CRICO CRICO home

Recent Coverage

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.

READ MORE >

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.

READ MORE >

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.

READ MORE >
View All News & Research

Prospective Evaluation of Medication-Related Clinical Decision Support Over-Rides in the ICU

  • February 9, 2018

Recent data suggested that clinical decision support (CDS) alerts displayed in health records were frequently being over-ridden by clinicians, and often inappropriately. This CRICO-funded study aimed to evaluate potential harm associated with medication-related CDS over-rides in the intensive care unit (ICU).


Study Conclusion

The study’s findings included, “Approximately four of five identified clinical decision over-rides were appropriately over-ridden, with the rate varying by alert type. However, inappropriate over-rides were six times as likely to be associated with potential and definite adverse drug events, compared with appropriate over-rides.

Also, the researchers recommended that “further efforts should be targeted at improving the positive predictive value of clinical decision support such as by suppressing alerts that are appropriately over-ridden.”

  

Citation for the Full-text Article

Wong A, Amato MG, Seger DL, Rehr C, Wright A, Slight SP, Beeler PE, Orav EJ, Bates DW. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.  BMJ Quality and Safety . Epub ahead of print: [February 9, 2018]. doi:10.1136/bmjqs-2017-007531.