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October 17, 2018 What Does It Take to Increase Patient Engagement in Primary Care Settings?

CRICO partnered with the Massachusetts Health Quality Partners (MHQP) to conduct a study to achieve a better understanding of what primary care practices are doing to engage patients.

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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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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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