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Recent Coverage

May 1, 2020 A Closed Claims Analysis of Vocal Cord Injuries Related to Endotracheal Intubation Between 2004 and 2015

Brigham and Women’s Hospital researchers worked with CRICO to analyze data from the national CBS database to better understand claims against anesthesiologists.

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March 23, 2020 The Effect of Clinical Volume on Annual and Per-Patient Encounter Medical Malpractice Claims Risk

This CRICO study demonstrated the importance of clinical volume as a determinant of medical malpractice claims risk.

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March 13, 2020 How to Improve Patient Handoffs

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How to Improve Patient Handoffs

March 13, 2020

CRICO Strategies data was highlighted in this HealthLeader’s Media Analysis article, to support what it takes to create smooth patient handoffs. ​

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Prospective Evaluation of Medication-Related Clinical Decision Support Over-Rides in the ICU

  • February 9, 2018

Recent data suggested that clinical decision support (CDS) alerts displayed in health records were frequently being over-ridden by clinicians, and often inappropriately. This CRICO-funded study aimed to evaluate potential harm associated with medication-related CDS over-rides in the intensive care unit (ICU).


Study Conclusion

The study’s findings included, “Approximately four of five identified clinical decision over-rides were appropriately over-ridden, with the rate varying by alert type. However, inappropriate over-rides were six times as likely to be associated with potential and definite adverse drug events, compared with appropriate over-rides.

Also, the researchers recommended that “further efforts should be targeted at improving the positive predictive value of clinical decision support such as by suppressing alerts that are appropriately over-ridden.”

  

Citation for the Full-text Article

Wong A, Amato MG, Seger DL, Rehr C, Wright A, Slight SP, Beeler PE, Orav EJ, Bates DW. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.  BMJ Quality and Safety . Epub ahead of print: [February 9, 2018]. doi:10.1136/bmjqs-2017-007531.