Download the PDF Free of Charge
Study patient safety issues relevant to the Emergency Department setting.
Newsletter
Missed and Delayed Diagnoses in the ED
May 31, 2014
Patient Safety Alert 18: Missed and Delayed Diagnoses in the ED (PDF)
The AMC PSO has recently convened Emergency Medicine Leaders to discuss patient safety issues relevant to the Emergency Department setting, yielding both an in-depth analysis of patient safety issues as well as a look at emerging technologies and new strategies to complement existing patient safety protocols.
Case Study
Participants discussed case studies, as well as emerging technologies and new strategies that are now available to complement existing patient safety protocols aimed at reducing ED adverse events.
An elderly patient presented to a regional ED with a complaint of chest discomfort, self-described as “lung pain.” [...] The patient returned to the ED a few days later and was found to have suffered a cardiac event.
PDF
AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
Learn with us
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Programmable Medical Equipment Risks and Interventions
Newsletter
Patient Safety Alert Issue 3: The AMC PSO has identified a series of practices employed to address the factors that can contribute to risk associated with programmable medical devices.
Cybersecurity and Recovery
Newsletter
Patient Safety Alert Issue 32: Cybersecurity attacks topped the ECRI list of the Top 10 Health Technology Hazards for 2022.
Wrong Site Surgery Report
Newsletter
Patient Safety Alert Issue 1: The AMC PSO has identified the a series of practices employed to address the factors that can contribute to a wrong-site surgery.
Test Result Notification
Newsletter
Patient Safety Alert Issue 15: The AMC PSO recently held a collaborative convening session of its Ambulatory Patient Safety Leaders in order to both discuss current issues and possible solutions and propagate the natural progression of CRICO's established mission of helping health care providers turn credible data into effective action.
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice
News
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.
Postpartum Malpractice Claims: Can We Understand Preventable Harms and Socioeconomic Factors?
News
Candello Member
In a multifactorial study, The Doctors Company (a Candello member organization) investigated postpartum claims to develop clinical recommendations to decrease the risks of postpartum morbidity and mortality.
Burden of Serious Harms from Diagnostic Error in the USA
News
New analysis of national data by a multidisciplinary research team from the Johns Hopkins Armstrong Institute Center for Diagnostic Excellence and CRICO, found that across all clinical settings, an estimated 795,000 Americans die or are permanently disabled by diagnostic error each year.