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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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A Contemporary Medicolegal Analysis of Implanted Devices for Chronic Pain Management

  • March 27, 2017

Researchers from Brigham and Women's Hospital and CRICO Strategies analyze medical malpractice claims in the national CBS Database and shed light on rare, but serious complications associated with intrathecal drug delivery systems.


Penny Greenberg, MS, RN, CPPS, Senior Program Director, CRICO Strategies and Ellen Song, Business Intelligence Analyst, CRICO worked with physician researchers at Brigham & Women’s Hospital to study complications associated with intrathecal drug delivery systems and spinal cord stimulators. This study illustrates how data from the national Comparative Benchmarking System (CBS) can shed light on a rare, but serious complication. Due to the high volume of claims in the national CBS database (representing approximately 30% of all US medical malpractice claims), researchers were able to identify the risks and contributing factors associated with this type of injury. Researchers determined that deficits in  technical skill were the most common contributing factor to injury, followed by deficits in clinical judgment, communication, and documentation. This information provides a road map for organizations to address these injuries and ultimately mitigate the risks.

 

Citation for the Full-text Article

Abrecht CR, Greenberg P, Song E, Urman RD, Rathmell JP. A contemporary medicolegal analysis of implanted devices for chronic pain management. Anesthesia and Analgesia. April 2017;124(4):1304-1310. doi: 10.1213/ANE.0000000000001702. (subscription may be required)