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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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Malpractice Cases in Breast Surgery: An Assessment of Litigation Involving Surgeons

  • December 1, 2021

CRICO data analysts and researchers from Beth Israel Deaconess Medical Center collaborated to characterize the factors in liability cases involving breast cancer surgery. They used data from Candello’s national repository (formerly called CBS database) to identify areas for quality improvement.


Results: A total of 174 malpractice cases were reviewed, of which 41 cases were closed with payment. Plastic surgeons were most commonly named (64%, 111/174), followed by general surgeons (30%, 53/174), and surgical oncologists (6%, 10/174). The most common allegation was error in surgical treatment (87%, 152/174), and infection, cosmetic injury, emotional trauma, foreign body, and nosocomial infections represented the top five injury descriptions. On average, indemnity payments were larger for high clinical severity cases. Technical skills, followed by clinical judgment, were the most commonly named contributing factors. The average payment per case was $130,422.

Conclusion: The malpractice cases predominantly involved technical complications related to plastic surgery procedures. Better understanding of the malpractice environment involving surgical procedures performed for breast cancer may provide practical insight to guide initiatives aimed at improving patient outcomes.

 

Citation for the Full-text Article

Fan B, Pardo J, Yu-Moe CW, Janes M, Falcone B, Valero MG, Serres SK, Emhoff I, James TA. Malpractice cases in breast surgery: An assessment of litigation involving surgeons. Annals of Surgical Oncology.2021 December;28:8109–8115. https://doi.org/10.1245/s10434-021-10236-2