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July 1, 2022 Development of a Taxonomy for Characterising Medical Oncology-related Patient Safety and Quality Incidents: A Novel Approach

Using funding from CRICO, this study describes the development of a comprehensive, validated taxonomy for medical oncology-related incidents.

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June 18, 2022 Trial and Error: Learning From Malpractice Claims in Childhood Surgery

Using Candello Solutions by CRICO, this article analyzed the malpractice claims involving patients ≤ 18 years old that occurred from 2008 to 2017.

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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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Delayed Workup of Rectal Bleeding in Adult Primary Care

  • January 1, 2017

Although delayed colorectal cancer diagnoses figure prominently in medical malpractice claims, little was known about the quality of primary care clinicians’ workup of rectal bleeding. In this CRICO-funded study published in The Joint Commission Journal on Quality and Patient Safety, researchers examined the association of process failures with overall quality and guideline concordance. CRICO’s Colon Cancer Screening and Diagnosis Guidelines were used to determine concordance of care.   


Conclusion: Process-of-care failures occurred frequently among adult primary care patients with rectal bleeding and were associated with overall fair or poor quality. Educating practitioners and creating office-based systems to ensure adequate history taking, physical examination, and processes for ordering, performing, and interpreting diagnostic tests are needed to improve the quality of care.

 

Citation for the Full-text Article

Weingart SN, Stoffel EM, Chung DC, Sequist TD, Lederman RI, Pelletier SR, Shields HM. Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care FailuresThe Joint Commission Journal on Quality and Patient Safety. January 2017; 43(1): 32–40.

 

Related Article

Working up rectal bleeding in adult primary care practices