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


Defendant Peer Resource Group
By Tom A. Augello, CRICO, Peter McCormack, CRICO

CRICO offers defendants the opportunity to meet with other current and previously sued medical professionals in the setting of a peer support program.


Cracking the Code for Better Rapport Among Generations
By Missy Padoll, CRICO, Tom A. Augello, CRICO

Understanding “generation codes” gives clinicians insight into their patients’ and colleagues’ mindsets and provides a tool for building the rapport needed for a productive healthcare relationship.


Primary Care Docs Try to Up Their Diagnosis Game
By Tom A. Augello, CRICO

The idea of missing something, or finding out that follow up on a lab order or specialty consult fell through the cracks, can haunt providers. Nothing represents these concerns better than a claim from a patient or family that you failed to diagnose their cancer. A recent review of professional liability claims from across the United States shows that diagnosis-related claims account for a higher percentage of dollar costs than any other category.


Doctors Lose Their Own Malpractice Case
By Tom A. Augello, CRICO

The defendant’s role in a successful defense against a claim of malpractice is critical, but it isn’t easy. Clinician have to be able to follow advice from lawyers, cope with their own emotions, which often include anger or fear, and project competence and likability to potential jurors. These things—none of which are taught in medical school—can be a challenge to a medical professional. Sometimes malpractice cases have to be settled because the defendant clinician cannot adapt to the legal system.


Part III: Harvard Joins IHI to Cut Referral Mistakes
By Tom A. Augello, CRICO

According to estimates, as many as half of medical specialty referrals are not fully completed. In a study of medical malpractice cases asserted in the Harvard system between 2006 and 2015, 46 cases involved referral breakdowns, with an incurred cost of $11 million. The vast majority involved severe harm to the patient. Closing the Loop... is a guide to prevent this from continuing.


Patient Safety Becoming a Family Affair
By Tom A. Augello, CRICO

Experts: the need to pull families onto the patient safety team will only grow with ongoing trends of shorter hospital stays, and care moving into ambulatory sites and even into the patient’s home. Family caregivers will be a big part of safety at each stage.


Part II: Harvard Joins IHI to Cut Referral Mistakes
By Tom A. Augello, CRICO

Mishandled specialty referrals in ambulatory care can harm patients and lead to litigation if a diagnosis is delayed or missed. Two leading groups hope individual practices and institutions will use the Guide to make their referrals more reliable and reduce mistakes.

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