations.

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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