Advanced Search

  • Topic
  • Specialty
  • Content Type

Subscribe to Strategies for Patient Safety

Also Related

< Back To Patient Safety
0 dislikes

< Hide

Comments For

Strategies for Patient Safety (SPS) Library


< Shrink

Add Your Voice

All comments are posted anonymously. Your comment will be attributed to: "Anonymous user."

post comment


Are you sure you want to delete this comment?


Strategies for Patient Safety (SPS) Library

Related to: Publications

Each month, Strategies for Patient Safety explores the myriad ways 30-plus years of analyzing medical malpractice data can guide physicians and nurses practicing amidst today’s patient safety risks. We view SPS as an opening to deeper exploration of issues that impact your patients, your practice, and your professional well-being.


October 2022–Deceptive Risk
More than 60 percent of patients lie to their physician or withhold information.

September 2022–Connecting the Dots
17% of MPL cases involve a failure from clinicians to appreciate signs, symptoms and test results

August 2022–The Third-Party Risk Factor
Safety risks when using a third-party individual on a care team can lead to malpractice claims as evidenced in this infographic.

July 2022–Demystifying Malpractice
Two short films recently made public offer unique insight into the plight of patients and providers involved in adverse medical events.

June 2022–Patient Safety Guidance Support
CRICO makes its decision support materials available to all caregivers.

May 2022–Elderly Patients Pose a Disproportionate Malpractice Risk
When care dips below the acceptable standard, then adverse events among older patients accelerate the risk of malpractice allegations.

April 2022–Icing the Patient Safety Movement
The RaDonda Vaught case sent ripples through the medical community calling into question if making a mistake will end in imprisonment.

March 2022–Fixing Today’s Patient Safety Problem 
Individual events are, of course, important to investigate and understand, but a quick fix based on a sample of one is often misguided.

February 2022–Patient Safety in an Understaffed Care Setting 
Foster a culture of trust and collaboration.

January 2022–Malpractice Case Studies Aren’t Just Somebody Else’s Troubles
While malpractice cases are rare for individual physicians, mistakes in the delivery of care are ubiquitous.



December 2021–A Very Short Naughty List
A common misunderstanding about medical malpractice claims and lawsuits is that they stem from egregious and aberrant behavior by individuals impervious to the harm they’ve caused.

November 2021–Hospitalist Malpractice Case Characteristics
The number of physicians practicing as hospitalists—and the likelihood of them being named in a malpractice case—is on the rise.

October 2021–I’ll Take Some Cranberries and a Helping of Family History, Please
An updated family history is an essential part of a patient’s medical narrative.

September 2021–Diagnostic Errors Are Everyone's Problem
Missed diagnosis occur across all services

August 2021–An Increasing MPL Cohort
Of 71,339 MPL cases closed from 2010-2019, patients age 70 and above account for 13%.

July 2021–Residents and Fellows and Malpractice
Supervising attendings and other team members should lead trainees from any missteps toward learning opportunities.

June 2021–MPL Case Management Expenses 
Even without a payment, cases still incur defense costs

May 2021–In the Name of Respect
Good rapport begins with first impressions.

April 2021–Opening the Door to Safe Virtual Visits
When one door closes, another one opens. —Alexander Graham Bell

March 2021–At the End of Information Blocking, an Opening for Patient Safety 
The Cures Act unblocks access to all health care notes.

February 2021–More Recently Asked Questions 
Queries about malpractice and patient safety.

January 2021–Recently Asked Questions
Clinicians express concerns about malpractice and patient safety.



Diagnosing the Malpractice Risks for Radiologists 
62% of cases naming radiologists allege a diagnostic error.

November 2020–Risks Associated With the Most Common “Procedure” Clinicians Employ
Heed unsatisfactory conversations.

October 2020–Too Good to Be Untrue
Medmal data is a credible source for patient safety.

September 2020 - Documentation Gaps Increase the Risk of a Malpractice Defendant Being Held Responsible
Inadequate or missing information increases the likelihood of payment 76%

August 2020–An Inadequate Patient Assessment Increases the Risk of a Malpractice Defendant Being Held Responsible
Presence of this factors increases likelihood of payment 85%.

July 2020–Policy Protocol Missteps More Likely to Result in Paid Claims
Presence of this factors increases likelihood of payment 145%.

