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Patient Safety Pods

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


Breast Care Guide Update: Take Care When Nothing’s There
By Tom A. Augello, CRICO

Specialists in the Harvard system updated the CRICO Breast Care Management Algorithm in early 2019. And it takes into account some of the newest areas of clinical and legal risk.


Radiology Didn’t Know Risk Status Before Patient Fall, Head Injury
By Adam Schaeffer, MD, Tom A. Augello, CRICO

In this closed Harvard malpractice case, a patient fell during a radiology study because her risk status wasn’t communicated from the unit effectively. It was not a typical fall—on the way to the bathroom alone.  Hospitalist Adam Schaffer, MD, MPH, analyzes what went wrong and suggests some effective practices to prevent severe injury in places you don't expect, with eyes on the patient.



Expecting Diagnosis Errors
By Tom A. Augello, CRICO

In a talk titled “Diagnostic Errors in Medicine” in Boston, Dr. Gordon Schiff offers clinicians a variety of methods to anticipate diagnosis errors and prevent them. It’s from a day-long course on patient safety and risk management in primary care on October 13, 2018 in Boston


Completing the Network Activities Section of the Physician Renewal
By Underwriting

Tutorial for physician renewal network activities.


Fatal Misplaced Tube Casts Light on Supervision, Competence Assessment
By Laura Myers, MD, MPH, CPPS, Tom A. Augello, CRICO

In this case, a 75-year-old female was admitted to the ICU with respiratory failure.  A misplaced feeding tube led to her death. ICU intensivist Dr. Laura Myers discusses lessons from this case about supervision and assessing a provider's competence with a new procedure.



Prostate Perils in Primary Care: Roadmap from an Expert
By Marc B. Garnick, MD

For primary care physicians wanting to better manage the risks around prostate care, Prostate Cancer Screening and Beyond: Genetics, Prevention and Therapy fit the bill. It’s a presentation from internationally renowned prostate expert Marc Garnick, from a day-long course on patient safety and risk management in primary care in October 2018 in Boston. Learn how PSA issues are a leading cause of cancer malpractice claims—and getting worse. Dr. Garnick shares the clinical insights behind the fact that physicians, NPs and institutions are all named as defendants in legal actions by patients.


What’s Up with Cardiac Malpractice Cases?
By Tom A. Augello, CRICO

A rise in cardiology malpractice cases goes against general malpractice trends across specialties that show significant declines. Most of the errors in outpatient cardiac cases involve failures in the diagnostic process. Diagnosis errors bedeviled providers in the inpatient setting as well.


Update on Best Medical Practices: Key Areas in Safety and Risk Outside the Hospital
By David W. Bates, MD, MSc

We have learned a lot about risks in inpatient care, but there is still lots to learn about safety outside the hospital.


Doctor’s Focus on Patient Safety an Eye Opener
By Brittany Esty, MD, Tom A. Augello, CRICO

This physician began thinking bigger: How do we see on larger scale? How do we improve the care we provide? Brittany Esty, MD, says her two-year experience in the HMS Patient Safety Fellowship gave her the greatest gift of all time: it taught her how to see.


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