CRICO Insights: July 2016

Five Questions to Test Your “Test Results” Safety


Do test results ever fail to reach you and your patients? (How do you know?)


Do you have designated staff to manage the entire test process?


What is your practice’s system to ensure patients complete recommended testing?


How is the ordering provider’s review/acknowledgment of outstanding tests reconciled?


How do you communicate results (normal and abnormal) to the patient/family?

More: Safer Care: Test Result Management

Standards for Residents Same as Senior Physicians

Some residents, fellows, and even the physicians who supervise them may assume that physicians-in-training are held to a lower standard of care than attendings. But that’s not how the courts see it...

OR Teamwork: An Approach to Speaking Up

A co-worker who is unwilling or unable to voice concerns eliminates an important layer of safety for clinicians to prevent errors in a surgical team environment. Get strategies to close the gap...


ED Test Results Not Relayed to Patient in Time

The patient and her husband sued the ED physician and the LPN, alleging that a delay in implementing the appropriate treatment for her septicemia resulted in bacterial endocarditis and damage to her aortic valve. What went wrong?


Lack of Empathy Triggers Suit Against Surgeon

The patient and his wife felt that the surgeon was not forthcoming with an explanation of what happened and seemed indifferent to the impact on his patient, following conversion to an open procedure and large blood loss. Listen now...

Latest News from CRICO

Get all your medmal and patient safety news here.

    Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis

    CRICO Grants
    This CRICO co-funded retroactive study published in the Journal of the American Medical Informatics Association analyzed the records of patients 18 years of age or older in the Mass General Brigham health system with a first Legal Sex entry (registration requirement) between 2018 and 2022. The study was important because "Sex and gender demographic data are widely viewed as essential to providing culturally responsive gender affirming care and facilitating research and public health interventions."

    Postpartum Malpractice Claims: Can We Understand Preventable Harms and Socioeconomic Factors?

    The Doctor's Company, a Candello member, investigated postpartum claims to develop clinical recommendations to decrease the risks of postpartum morbidity and mortality.

    The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap

    CRICO Grants
    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.
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