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.

    Q&A: Three Experts on the SafeCare Study and Its Implications for Future Patient Safety Action

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    CRICO Grants
    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.

    The Safety of Inpatient Health Care

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    CRICO Grants
    Funded by CRICO, ​​​"The Safety of Inpatient Health Care" study published in the New England Journal of Medicine on January 12, 2023, is an important follow up to the landmark Harvard Medical Practice Study, published in 1991.

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

    News
    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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