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Read about the practices employed to reduce risks that were the result of missed or delayed diagnoses.
Newsletter
Delayed Diagnosis
Jun 30, 2013
Patient Safety Alert 11: Delayed Diagnosis (PDF)
The AMC PSO has performed an in-depth analysis of patient safety issues in the ED setting and has identified practices employed to reduce risks that were the result of missed or delayed diagnoses.
Alert
ED personnel need to be progressively educated in techniques to increase patient safety and cognizant of best practices to reduce their own risk.
- These root cause analysis highlighted distinct areas in the patient care delivery process where errors were most likely to occur leading to missed and delayed diagnosis:
– during patient hand-offs - Learn more.
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AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
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More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Guidance to Reduce the Risk of Retained Surgical Items
Newsletter
Patient Safety Alert Issue 33: Experts found three main categories of risk related to RSI: distractions, hand offs, and relationships/trust. Discover their strategies and best practices found to reduce risk in each of these areas.
Patient Falls
Newsletter
Patient Safety Alert Issue 23: The AMC PSO convened a panel of nursing leaders to review recent trends, evaluate the current literature, and discuss novel interventions aimed at mitigating the risk regarding patient falls.
Periprocedural Management of Anticoagulation Therapy
Newsletter
Patient Safety Alert Issue 24: The AMC PSO recently convened to discuss this high-risk area and important patient safety issue, the contributing factors often associated with this medication event type, and the strategies to proactively mitigate this risk.
Non-Operating Room Anesthesia Self-Assessment Tool
Newsletter
Patient Safety Alert Issue 35: This document identifies areas of vulnerability and offers a self-assessment table to help organizations evaluate existing NORA settings and identify strengths and opportunities for providing safe care.
Medication Errors and Malpractice: What a Decade of Cases Reveals About Risk Across the Care Continuum
News
Published in MPLA’s Inside Medical Liability, the article uses a decade of Candello med mal data to highlight medication error risks and the need for coordinated safeguards across every stage of care.
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice
News
CRICO Grants
Neonatal encephalopathy continues to be a significant risk for death and disability. To address this risk, regional guidelines were developed with the support of CRICO. A neonatal encephalopathy registry was also established. The aim of this study was to identify areas of variation in practice that could benefit from quality improvement projects.
Characterizing Malpractice Cases Involving Emergency Department Advanced Practice Providers, Physicians in Training, and Attending Physicians
News
Beth Israel Deaconess Medical Center’s emergency department experts collaborated with CRICO patient safety experts to co-author this study that was published in the Academic Emergency Medicine journal.
Teleradiology Medical Malpractice Cases
News
Candello Member
This June 4, 2024, podcast by RSNA, features Dr. Francis Deng, a Diagnostic Neuroradiologist and Assistant Professor at Johns Hopkins University, who interviews CRICO’s Dr. Adam Schaffer about the characteristics of teleradiology medical malpractice cases.