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Recent Coverage

August 1, 2018 An Evidence-based Intraoperative Communication Tool for Emergency General Surgery: A Pilot Study

CRICO-funded researchers developed and then piloted an evidence-based tool aimed at improving team communication in Emergency General Surgery.

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July 31, 2018 Hospital Mergers or Acquisitions May Cause Short-Term Patient Safety Issues

Drawing from a CRICO-funded study that found institutional partnerships and transactions might put patients at a higher risk for harm in the short run, this STAT op-ed piece emphasizes that “Improving the safety of patient care is possible during mergers and affiliations, but requires intentional efforts.”

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July 31, 2018 Viewpoint: Why Hospital Mergers Raise Patient Safety Problems

This Becker’s Hospital Review viewpoint offers six insights garnered from a July 31, 2018 STAT op-ed piece, written by Ariadne Labs researchers and CRICO’s president and CEO Mark Reynolds.

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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