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2012

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< Back To Patient Safety

EHR Downtime, Lost Orders, and more
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight January 2018: EHR Downtime, Lost Orders, and more

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Covering our Volunteers
By Hermen Yee, Esq, and Caren-Elise Titus, CRICO

If you are a member of the Harvard medical community who has registered with the MA Responds program to volunteer in a declared public health emergency, you may have wondered if you are covered by your CRICO professional liability policies. The good news is that generally you are covered! The only caveat is that some of you need to obtain certain written authorizations from your sponsoring institution.

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Poor Communication of Doctor’s Orders Leads to Preventable Death
By Missy Padoll, CRICO and Tom A. Augello, CRICO

When a speech and swallowing evaluation showed the patient to be at risk for aspiration, the resident documented a plan that the patient be given nothing by mouth. But the NPO order was not entered into the system, a technician attempted to feed him, and he aspirated. This was not communicated to the attending. After transfer to the ICU, he succumbed to additional morbidities, including aspiration pneumonia.

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Old Is the New Middle Age
By Jock Hoffman, CRICO

A longer life expectancy may be altering patients’ expectations.

 

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Strategies for Patient Safety (SPS)

Each month, Strategies for Patient Safety explores the myriad ways 30-plus years of analyzing medical malpractice data can guide physicians and nurses practicing amidst today’s patient safety risks.

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CRICO Podcasts Home

Case studies and interviews are aligned with clinical specialties and high risk areas identified in the Harvard system.

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Distracted Surgical Team, Lung Cancer Screening, & more
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight December 2017: Distracted Surgical Team, Lung Cancer Screening, and more

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Toward an Ideal Referral Process
By Jock Hoffman, CRICO

A national effort to address a major concern. grant_icon

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Harvard Primary Care Sites Collaborate on Innovations in Patient Safety, Quality
By Tom A. Augello, CRICO

For two years, The HMS Center for Primary Care partnered with CRICO, to “move the needle” in four areas of ambulatory care. A key success factor: funding so personnel from the 28 practices could meet off-site to collaborate with each other. Watch participants share how this project transformed their practices, and continues to fuel collaboration to prevent medical harm and promote care improvements.grant_icon

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Safety Culture and Risk Reliability in Health Care
By the AMC PSO

This white paper explores the dynamics of safety culture and organizational resilience.

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