Clinical Volume: An Underappreciated Factor in MPL Risk

Ambulatory safety nets (ASNs) are person-centered programs that provide a highly reliable backup system for following up on abnormal test results when the standard follow-up process fails. Co-authored by CRICO’s Pat Folcarelli RN, MA, PhD, and Luke Sato, MD, this article about ASNs was featured in Inside Medical liability Online.

Many patient safety initiatives fail to be adopted and implemented, even when proven effective. This creates the well-recognized know-do gap—which occurs when health care workers know what should be done based on evidence vs. what takes place in practice. To address this issue, CRICO funded the development of a patient safety adoption framework and had it evaluated by leaders in quality and safety. The framework and its findings were published online in the Journal of Patient Safety in April 2023.

A new CRICO-funded study underscores the persistence of medical harm based on a review of patient records in 11 Massachusetts hospitals. With the SafeCare Study, researchers revisit the foundational Harvard Medical Practice Study I and II that used health records to identify adverse events in hospital care more than 30 years ago.