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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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The Risks to Patient Safety From Health System Expansions

  • April 6, 2018

CRICO partnered with Ariadne Labs, a joint system for health systems innovation at Brigham and Women’s Hospital and the Harvard T.H.Chan School of Public Health, to analyze the patient safety risks for medical institutions undergoing substantial consolidation, including mergers, acquisitions, and service agreements.


Funded by a CRICO grant,  researchers analyzed the patient safety risks for Harvard-affiliated institutions by interviewing clinicians and convening system leaders both locally and nationally.

The study concluded that “System expansions can have substantial effects on clinical care and patient safety, particularly when clinicians encounter changes in their practice setting, patient population, or infrastructure. Institutions must actively plan for, monitor, and manage the resulting risks as part of a comprehensive strategy, including sharing data on quality and safety, and sharing oversight of care for the joint patient population.”

To help mitigate these consolidation risks, a patient safety toolkit has been developed to support clinical planning between institutions prior to implementing major changes.  Freely available, the toolkit provides guidance to institutions on topics to discuss in order to surface and resolve institutional differences that could result in patient safety risks.

 

Citation for the Full-text Article

Haas S, Gawande A, Reynolds ME. The risks to patient safety from health system expansions. JAMA. Published online April 06, 2018. doi:10.1001/jama.2018.2074.

 

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