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Navigating Risks in Breast Cancer Diagnosis and Treatment
By Penny Greenberg, RN, MS, CRICO; Darrell Ranum, JD, CPHRM, The Doctors Company; and Dana Siegal, RN, CPHRM, CRICO

CRICO Strategies and The Doctors Company recently partnered on a detailed analysis of 562 breast cancer medical malpractice claims from 2009 to 2014 to identify risks and provide insights into potential vulnerabilities for providers and patients.


Testing and Results Processing

Sending patients (or specimens) for testing is fraught with opportunities for something to go wrong.



CRICO’s 12-Step Diagnostic Process of Care Framework

Often a single case has multiple contributing factors. More than 82 percent of those factors have been mapped to one of the 12 steps in CRICO’s diagnostic process of care framework, from the patient noting a problem through compliance with a follow-up plan.


Initial Diagnostic Assessment

Assessment errors reflect process shortcuts and omissions, rather than unusual circumstances. (CBS Report 2014) 


Follow up and Coordination

As a preliminary diagnosis is pursued, some evidence may support it, some might not. By the time someone on the patient’s care team reaches a “let’s start again” point, there is momentum behind the preliminary diagnosis that has to be slowed or redirected.


2014 CBS Benchmarking Report:
Table of Contents

The report looks at broad phases in the diagnostic process where the problems—and the potential remedies—are relatively similar.


TEDMED Speakers: How Ignoring Medical Errors is Costing Lives
By Jennifer Rose, CRICO

TEDMED 2014 speakers raise the cry for the medical profession to face the fact that medical errors will occur and it is time to admit and address this. Danielle Ofri, MD a physician and professor, singles out the “toxic culture of perfection” that residents and doctors face and how she believes is degrading the overall patient experience. Elizabeth Nabel, MD, president of Brigham & Women’s hospital, begs us to use humility with our knowledge. Patricia Horoho asks us to stop whispering about near misses and start fixing the system.


CRICO OR Team Training Program with Simulation
By Jerin Raj, CRICO

The CRICO Operating Room Team Training Program with Simulation is open to select CRICO-insured attending surgeons in the following specialities: general surgery, neurosurgery, orthopedic surgery, cardiac surgery, thoracic surgery, otolaryngology and gynecology surgery.



CRICO Operating Room Team Training Collaborative: Using the Surgical Safety Checklist
By Bill Berry, MD, MPH

Human memory is limited and frail. We are prone to forget even the things that we work to memorize. The pressures of work load and emergencies increase these weaknesses even more.


CRICO Operating Room Team Training Collaborative: An Approach to Speaking Up
By Toni Walzer, MD

Elements of the Surgical Safety Checklist can be used as an actual briefing to enhance teamwork. Voicing one’s name, role and concerns not only gets the entire team on the same page but makes the environment more open for any team member to speak up throughout the case.

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