CRICO Insights: March 2020

Close the door on poor clinician-patient communications, which may trigger medmal cases. Consider these best practices:

5 “Doorknob Syndrome” Busters


View the “doorknob syndrome” phenomena as a red flag.

A patient revealing their most pressing concerns at the end of their care
encounter may signal a need to improve clinician-patient communication.


Defer discussion of genetic testing to a focused conversation.

You need time to ensure the patient and relevant family members fully
appreciate the purpose and potential consequences of the test findings.


Listen to how patients respond to negative test/imaging results.

Be aware of their remaining concerns.


Make follow-up or test appointments before the patient leaves your office.

Explain your tracking and compliance system to your patients.


Explain how and (if possible) when test results will be communicated.

Both your patients and other clinicians (when appropriate) need to know.

None of these practices guarantee perfect clinician-patient communication, but they should give your patients fewer questions to ask as you grab the doorknob. Read more...


Risk Management Briefing on Telemedicine

Yes, CRICO covers you for providing patient care at a distance from your patients using telecommunication. Learn about the risks involved and steps to mitigate them. Get the 411...


Are You My Doctor? Cards Help Patients

It’s easy to see how patients become confused and dissatisfied in a busy health care environment. Dr. Hasan Abid tested a simple solution. A simple solution helps patients and clinicians.

image insights

FAQs about Patient Conflicts

You care about your patients but sometimes the road is rocky. What should you do if a patient refuses testing? When is it appropriate to end a patient relationship? What about advance directive disputes? You have questions. We have answers.


Training the Next Generation of Physicians While Protecting the Patients of Today

Dr. Laura Meyers discusses how commonly physician trainees are involved in harm events that lead to malpractice claims. CRICO encourages you to participate in this important part of the legal process. Learn about the study...


Could a Decision Support Tool Prevent This?

The patient with a self-reported lump received a screening mammogram instead of a diagnostic one. A year later, she was diagnosed with metastatic breast cancer. What went wrong?

Latest News from CRICO

Get all your medmal and patient safety news here.

    The Safety of Outpatient Health Care

    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.

    Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis

    CRICO Grants
    This CRICO co-funded retroactive study published in the Journal of the American Medical Informatics Association analyzed the records of patients 18 years of age or older in the Mass General Brigham health system with a first Legal Sex entry (registration requirement) between 2018 and 2022. The study was important because "Sex and gender demographic data are widely viewed as essential to providing culturally responsive gender affirming care and facilitating research and public health interventions."

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

    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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