CRICO Insights: February 2020

CRICO’s Academic Medical Center Patient Safety Organization (AMC PSO) identified “Just Culture” actions that are important factors of a health care safety culture.

Five “Just” Ways to Foster a Collaborative Safety Culture


Make a personal commitment to making care safer


Foster a blame-free environment across ranks and disciplines that welcomes curiosity about why errors occur


Encourage a risk-learning culture by reporting system vulnerabilities, as well as sharing your own near misses and errors


Support organizational efforts that make you feel comfortable speaking up, without fear of punishment


Examine the relevance of your practice’s current operational and safety practices and policies—advocate for any needed adjustments

Understanding where risk exists and responding fairly helps create psychologically safe environments supportive of error reporting. Read more...


Radiology Didn’t Know Risk Status Before Patient Fall, Head Injury

In the time the radiology technologist stepped away to take the image, the patient became unstable and fell, sustaining face and head injuries. How did this happen?


Physicians Needed for Malpractice
Tribunal Service

To proceed to trial, Massachusetts medical malpractice lawsuits must undergo review by a tribunal. CRICO encourages you to participate in this important part of the legal process. The courts need your help...


The Power of the Picture

Innovations in patient safety do not have to be complicated. Brigham & Women’s Hospital tested a simple intervention to reduce medication errors: patient photos in the EHR. How well did it work?


Mistaken Assumptions After
Surgical Complication

A 60-year-old male with diabetes and prostate cancer lost vision in his right eye after extensive bleeding during surgery to remove his left kidney and adrenal gland. What went wrong?


Chronology of a Malpractice Case

Dr. Claire Cronin explains the real process of a medmal case, and how CRICO gets it wrong. It starts with denial...

Latest News from CRICO

Get all your medmal and patient safety news here.
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