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How to Earn Category 2 Risk Management Credits

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Office-based events that trigger malpractice cases present valuable opportunities to identify vulnerabilities in communication, clinical judgment, and patient care systems. The Are You Safe? cases are designed to help all members of a multidisciplinary team reduce the risk of patient harm in the course of diagnosis and treatment. Learn More >>

Closing the Referral Loop

Are we properly tracking tests results and referrals? Are You Safe?
Risk: Missed diagnosis of celiac disease. Three years after being tested for celiac disease, a delayed diagnosis is uncovered.

Am I sure my patient got the test I ordered? Are You Safe?
Risk: Misfiled results. Multiple providers fail to reconcile an outstanding imaging study due to inadequate test result management system.  

Is my specimen handling process reliable? Are You Safe?
Risk: Mismanaged specimen. Patient suffers unnecessarily due to improper management of lab specimen obtained during a physician office visit.

Who is responsible for follow up?Are You Safe?
Risk: Reconciled referral. Lack of follow up with patient due to inadequate office practice system to track record from specialist visits.


Partnering with Patients

Is my patient’s history up to date? Are You Safe?
Risk: Missing/dismissing information. Failure to appreciate history, signs, and symptoms of a patient’s critical illness.

Does my patient understand why I ordered this test? Are You Safe?
Risk: Failure to follow up on a new finding. Patient skipped a recommended echocardiogram, then died suddenly of heart failure.


Reliable Diagnoses

Are we prepared to triage this patient call? Are You Safe?
Risk: Patient is in need of more immediate care than is conveyed over the phone.

Should I use a decision support tool? Are You Safe?
Risk: Failure to diagnose. Inadequate management of a patient-detected breast lump.


Standard Communication

Are You Safe?

Is this procedure what the patient consented to?
Risk: Failure to obtain a complete informed consent for procedure provided. The patient’s original referral procedure was intentionally changed from right to left and informed consent was not signed.

Are You Safe?

Did the specialist change the treatment plan?
Risk: Miscommunication about anticoagulation. PCP was unaware the patient’s cardiologist had discontinued her Coumadin


Resources for Presenters

Presenter Materials

CRICO has produced presentations for use by providers and practice staff interested in sharing Are You Safe? case studies with colleagues. The slideshows include additional data and complementary information as well as a facilitator’s guide.

Download Presenter Materials >>

November 9, 2016
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