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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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A Contemporary Medicolegal Analysis of Outpatient Medication Management in Chronic Pain

  • November 1, 2017

Researchers from Brigham and Women’s Hospital, University of California, San Francisco, and CRICO Strategies analyzed medical malpractice claims in the national Comparative Benchmarking System (CBS) database to shed light on 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. Another objective was to identify claims most likely to result in payments and use this information to propose a strategy for reducing medicolegal risk. Through this analysis of CRICO Strategies Comparative Benchmarking System (CBS), a database of medical malpractice claims, researchers concluded that claims related to outpatient medication management in pain medicine are multifactorial, stemming from deficits in clinical judgment by physicians, noncooperation in care by patients, and poor clinical documentation. Continuing physician education on the safest and most effective approaches to manage these medications in everyday practice will lead to both improved legal security and patient safety.

 

Citation for the Full-text Article

Abrecht CR, Brovman EY, Greenberg P, Song E, Rathmell JP, Urman RD. A contemporary medicolegal analysis of outpatient medication management in chronic pain. Anesthesia & Analgesia. 2017 Nov;125(5):1761-1768. doi: 10.1213/ANE.0000000000002499. (subscription may be required)

 

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