June 2020–Who’s Seeing Your Patients? 
Signs and symptoms of illness may go undetected

May 2020–It Won’t Be Easy
Some patients will find post-quarantine care especially difficult.

April 2020–Going Beyond in the Time of COVID-19
There’s a lot to learn in a hurry.

March 2020–Managing Non-coronavirus Patients’ Expectations Amid the Pandemic 
Managing non-COVID-19 patients in overtaxed health care environment.

February 2020–Asking the Right Questions About Risk 
Better questions lead to better answers.

January 2020–MPL Risks Associated with PAs 
PA patient safety risks mirror MDs.



December 2019–MPL Risks Associated with NPs
Fewer than one percent of MPL cases name an NP.

November 2019–Doorknob Syndrome and Patient Safety
Patients don’t always start at the top of their problem list.

October 2019–Medical Malpractice Jury Verdicts are Rare
No day in court.

September 2019–Good News is No News 
Patient safety is improving…despite the headlines.

August SPS August 2019–Are Best Practices (Still) a Good Idea?
SIf you need a best practice, where do you look?

July 2019–MPL Case Studies Aligned with Top Diagnostic Risks
What often gets missed.

June SPSJune 2019–Why Went Wrong 
From errors to opportunity

May 2019–A Difficult Time for Patient Safety
Beware the end of day challenges.

April 2019–Taking a Second Look at Nursing Malpractice Cases
Nursing’s less obvious involvement in medmal cases.

March 2019 –What Should You Worry About? 
Pick your patient safety battles.

February 2019–Some Good News about Medical Malpractice in America 
27% drop in medmal cases

January 2019–Fixing Broken Guitars 
Disrespect impacts malpractice claims.



December 2018–It’s Time to Have a Meaningful Conversation about Medical Errors
Get data and get case examples.

November 2018–In Case You Were Wondering About Malpractice Data
Quelling doubts about MPL data.

October 2018–How Patients Filter Clinician Communication
Health care comprehension varies by patient

spsSeptember 2018–Beyond the Headlines for Large Malpractice Awards 
Large awards are rare and not always instructive for patient safety.

August 2018–The Impact of Disruptive Behavior in the OR
Savvy leaders are making the connection between communication failures as a root cause of adverse events and malpractice suits in their hospitals.

July 2018–Malpractice Risks at the Front Line of Cancer Detection
Most cases involve the most common cancers.

June SPSJune 2018–How Residents Learn from their Mistakes 
Clinical judgment comes with experience

May SPSMay 2018–Exploring the “Allegation” of Medical Malpractice
Diving into specifics helps guide remediation

April 2018–The Risk of an Incomplete Patient Assessment
A pathway to missed diagnoses and substandard care.

March 2018 –Malpractice Cases Involving Non-Adherent Patients 
Bad decisions are not always dead ends

February 2018–Emerging Risks in Interventional Radiology 
IRs are the new ORs

January 2018–Habit Forming 
Forming habits is a challenge.



December 2017–Old is the New Middle Age
Don’t judge by date of birth.

November SPSNovember 2017–Toward an Ideal Referral Process
Fixing gaps in outpatient referrals.

October SPSOctober 2017–Where Things Go Wrong
Patient injury can happen anywhere

September SPSSeptember 2017– According to Multiple Sources 
Triangulation of patient safety risk

August SPSAugust 2017–10,000 Medical Apps & Counting
There’s a lot of apps for that.

July SPSJuly 2017–When Things Go Wrong for Residents 
Learning from mistakes is more challenging for residents.

June SPSJune 2017–The Dutch Reach Challenge 
Capitalizing on near misses

May SPSMay 2017–An In-depth Analysis of Medication-related Malpractice Cases
One of nine medmal cases involves medication errors

April 2017–A Handful of Opportunities to Reduce the Risk of Being Sued 
The 80-20 rule applies to patient safety.

March 2017–What’s the “Standard of Care”? 
What’s expected of doctors and nurses?

February 2017–What is this Case About? 
A narrower focus has broader impact

January 2017–Let's Be Clear About This 
Clearly, words matter



December 2016–Could this Happen in Our Practice? 
Are you safe? Find out.

November SPSNovember 2016–Please Pass the Family History 
Ace the family history test.

October SPSOctober 2016Narrowing the Focus on Diagnostic Errors
Signals for action.

August SPSSeptember 2016– Starting Points for Patient Safety 
Benchmark before improving.

