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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 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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