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February 16, 2021 Defining Best Practices for Interhospital Transfers

Interhospital transfers (IHT) are important yet recognized as high-risk transitions in care. This study was funded by CRICO to help define the best practice principles for IHTs and identify improvement opportunities.

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February 12, 2021 The MPL Association Appoints Mark Reynolds, CRICO President and CEO, A Board Officers

CRICO President and CEO Mark E. Reynolds has been named as a board member of the Medical Practice Liability Association.

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November 16, 2020 Development and Validation of a Deep Learning Model for Detection of Allergic Reactions Using Safety Event Reports Across Hospitals

This study, funded by CRICO grants, utilized a deep learning algorithm to identify instances of allergic reactions in the free-text electronic narratives of hospital safety reports.

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Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data

  • June 27, 2017

CRICO Strategies and The Doctors Company partnered to conduct an in-depth analysis of cardiovascular disease-related medical malpractice claims data in outpatient general medicine. The data used in the study are from the CRICO Strategies Comparative Benchmarking System (CBS).


Researchers looked at 251 closed medical malpractice cases in the CRICO Strategies National Comparative Benchmarking System (CBS) where patients alleged that the general medical practitioner who treated them in an outpatient setting missed a cardiovascular diagnosis. These cases were more likely to result in higher severity injury than malpractice claims in general, the study showed. Key findings included:

  • Almost a quarter of the patients in the analysis who were eventually diagnosed with myocardial infarction or coronary atherosclerosis had a history of prior cardiovascular disease—one of the highest pretest predictors of cardiovascular disease.

  • The majority of patients with missed outpatient coronary artery disease had initial diagnoses that were either nonspecific or common disease mimics (for example, esophageal reflux or musculoskeletal pain), despite the high prevalence of cardiovascular risk factors among those patients.

The article is available as open access through the Joint Commission Journal on Quality and Patient Safety.

 

Citation for the Full-text Article

Quinn G, Ranum D, Song E, Linets M, Keohane C, Riah H, Greenberg P. Missed diagnosis of cardiovascular disease in outpatient general medicine: Insights from malpractice claims data. The Joint Commission Journal on Quality and Patient Safety. October 2017; 45(10):508-516. https://doi.org/10.1016/j.jcjq.2017.05.001