August SPSAugust 2016– A Patient Safety Survey Course 
Refresh your patient safety knowledge.

July SPSJuly 2016–Who’s Who in Patient Safety 
We all provide safety.

June SPSJune 2016– Rosie’s Story 
Numbers need a narrative

May SPSMay 2016–A First Place Mindset About Medical Error 
Doing “something” deliberately

April SPSApril 2016–Milepost 40 
Celebrating 40 years of patient safety innovation

March SPSMarch 2016–Forgetting to Remember 
Is your fallible memory interrupting your sleep?

February SPSFebruary 2016–Are You on Solid Footing for Patient Safety? 
Patient safety self-assessment

January SPSJanuary 2016–The Malpractice Risks of Health Care Communication Failures 
Unreliable communication exposes patients to harm



December 2015–A Year’s Worth of Patient Safety 
12 ways to improve patient safety

November SPSNovember 2015–An Interest in What Went Wrong? 
Why do the mistakes that enable patient injuries reoccur?

October SPSOctober 2015–Is a White Coat a Scary Halloween Costume? 
Not everyone is disgruntled.

September SPSSeptember 2015– Figuring Out Diagnostic Errors 
Malpractice claims are a valuable resource. 

August SPSAugust 2015– Distribution of Injury Severity in MedMal Cases 
Not all injuries are severe or permanent. 

July SPSJuly 2015– Patient Safety Playlist 
Songs that may serve to remind and inspire you to keeping doing this important work.

June 2015– Understanding Dropped, Denied, & Dismissed Malpractice Cases 
Key factors that can drive the initiation of a weak malpractice allegation

May SPSMay 2015– Dropped, Denied, & Dismissed Malpractice Cases 
What happens to most malpractice claims?

April SPSApril 2015– “Doc Fix” Bill Might Improve Patient Safety, Too 
New federal law promotes patient safety.

March SPSMarch 2015– Miscommunication: Who, What, Where, When, How, and Why? 
Communication breakdowns need your undivided attention.

February SPSFebruary 2015–Real Events, Real Opportunities for Improvement 
A new tool for improving patient safety.

January SPSJanuary 2015–What Keeps My Doctor Up at Night 
A focal point for patient safety improvement is essential.




December 2014–Malpractice Risks in the Diagnostic ProcessDecember SPS
Study some of the problems that can impede a prompt and accurate diagnosis.

November 2014–The ABCs of Patient SafetyNovember SPS
Every acronym is an opportunity.

October SPSOctober 2014–Patient Safety and Your New Job
Learning your new job’s patient safety culture is an on-boarding task.

September SPSSeptember 2014–Tackling Trouble
The NFL can learn from patient safety.

August SPSAugust 2014–Big (malpractice) Data
Access a treasure trove of malpractice data.

July SPSJuly 2014–Can You Believe It?
CRICO attendees are envisioning a safer health care environment.

June SPSJune 2014–When a Patient Hits Record
Unauthorized recording by patients is a growing concern.

May SPSMay 2014–Practicing Anti-Social Medicine
Unauthorized release of patient images, conversations, or identifiable health care encounters are potential grounds for litigation.

April SPSApril 2014–Clinical Judgment Call
Allegations of a missed diagnosis impugn clinical judgment at many steps along the diagnostic path.

March SPSMarch 2014–Beer, Beards, and Patient Safety
The World Champion Red Sox offer a unique lesson on the impact of culture change.

February SPSFebruary 2014–When Your Patient Can’t Read Along
Outcomes linked to the patient’s reading or math ability can mean trouble for caregivers.

January SPSJanuary 2014–Obamacare and Malpractice
Speculation abounds on how the anticipated increase in patient encounters will impact patient safety.




SPS December 2013December 2013 – When a Procedure is Anything but Routine 
More than half (56 percent) of the procedure-related cases in the Comparative Benchmarking System (CBS) studied, named a physician.

SPS November 2013November 2013 – Please Pass the Family History
A good opportunity to capture information that may be vital to your patients’ long term health.
SPS October 2013October 2013 – Aha
The organizations you work for or with share your obligation to turn an aha moment into a change for the better.

SPS September 2013September 2013 – Rest Insured 
A good malpractice insurance program can also provide peace of mind.

August SPSAugust 2013 – An RCA to Remember
Looking beyond the obvious cause of an adverse event reveals hidden risks.
July 2013 SPS July 2013 – Is “My Bad” Ever a Good Idea?
Patients remember what you said, or didn’t say, to them.




