CRICO Insights: July 2018
Residents Face the Same Pitfalls as Attendings
Top contributing factors in medmal cases involving residents (below) match the top categories for cases naming attendings. See How Residents Learn from their Mistakes.
Most commonly, failures to a) appreciate and reconcile relevant signs, symptoms, or test results; b) order a diagnostic test; or c) correctly interpret diagnostic studies.
Most commonly, poor technical performance related to a known complication, often due to inexperience with the procedure.
Most commonly, miscommunication among providers regarding the patient’s condition, a failure to read the medical record, or a breakdown in closed-loop communication.
Harvard Joins IHI to Cut Referral Mistakes
As many as half of specialty referrals are not fully completed, resulting in severe harm to undiagnosed patients and millions in malpractice costs. Dr. David Ting, co-author of a new “Closing the Loop…” referral guide from CRICO and IHI, talks about prevention, in the final part of our series. Listen...
Surgeons Behaving Badly and What that Means for Malpractice and Patient Care
Ariadne Labs led a first-of-its-kind Harvard research study that sheds new light on the serious effects of negative surgeon behavior. Surgery needs a culture change...
Surgery: Know Your Risks
Effective communication between surgeons and patients can lead to stronger relationships and realistic patient expectations—and help to prevent medmal claims. MD | non MD version
Too High a Threshold for Intervention Led to Inpatient Prolonged Stay and Treatment
A 36-year-old male was found to have a perforated jejunum eight days after an initial ED visit, with subsequent complications and a prolonged rehabilitation. What went wrong?
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Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identiﬁcation of Gaps in Practice
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.
Burden of Serious Harms from Diagnostic Error in the USA
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.
Diagnostic Errors Linked to Nearly 800,000 Deaths or Cases of Permanent Disability in U.S.
CRICO in partnership with Johns Hopkins Armstrong Institute Center for Diagnostic Excellence, conducted a study that indicates misdiagnosis of disease or other medical conditions leads to hundreds of thousands of deaths and permanent disabilities each year in the U.S.
In the Wake of a New Report on Diagnostic Errors SIDM Invites Collaboration and Policy Action
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.
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