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March 1, 2022 Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims

Using Candello data, this study examines the characteristics of malpractice claims which miscommunications.

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March 1, 2022 Improving Patient Handoffs Helps Reduce Malpractice Claims

Healthcare Risk Management reports on a large study conducted by Boston Children’s Hospital in which researchers reviewed 498 medical malpractice claims provided by Candello, CRICO’s national medical malpractice collaborative. The work revealed a direct relationship between the quality of patient handoffs and claims.

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January 5, 2022 To Measure and Reduce Diagnostic Error, Start With the Data You Have

This article, published by the Michigan State Medical Society, provides insight into how CRICO's diagnostic process of care framework, using medical malpractice claims data, can be used to reduce diagnostic errors.

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Integrating Incident Data from Five Reporting Systems to Assess Patient Safety: Making Sense of the Elephant

  • September 10, 2010

This study, featuring data from CRICO’s Claims Management, Analysis, and Processing System (CMAPS) and co-authored by CRICO’s Chief Medical Officer Luke Sato and Vice President of Patient Safety Ann Louise Puopolo, compares five different reporting systems within one health care institution to identify the differences between them.


By examining the impact of five reporting systems, incident reporting, patient complaints, risk management, medical malpractice claims, and executive walk rounds, this study was able to determine which patient safety concerns could be identified by each system. Data was collected over a 22-month period at Brigham and Women’s Hospital, with data for malpractice claims collected from 1996-2006 using CRICO’s CMAPS database.

Little overlap was found in the reporting of each of the five systems, but each was found to address specific patient safety concerns that others could not. Communication problems appeared most often in patient complaints and malpractice claims. Malpractice claims saw the most reports in errors in clinical judgment. Walk rounds tended to identify issues with equipment and supplies, while adverse event reporting systems highlighted identification issues, especially mislabeled specimens. This suggests that hospitals should be using a variety of reporting systems to gain the full picture of patient safety issues.

Citation for the Full-text Article

Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient safety: Making sense of the elephant. Jt Comm J Qual Patient Saf. 2010 Sep; 36(9): 402-410. doi:10.1016/s1553-7250(10)36059-4.