June 2013 – What’s My Risk of Being Sued (I’m a Radiologist)?
Failure to diagnose breast cancer is the most common allegation.


May 2013 – Star Power
Proper management of genetic testing begins with aligning expectations.


April 2013 – Mr. Rogers Would Have Been Proud
Allegations of a missed diagnosis impugn clinical judgment at many steps along the diagnostic path.  

March SPS 2013March 2013 – A Bad Err Day
Knowing what throws you off your game enables you to add an extra ounce of vigilance to prevent patient harm and, perhaps, an allegation of malpractice.

SPS February 2013February 2013 – Build a Better EMR
Patient safety experts see enormous potential in both the point-of-care opportunities for avoiding errors and the broader value of data aggregated from appropriately designed systems.


January 2013 – Breast Density and Patient Safety
Providers have to convey to patients with dense breasts, both sides of the potential consequences of additional screening without increasing their own risk of being deemed liable for a missed or delayed breast cancer diagnosis.



  • December 2012–Managing Risk in the Referral Lifecycle
  • November 2012–Who’s Next? Patient Safety Risks in Emergency Medicine
  • October 2012–Managing Patient Safety in an ACO
  • Nurse Will See You NowDoctorSeptember 2012–The
  • August 2012–Doctor: You Deserve Some Credit for Improving Patient Safety
  • July 2012–Getting to “No” Your Patients
  • June 2012–Puzzling Evidence
  • May 2012–PSA Testing and Malpractice
  • April 2012–Risks and Benefits of Patient Engagement
  • March 2012–A Thousand Points of Risk
  • February 2012–Tough Call: Patient Care Via Telephone
  • January 2012– Between the Cracks 


  • December 2011– Watch Where you Step
  • November 2011 – Instant Gratification
  • October 2011 – Some More Talk About PSA
  • September 2011 – Coming to Terms with Patient Safety
  • August 2011– Batter Up
  • July 2011 – Sutton’s Law
  • June 2011 – Not Following Suits
  • May 2011 – Talking Points
  • April 2011 – At What Cost?
  • March 2011 – MissED Opportunities
  • February 2011 – Spotting Risk
  • January 2011 – Not a Frivolous Matter


  • December 2010 – 10 Years After
  • November 2010 – Decision Time
  • October 2010 – Any Questions?
  • September 2010 – Write or Wrong
  • August 2010 – Pathology Outliers
  • July 2010 – Reality MD
  • June 2010 – What, Me Worry?
  • May 2010 – Help Wanted
  • April 2010 – Are You Ready?
  • March 2010 – Meaningful Relationship
  • February 2010 – The July Weekend Effect
  • January 2010 – Inviting Patients Backstage


  • December 2009 – Oops, Another Teaching Moment
  • November 2009 – Asking for It: Malpractice Risks Linked to ED Consults 
  • October 2009 – Advice on Consent 
  • September 2009 – Defensive or Defendant? 
  • August 2009 – Are Best Practices a Good Idea?
  • July 2009 – Lights, Camera, Malpractice 
  • June 2009 – You’re Back? 
  • May 2009 – An Acquired Distaste 
  • April 2009 – To PSA, or Not to PSA? 
  • March 2009 – Experiencing Difficulties 
  • February 2009 – 8.5" x 11" 
  • January 2009 – Unacceptable


  • November 2008 – Ouch
  • October 2008 – Narrow Minded
  • September 2008 – Test Anxiety
  • August 2008 – Righting Wrongs
  • July 2008 – Pause for Thought
  • June 2008 – HITs and Misses
  • May 2008 – Nursing a Crisis
  • April 2008 – Reason for Concerns
  • March 2008 – Strip Search
  • February 2008 – The Great “ist” Thing
  • January 2008 – Over Exposure


  • December 2007 – Don’t Wait

  • November 2007 – Heads Up from the FDA

  • October 2007 – Course Correction?

  • September 2007 – I Didn’t Know That

  • August 2007 – Busman's Holiday

  • July 2007 – Faking It

  • June 2007 – Screening Expectations

  • May 2007 – Physician, Assess Thyself

  • April 2007 – Go Team?

  • March 2007 – Encouraging Patient Questions

  • February 2007 – CMS and Leapfrog Say Don’t Charge for Never Events

0 dislikes

< Back To Patient Safety