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No Review of Test Result, and
Girl Suffers Wrong Dx for Years
By Kathy Dwyer, MSN, RN, CRICO, Terese Berry, MD, CRICO, Tom A. Augello, CRICO

An 8-year old girl was treated over three years for a condition she never had. Multiple providers missed a test result that showed she had celiac disease, so it went untreated and she suffered. The resulting lawsuit resulted in a settlement against two of her doctors. This case study not only reviews the facts, but it also features suggestions from an expert reviewer on how to prevent similar mistakes managing test results.

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Medication Administration in the Ambulatory Setting

The AMC PSO convened a panel of nursing leaders to review risks in the medication delivery processes in the ambulatory setting and discuss potential interventions aimed at mitigating the risks associated with medication administration.

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Patient Voice: Beth Felt a Lump but the Nurse Didn’t. How a Patient and her Providers Turned it Around
By Tom A. Augello, CRICO

Patient Voice: Beth felt a lump in her breast but the NP covering for her regular primary care doctor told her there wasn't a need for testing because she didn't feel it. An insistent patient, a concerned doctor, an apology, stellar coordination with specialists, and remission complete the story. Now, this patient praises her health care providers and the institutions they work in.

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Resources for Presenters

The CRICO Are You Safe? case studies contain information that you can access in different formats: web pages, one page handouts, and a slideshow version with additional data included.

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Called to be Juror in Medmal Case? Lawyers Want to Talk to You
By Ellen Cohen, Esq.
Adler, Cohen, Harvey, Wakeman, Guekguezian, LLP

In Massachusetts, the law recently changed, regarding how juries are selected in civil trials, including medical malpractice cases. Now lawyers can question individual jurors directly.

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Uncle Sam, Please Pass the Family History
By Jock Hoffman, CRICO

An assessment without family history is an incomplete assessment.

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CRICO’s Are You Safe? Case Studies

These case studies are designed to help all members of a multidisciplinary team reduce the risk of patient harm in the course and diagnosis and treatment. Office-based events that trigger malpractice cases present valuable opportunities to identify vulnerabilities in communication, clinical judgment, and patient care systems.

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Are You Safe? Library

Are You Safe? cases are available as double-sided single sheets or slideshows that you can use to discuss improving patient safety in the office setting. This page lists all items by topic. Click through to see how you can earn category 2 Risk Management credits.

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‘Grass Roots’ Research Sprouts From Harvard Medmal Data
By Tom A. Augello, CRICO

In 2016, CRICO hosted a “Research Day” to highlight more than 17 past and current projects supported through the insurer’s grant program via RFAs. This event facilitated the cross-fertilization of ideas and feedback across its patient safety research community.grant_icon

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Starting Points for Patient Safety
By Jock Hoffman, CRICO

Patient Safety: Benchmark before improving. Learn how.

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21-30 of (278) items Page of 28