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

1.

Make a personal commitment to making care safer

2.

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

3.

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

4.

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

5.

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...


podcastPODCAST + CASE STUDY

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?

image

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...

image2

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?

studyCASE STUDY

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?

images

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.
    a ct scan

    The Safety of Outpatient Health Care

    News
    Although most care occurs in the outpatient setting, knowledge of outpatient adverse events (AEs) remains limited. This study looks at adverse events in outpatient settings.

    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.
    Doctor's in a row working looking at CT Scan with digital tablets.

    Inform Safer Medical Oncology Practice with Lessons from Medical Malpractice Claims

    News
    The primary goal of analyzing claims from CRICO’s national Candello database was to identify the association between safety incidents in medical oncology practice and systems failures rather than individual provider remediation and to inform potential redesign solutions.
X
Cookies help us improve your website experience.
By using our website, you agree to our use of cookies.
Confirm