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Risk Management for Breast Care

Related to: Claims, Clinical Guidelines, Diagnosis, Documentation, Primary Care, Other Specialties

The following list describes the risk factors surrounding breast care management.

Self-detected mass: The majority of CRICO’s failure to diagnose breast cancer cases involve a patient-detected mass, lump, or thickening. Whether or not you can confirm a mass, the patient presenting with a self-detected lump must be followed to conclusion.

Risk factors: Assessment—and periodic updating—of a patient’s personal and family history ensures timely age- and risk-stratified breast cancer screening, including appropriate referrals to high risk counseling.

Test results: Primary care providers and radiologists must coordinate the process for communication of all test results to the patient and for confirming receipt of all results by the ordering provider.

Follow up: Document follow-up testing recommendations and communicate the follow-up plan to the patient and all responsible providers.

Referrals: For a patient referred to a specialist, make sure to coordinate the care among providers and clarify for the patient the specific roles and responsibilities.

See Also

Data for Breast Cancer Diagnosis-related Cases

March 2, 2014
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