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5 Ways to Strengthen Your Notes for Breast Care Management, Risk Assessment Podcast, Consequences of Copy and Paste Documentation Case Study, and More
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insights October 2021. 5 Ways to Strengthen Your Notes for Breast Care Management, Risk Assessment Podcast, Consequences of Copy and Paste Documentation Case Study, and More


Surgery Change Needed Better Consent
By Tom A. Augello, CRICO, Jennifer Vuu Sanchez, CRICO

The goal was to treat uncontrolled pain from tumors but the patient was left with unexpected hearing loss. The patient sued when she claimed the surgeon changed the side of the operation without consulting her. For ideas that might help prevent these negative outcomes, we talk with Douglas Smink, MD, MPH, an associate medical director for CRICO and the Chief of Surgery at Brigham and Women’s Faulkner Hospital.


Lack of Preparation, Safety Culture, Contributed to Loss of Baby
By Tom A. Augello, CRICO Jennifer Vuu Sanchez, CRICO

This OB patient’s risk factors were not adequately considered, and the team’s failure to follow protocols and secure back-up contributed to a lawsuit and a settlement of over $1 million.


Opening the Door to Safe Virtual Visits
By Jock Hoffman, CRICO

While COVID-19 closed many doors across health care, it did push the door to virtual visits wide open.


Cures Act Opens Clinical Notes to Patients
By Tom A. Augello, CRICO

New federal law gives patients access to almost everything in their medical record, including clinical notes. It allows for a different kind of partnership between patients and providers where they are co-producing the outcome. This may be good for both patient safety and risk management.


Cures Act: Perspectives from Claims and Patient Safety

Looking at the Cures Act and more open notes from both a patient safety and malpractice claims perspective.


Opening Your Notes: Patient Care Recommendations

Keep these methods of notes documentation in mind when recording your patient encounter. See the list of tips and specific examples.



Cures Act Overview

Eight categories of clinical notes created must be immediately available to patients through a secure online portal. Providers may not block, or delay patients’ access to, any eligible information entered and stored in their EHR. Learn more about this 2021 ruling.



Help For Optimizing Care and Preventing Risk With Virtual Visits
By Tom A. Augello, CRICO

A new guide called Patient Safety Guidance for the Virtual Visit: Managing Risk in a New Care Setting is available free online. It was produced by the Academic Medical Center Patient Safety Organization, and covers a range of issues from the first decision to engage in a virtual visit with a patient, to the follow-up needed to close important loops, and even quality improvement measures. Dr. Philip Ciampa, task force member, walks through some of the key points.



At the End of Information Blocking, an Opening for Patient Safety
By Jock Hoffman, CRICO

Opening your notes offers the potential to enhance patient safety by linking clinicians and patients between visits–times when ambulatory vulnerabilities often compound.


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