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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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Presenting Symptoms Independently Predict Mortality in Septic Shock: Importance of a Previously Unmeasured Confounder

  • June 29, 2018

This CRICO-funded study tested the hypothesis that “vague presenting symptoms are associated with delayed antibiotics and increased mortality.” 


Study Conclusion: More  than  one  third  of  patients  with  septic  shock  presented  to  the  emergency  department  with  vague  symptoms  that  were  not  specific  to  infection.  These  patients  had  delayed  antibiotic  administration  and  higher  risk  of  mortality  even  after  controlling  for  demographics,  illness  acuity,  and  time-to-antibiotics in multivariate analysis. These findings suggest that the nature of presenting symptoms is an important component of sepsis clinical phenotyping and may be an important confounder in sepsis epidemiologic studies.

 

Citation for the Full-text Article

Filbin MR. Lynch J, Gillingham TD, Thorsen JE, Pasakarnis CL, Nepal S, Matsushima M, Rhee C, Heldt T, Reisner AT. Presenting symptoms independently predict mortality in septic shock: Importance of a previously unmeasured confounder. Critical Care Medicine. June 29, 2018. Published Online Ahead of Print. http://dx.doi.org/10.1097/CCM.0000000000003260.