CRICO Insights: July 2021

Triggers for Residents to Contact their Attending

MPL cases involving residents generally center around communications failures, so a shared notification guideline was developed by the chiefs of surgery of several CRICO-insured institutions.

Here are some triggers that were identified for a resident to contact their attending:


All critical changes in a surgical patient’s condition (generally within 1 hour following evaluation)


Discharge from the hospital or from the ED (requires discussion and approval)


Transfer out of ICU (requires discussion and approval)


A situation feels more complicated than the trainee can manage


Clinical staff or the patient request that the attending surgeon be contacted

Read more: Triggers for Resident to Attending Communication


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