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Part III: Harvard Joins IHI to Cut Referral Mistakes
By Tom A. Augello, CRICO

According to estimates, as many as half of medical specialty referrals are not fully completed. In a study of medical malpractice cases asserted in the Harvard system between 2006 and 2015, 46 cases involved referral breakdowns, with an incurred cost of $11 million. The vast majority involved severe harm to the patient. Closing the Loop... is a guide to prevent this from continuing.

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Part II: Harvard Joins IHI to Cut Referral Mistakes
By Tom A. Augello, CRICO

Mishandled specialty referrals in ambulatory care can harm patients and lead to litigation if a diagnosis is delayed or missed. Two leading groups hope individual practices and institutions will use the Guide to make their referrals more reliable and reduce mistakes.

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CRICO OB Patient Safety Program

FOR OBSTETRICIANS: this voluntary program entitles CRICO-insured providers to remain in a lower premium underwriting specialty category for each year in which they complete specific risk reduction activities.

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Telemedicine, False-negative Biopsy, Closing the Referral Loop, and more
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight April 2018: Telemedicine, False-negative Biopsy, Closing the Referral Loop, and more

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Part I: Harvard Joins IHI to Cut Referral Mistakes
By Tom A. Augello, CRICO

In any complex medical system, malpractice cases can arise from failures in the referral process. Typically these are situations in ambulatory care where the doctor recommends that a patient see a specialist, but it either doesn’t happen or nobody acts on the result. A new tool from The Institute for Healthcare Improvement and CRICO helps guide doctors and practices to prevent these referral errors and the harm from resulting diagnostic failures.

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New Guidelines, Find Joy in Patient Care, & more
By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Insight February 2018: New Guidelines, Finding Joy in Patient Care, and more...

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Harvard Primary Care Sites Collaborate on Innovations in Patient Safety, Quality
By Tom A. Augello, CRICO

For two years, The HMS Center for Primary Care partnered with CRICO, to “move the needle” in four areas of ambulatory care. A key success factor: funding so personnel from the 28 practices could meet off-site to collaborate with each other. Watch participants share how this project transformed their practices, and continues to fuel collaboration to prevent medical harm and promote care improvements.grant_icon

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Safety Culture and Risk Reliability in Health Care
By the AMC PSO

This paper explores the dynamics of safety culture and organizational resilience.

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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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