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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.

 

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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.

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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.

 

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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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More Recently Asked Questions
By Jock Hoffman, CRICO

Queries about malpractice and patient safety.

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Unclear Discharge Instructions, Patient Loses Foot
By Tom A. Augello, CRICO,
Margaret Janes, CRICO

In a lawsuit naming the Emergency Medicine physician and a nurse, the patient alleged that a dressing was applied too tightly, compromising the circulation and resulting in a gangrenous foot, requiring amputation. Despite an eventual defense verdict, some lessons show how to prevent this bad clinical result and a five-year legal ordeal.

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Recently Asked Questions
By Jock Hoffman, CRICO

Clinicians express concerns about malpractice and patient safety.

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Protecting Providers: Support, Data, & Expertise

Receive first-hand advice from your peers, as well as resources from legal and clinical experts. We hope to arm those of you who have the misfortune to face an allegation of malpractice, with tools to help you better navigate the experience. Above all, we want you to know we are here should you need us.

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Documentation Best Practices

Write it right. Keep the reports factual, make it clear when you make a change, and be as specific as possible to get your notes right the first time.

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Young Patient, Flawed Test, Fatal Delay in Colon CA Diagnosis
By Melissa DeMayo, CRICO, Tom A. Augello, CRICO

Despite multiple visits to her PCP with similar complaints over years, this young patient did not get a timely diagnosis of colon cancer and died. Dr. Carla Ford looks at the testing, communication among providers, and some diagnostic insights for the next patient.

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