CRICO Insights: March 2018

How to Request a Bad Consult in Five Easy Steps


Be vague about why you’re asking for a consult.


Be unclear about the level at which you want a consultant involved in the case.


Neither implement a consultant’s recommendations nor discuss with them why you didn’t.


Call for non-urgent consults at the end of the day.


Ask for a curbside consult, but write the consultant’s name in the patient’s chart anyway as if it were a formal consult.

Michael Howell, MD, MPH, Beth Israel Deaconess Medical Center, explores best practices for calling and providing consults: Are you complicating your consults?


Distraction, Poor Planning for OB Patient

The consult physician took the blame in this case, highlighting the importance of ensuring that everyone knows the parameters of the consultation and has clear expectations for any on-going role in the patient’s care. Dr. Tom Beatty assesses the case...


Data for Patient Safety

Our data profiles—related to the highest risk areas for medmal vulnerability—can spur exploration or provide context for ongoing safety efforts. Get our latest data...


FAQs About Cancer Screening

What do I tell a breast care patient who is unsatisfied with a negative finding? Does rectal bleeding always require an intervention? How should I respond to a noncompliant patient, i.e., one who fails to participate in screening? Get answers...


Slip in Protocol Leads to Tragic Outcome

A 55-year-old woman with multiple co-morbidities—and a known falls risk—fell during a radiology exam and died from her injuries. What went wrong?


CME Bundles

Bundles are prepackaged sets of CRICO content for which you may earn 0.5 Risk Management Category 1 Study in Massachusetts. Learn more...

Latest News from CRICO

Get all your medmal and patient safety news here.

    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.

    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.
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