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February 20, 2020 Use All Available Data Including Med-mal Claims to Improve Patient Safety

When risk management and claims departments work separately, they miss out on learning and influence that can improve with collaboration.

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December 10, 2019 An Examination of Medical Malpractice Claims Involving Physician Trainees

A CRICO-supported study that sought to “identify patient-, provider- and claim-related factors of medical malpractice claims in which physician trainees were directly involved in the harm events.”

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December 10, 2019 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 CRICO Strategies national Comparative Benchmarking System (CBS) database to better understand claims against anesthesiologists for vocal cord injuries that occurred during endotracheal intubation.

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Breakdowns in the Initial Patient-Provider Encounter Among Ischemic Stroke

  • July 11, 2019

Researchers sought to identify and describe breakdowns in the diagnostic process among patients with ischemic stroke to facilitate future improvements in diagnostic accuracy.



Researchers from Montefiore Medical Center worked with CRICO Strategies researchers to leverage data from the CRICO Strategies national Comparative Benchmarking System (CBS). They analyzed medical malpractice claims from 2006 to 2016 involving ischemic stroke patients of which a total of 478 claims met inclusion criteria. The in-depth coding of the CBS database enabled researchers to identify the most frequent process breakdowns of this dataset. Results indicate that the most frequent breakdown occurred in the initial patient-provider encounter. With this information, organizations can implement targeted interventions that focus on the initial diagnostic encounter, particularly for ischemic stroke patients with atypicial symptoms.

 

 

Citation for the Full-text Article

Liberman AL, Skillings J, Greenberg P, Neman-Toker DE, Siegal D. Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Diagnosis. July 2019. (Published online July 11, 2019). https://doi.org/10.1515/dx-2019-0031

 

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