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2022 CRICO-Directed Grant Program Announcement

Developing and Implementing Ambulatory Safety Nets for Colorectal, Breast, Lung, and Prostate Cancer

Overview

One of CRICO’s 2020–2022 Strategic Goals involves full adoption across CRICO member organizations of one to three key patient safety initiatives known to meaningfully enhance patient safety and reduce medical professional liability (MPL). In 2020, CRICO convened an initiative selection committee to recommend focused patient safety initiatives for adoption. The committee reviewed initiatives that CRICO’s membership has previously supported, initiatives that have demonstrated success in the literature, as well as other initiatives raised by member representatives for further consideration. By consensus, the group chose “Closing the Loop on Missed Diagnoses with High MPL Risk.”

 

Our goal is for each CRICO member to implement and fully adopt an intervention that will reduce gaps in the timely diagnosis of breast, colorectal, prostate, or lung cancer attributed to missed opportunities to:

  1. Appropriately screen asymptomatic patients
  2. Work up patients with symptoms or complaints
  3. Communicate results, consultation assessments, and follow-up care plans

 

The intervention being developed to prevent these diagnostic delays is the Ambulatory Safety Net (ASN) Program. Safety nets, which have demonstrated efficacy in reducing diagnostic delays, have been successfully implemented at two CRICO institutions, as well as at Kaiser Permanente. CRICO members decided that the first ASN to be designed would be for colorectal cancer prevention. This decision was based on our knowledge that: 1) there have been successful implementations of colorectal cancer ASNs at several CRICO institutions; 2) the intervention is clear; and 3) members demonstrated interest in implementing this as the first effort.

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Developing and Implementing a Colorectal Cancer Ambulatory Safety Net

 

The recommendations included in this guide are a starting point for successful implementation and will need to be adapted to the unique context of each organization to support its strategic goals.

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Patient Safety Adoption Framework & Guidance

 

Effectively integrating patient safety initiatives into the day-to-day work of a hospital or office practice requires a clear, simple, and structured implementation approach supported by leadership and the necessary resources. Learn more about the concrete steps we have taken to help in this area.

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