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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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NP Misses Fatal Illness on Phone with Patient’s Dad
By Kathy Dwyer, MSN, RN, CRICO, Tom Augello, CRICO

A father called his son’s pediatrician’s office on a winter week-end night and told the nurse practitioner that his nine-year-old had not felt well for three days. The nurse fixated on flu symptoms and told the father to push ginger ale. When the father checked on the boy 12 hours after the call, he had died from diabetic ketoacidosis and his diabetes mellitus was undiagnosed until autopsy.

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For This Patient, Opioids for Pain Resulted in Suicide, Court Settlement
By Barbara Szeidler, RN, BS, LNC, CPHQ, CPPS, CRICO, Tom A. Augello, CRICO

The patient had a history of suicidality when her psychiatrist referred her to a sleep specialist. Three weeks after the second doctor increased her oxycodone dose to treat restless leg syndrome, the patient used the drug to kill herself.

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Cooling Brain-injured Babies to Reduce Disability, Liability
By Tom A. Augello, CRICO

Research and recent experience show that some babies who show signs of brain injury suffered before or during birth have better outcomes when hospitals cool the baby’s body temperature. Thus, early identification and treatment of this condition has the potential for improving patient outcomes and reducing the risk of liability. CRICO has recently awarded grant funding to promulgate guidelines, titled “Therapeutic Hypothermia in Neonates,” that were developed under its federally-designated PSO component entity.  

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Defendants Talk, Standard of Care, Case Studies, and more...
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight February 2017:  Defendants Talk, Standard of Care, Case Studies, and more

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Understanding “Standard of Care” A Doctor and a Lawyer Share from the Medmal Front Lines
By Carla Ford, MD, John Reardon, JD, Tom Augello, CRICO

For many in the medical profession, some of the basics of law and malpractice claims are a little mysterious. The key question about negligence is whether or not the provider failed to meet the “standard of care.” But how do we know what the standard of care is? We hear from a lawyer and and a doctor about what they’ve learned working in the world of medical errors and malpractice law.

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Patient Safety Alerts Library

Each AMC PSO Patient Safety Alert takes an in-depth look at one or two topics such as Patient Falls and Results Management. Visit our library to see the available reports and fill out a form to receive a PDF of one or more issues. 

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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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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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‘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.

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