CRICO Insights: April 2018

Top Patient Safety Risks forHealth System Expansion

System expansions can have substantial effects on clinical care and patient safety, particularly when clinicians encounter...

1.

New Patient Population

Significant gaps in care can occur if facilities are not prepared.

2.

Unfamiliar Infrastructure

Changes in supplies, equipment, formularies, protocols, and information systems can slow down care and increase risks.

3.

New Practice Settings

New site assignments with little or no orientation for clinicians increases risks in such areas as: infrastructure, processes, teams, and clinical culture.

A joint study between CRICO and Ariadne Labs recently produced a freely available patient safety toolkit to promote discussion, monitoring, and strategic planning to help mitigate risks related to health system expansions.


podcastPODCAST

Harvard Joins IHI to Cut Referral Mistakes

In any complex medical system, malpractice cases can arise from failures in the referral process. In part 1 of a 3-part series, we speak with Drs. Tejal Gandhi of IHI and Luke Sato of CRICO about a recently released tool: Closing the Loop...

apps

10,000 Medical Apps and Counting

More and more, clinicians count on smartphone apps to assist with their workload. These nine medical apps that may not be on your radar, but might be worth a try. Get choice selections from an endless supply...

telemedicine

Telemedicine: Less Travel, More Rules

While telemedicine drastically reduces travel requirements for both patients and clinicians, it can increase the rules and regulations that clinicians need to to navigate. What should you look out for?

caseCASE STUDY

Cancer, Death After Mistakenly Told Biopsy Normal

A 53-year-old woman died from endometrial cancer after a biopsy report indicating insufficient tissue for diagnosis was mistakenly relayed to her as “normal.” What went wrong?

Latest News from CRICO

Get all your medmal and patient safety news here.

    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.

    In the Wake of a New Report on Diagnostic Errors SIDM Invites Collaboration and Policy Action

    News
    A new report by CRICO and Johns Hopkins Armstrong Institute Center for Diagnostic Excellence provides the first national estimate of permanent morbidity and mortality resulting from diagnostic errors across all clinical settings. The Society to Improve Diagnosis in Medicine (SIDM) works to raise awareness of the burden of diagnostic error as a major public health issue and calls for collaboration and policy action on the issue.

    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.
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