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Recent Coverage

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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Retrospective Analysis of Perioperative Variables Associated With Postoperative Delirium and Other Adverse Outcomes in Older Patients After Spine Surgery

  • October 1, 2019

The aim of this CRICO-supported retrospective study was to identify perioperative variables predictive of the development of delirium in older surgical patients after spine surgery.


In conclusion, the researchers reported “Our study reinforces existing evidence that postoperative delirium is a common complication in older patients after spine surgery and that there are several perioperative risk factors associated with delirium and other adverse outcomes.” They also said, “Care providers should consider a focused multidisciplinary preoperative assessment that includes an evaluation of baseline medical comorbidities social environment, and geriatric conditions that may identity older patients who are at high risk for developing adverse postoperative outcomes and to develop individualized preoperative optimization strategies to enhance patient outcomes in older adults undergoing elective and nonelective spine surgery.”

 

Citation for the Full-text Article

Susano MJ, Scheetz SD, Grasfield RH, Cheung D, Xu X, Kang JD, Smith TR, Lu Y, Groff MW, Chi JH, Crosby G, Culley DJ. Retrospective analysis of perioperative variables associated with postoperative delirium and other adverse outcomes in older patients after spine surgery.
J  Neurosurg Anesthesiol. 2019 Oct;31(4):385-391. doi: 10.1097/ANA.0000000000000566.