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< Back To Patient Safety

Getting Boards on Board with Patient Safety
By Tom A. Augello, CRICO

On this episode we are at the IHI/NPSF Lucian Leape Institute’s 10th Annual Forum. Patient safety luminaries from around the world gathered near Boston to review a new study on public perceptions of medical error, to discuss new trends, and to generate ideas on a singular focus: how to more fully engage a healthcare organization’s governing board to make care better and safer.

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NP Misses Fatal Illness on Phone with Patient’s Dad
By Kathy Dwyer, MSN, RN, CRICO, Tom Augello, CRICO

A father called his son’s pediatrician’s office on a winter week-end night and told the nurse practitioner that his nine-year-old had not felt well for three days. The nurse fixated on flu symptoms and told the father to push ginger ale. When the father checked on the boy 12 hours after the call, he had died from diabetic ketoacidosis and his diabetes mellitus was undiagnosed until autopsy.

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For This Patient, Opioids for Pain Resulted in Suicide, Court Settlement
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO, Tom A. Augello, CRICO

The patient had a history of suicidality when her psychiatrist referred her to a sleep specialist. Three weeks after the second doctor increased her oxycodone dose to treat restless leg syndrome, the patient used the drug to kill herself.

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How Simulators Help OR Teams Really Act Like Teams
By Tom A. Augello, CRICO

Surgeons, nurses, doctors, technicians and others gather in simulators at Harvard to learn teamwork.

Participants say it saves lives, money, and grief. Even skeptics say it’s worth the time and it should be done everywhere.grant_icon

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Cooling Brain-injured Babies to Reduce Disability, Liability
By Tom A. Augello, CRICO

Research and recent experience show that some babies who show signs of brain injury suffered before or during birth have better outcomes when hospitals cool the baby’s body temperature. Thus, early identification and treatment of this condition has the potential for improving patient outcomes and reducing the risk of liability. CRICO has recently awarded grant funding to promulgate guidelines, titled “Therapeutic Hypothermia in Neonates,” that were developed under its federally-designated PSO component entity.  

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Doctors and the Law: A Judge Offers a Peek Behind the Gavel
By Tom A. Augello, CRICO, Hon. Hiller B. Zobel

Unlike other areas of modern clinical practice, there still isn’t much training in medical school around what to do or what not to do as a malpractice defendant, or an expert witness for someone else’s case. In a one-on-one interview, author and retired Massachusetts Superior Court Associate Justice Hiller B. Zobel offers some sage how-tos and reassurance as he highlights the second edition of his book, “Doctors and the Law: a guide for physicians entering uncharted waters.”

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David Lucier, MD, MBA, MPH, a CRICO HMS Fellow
By Tom A. Augello, CRICO

View this short video featuring David Lucier, MD, MBA, MPH discussing his experience in the CRICO-funded Patient Safety & Fellowship program.

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Marc Pimental, MD, MPH, a CRICO HMS Fellow
By Tom A. Augello, CRICO

View this short video featuring Marc Pimentel, MD, MPH discussing his experience in the CRICO-funded Patient Safety & Fellowship program.

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Jessica Zerillo, MD, MPH, a CRICO HMS Fellow
By Tom A. Augello, CRICO

View this short video featuring Jessica Zerillo, MD, MPH discussing his experience in the CRICO-funded Patient Safety & Fellowship program.

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Melissa Sundberg, MD, MPH, a CRICO HMS Fellow
By Tom A. Augello, CRICO

View this short video featuring Melissa Sundberg, MD, MPH discussing her experience in the CRICO-funded Patient Safety & Fellowship program.a CRICO Fellow describes her learning experiences in the CRICO-funded Patient Safety & Fellowship program.

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