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EHR Downtime, Lost Orders, and more
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight January 2018: EHR Downtime, Lost Orders, and more

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Covering our Volunteers
By Hermen Yee, Esq, and Caren-Elise Titus, CRICO

If you are a member of the Harvard medical community who has registered with the MA Responds program to volunteer in a declared public health emergency, you may have wondered if you are covered by your CRICO professional liability policies. The good news is that generally you are covered! The only caveat is that some of you need to obtain certain written authorizations from your sponsoring institution.

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Poor Communication of Doctor’s Orders Leads to Preventable Death
By Missy Padoll, CRICO and Tom A. Augello, CRICO

When a speech and swallowing evaluation showed the patient to be at risk for aspiration, the resident documented a plan that the patient be given nothing by mouth. But the NPO order was not entered into the system, a technician attempted to feed him, and he aspirated. This was not communicated to the attending. After transfer to the ICU, he succumbed to additional morbidities, including aspiration pneumonia.

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ED Stuck on Wrong Diagnosis, Blamed the Patient?
By Tom A. Augello, CRICO, Carla Ford, MD

A 26-year-old male presented to the emergency department with burning chest pain. After two more visits within four days for the same complaint, he died at home from acute coronary thrombosis. Did the clinicians' frustration with the course of his condition lead them to blame the patient rather than reconsider their diagnosis?

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Catching Transitioning Patients Before They Fall (through the cracks)
By Tom A. Augello, CRICO

Better clinical outcomes, lower cost: we’re talking about care transitions and a recently completed research project at Cambridge Health Alliance that identified a patient population that needs specialized help after a hospitalization. Our interview is with Dr. Richard Balaban, who led the care transition project, funded through a grant from CRICO.

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Med Error Co-morbidities, Suicidal Patients, and more...
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight September 2017: Med Error Co-morbidities, Suicidal Patients, and more

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Patient ID Risks & the Intersection of Electronic Health Records

The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.

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When Things Go Wrong for Residents
By Jock Hoffman, CRICO

 Learning from mistakes is more challenging for residents.

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EHR Risks, Safer Handoffs, and more...
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight July 2017: EHR Risks, Safer Handoffs, and more

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The Dutch Reach Challenge
By Jock Hoffman, CRICO

Changing behavior is a long-term commitment.

 

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1-10 of (292) items Page of 30