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< Back To Patient Safety

A Movement and Its Future After 20 Years: Patient Safety Leader Retires, Looks Ahead
By Tom A. Augello, CRICO

What has the patient safety movement achieved over the past 20 years, and what lies ahead? An exit interview with one of its longest leaders as he retires and pushes hard on the use of data analytics.

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A Forgotten Stent and Unclear Responsibility for Follow Up
By Tom A. Augello, CRICO

The patient sued his oncologist and the hospital, claiming they mismanaged his post-op recovery when a stent was left behind for a year, leading to complications that required additional surgery.  

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Are You My Doctor? Cards Help Patients
By Tom A. Augello, CRICO

It’s easy to see how patients become confused and dissatisfied in a busy healthcare environment. Multiple risks to patient safety may lie in this scenario; trust, adherence, follow-through, and patient engagement are all on the line. One Harvard graduate and researcher thinks a lot of this can be cleaned up and made safer with a simple card that a physician hands to a patient when they first meet.

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Nothing is “Routine” for an Anxious Patient or Family
By CRICO Staff

In this case, a pediatric practice struggled to satisfy the family of a boy after two years of appropriate primary care. What did they learn about communicating with patients and their families over routine medical matters?

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Clinician Burnout: EHR Should Help, Not Hurt
By Tom A. Augello, CRICO

Too many healthcare providers are burning out on the job. Electronic health records are a big culprit, and Harvard’s patient safety and malpractice company has started a call to action.

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Status Change Missed, Consultation Flawed, and the Patient Loses Baby
By CRICO Staff

In this case, communication between the primary provider and a phone consultant needed more clarity. And changes in the patient’s status needed a stronger response, if a tragic outcome had any chance of being averted.

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Catching Breast Cancer
In Women 40–49
By Tom A. Augello, CRICO

Breast cancer is the leading cause of non-cutaneous cancer death among women between the age of 45–60. Primary care providers get some insights for diagnosis and follow-up, from a talk by Dr. Mara Schonberg in Boston, titled, “Breast Care Risk Assessment Among Women 40–49 in Primary Care.”

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Harvard Researcher: Hospitals Can Do Better Diagnosing Deadly Sepsis
By Tom A. Augello, CRICO

Sepsis is common and it’s deadly. It accounts for five percent of the patients admitted to the hospital and a third of hospital deaths. The worry: sepsis is often difficult to detect, giving rise to dangerous clinical outcomes and liability.

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Aging Surgeons a Patient Safety Concern for Hospitals
By Tom A. Augello, CRICO

As the nation copes with an aging population, concern turns to aging surgeons. CRICO’s podcast, Safety Net,  interviews one physician expert who is trying to encourage more hospitals to ferret out dangerous diminishing cognitive and physical faculties, with Late Career Practitioner Policies.

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Can Patient Pics in the Electronic Health Record Cut Identity Mistakes in the ER?
By Tom A. Augello, CRICO

Research:  “Adding Photos to the Electronic Health Record: Reducing Wrong Patient Orders in the Emergency Department,” from CRICO’s patient safety grant program.

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21-30 of (166) items Page of 17