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What’s It Like to Be Sued?
By Tom A. Augello, CRICO

One physician said that when you’re being sued for medical malpractice, “you want a whole army behind you.” The second physician advised the need to “fly in formation” with the insurance representatives, defense attorney, and supportive colleagues. A third remarked that the experience left him less trusting of patients. The fourth physician said it hasn’t changed how he interacts with patients “one whit.”


Standards for Residents Same as Senior Physicians
By Frank Reardon, JD, John J. Barton, JD

A number of important legal rulings have held that attendings are not responsible for the acts of other health care professionals. But they must assign tasks appropriate to the individual's range of capabilities and provide adequate supervision. Where a resident is permitted to perform a procedure or oversee a course of treatment, these cases show that the patient and the courts will expect that the resident is at a level of training and experience to adequately do so.


Improving the Surgical Residents ED Experience
By John Schuler, MD

Surgical residents in the ED need opportunities to develop their ability for inductive logic and to improve their clinical sense through repeated exposure to undifferentiated, ill patients. With this experience, the surgical trainee sees a variety of clinical problems and patients, learns to think critically while under stress, practices his or her skills, learns from mistakes, and ultimately develops confidence in his or her decision-making and clinical judgment.


Informed Consent Basics

Through dialogue and discussion with you, your patients become more knowledgeable partners in medical decision-making and develop realistic expectations about the outcomes of medical intervention. Ideally, informed consent discussions build trust and reduce surprise and disappointment if complications or adverse events occur.


General Informed Consent Guidelines for Institutions
By Jock Hoffman, CRICO

These guidelines are based in part on opinions and advice of malpractice defense attorneys in Massachusetts. CRICO recognizes that institutions should continue to have the flexibility to respond to such recommendations in a manner that will least disrupt the orderly provision of health care at the facility.


Accelerating Patient Safety Improvement
By expert panel convened by The National Patient Safety Foundation

Patient safety is a serious public health issue. Like obesity, motor vehicle crashes, and breast cancer, harms caused during care have significant mortality, morbidity, and quality-of-life implications, and adversely affect patients in every care setting. Although patient safety has advanced in important ways since the Institute of Medicine released To Err Is Human: Building a Safer Health System in 1999, work to make care safer for patients has progressed at a rate much slower than anticipated.


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.


Initial Diagnostic Assessment

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


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.

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