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Bad Consults, Cancer Screening, CME Bundles, and more


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Bad Consults, Cancer Screening, CME Bundles, and more

By Alison Anderson, Missy Padoll, Wallinda Hutson, CRICO

Related to: Primary Care, Other Specialties, Patient Safety Awareness, Publications

CRICO Insights: March 2018

How to Request a Bad Consult in Five Easy Steps


Be vague about why you’re asking for a consult.


Be unclear about the level at which you want a consultant involved in the case.


Neither implement a consultant’s recommendations nor discuss with them why you didn’t.


Call for non-urgent consults at the end of the day.


Ask for a curbside consult, but write the consultant’s name in the patient’s chart anyway as if it were a formal consult.

Michael Howell, MD, MPH, Beth Israel Deaconess Medical Center, explores best practices for calling and providing consults: Are you complicating your consults?



Distraction, Poor Planning for OB Patient

The consult physician took the blame in this case, highlighting the importance of ensuring that everyone knows the parameters of the consultation and has clear expectations for any on-going role in the patient’s care. Dr. Tom Beatty assesses the case...



Data for Patient Safety

Our data profiles—related to the highest risk areas for medmal vulnerability—can spur exploration or provide context for ongoing safety efforts. Get our latest data...


FAQs About Cancer Screening

What do I tell a breast care patient who is unsatisfied with a negative finding? Does rectal bleeding always require an intervention? How should I respond to a noncompliant patient, i.e., one who fails to participate in screening? Get answers...


Slip in Protocol Leads to Tragic Outcome

A 55-year-old woman with multiple co-morbidities—and a known falls risk—fell during a radiology exam and died from her injuries. What went wrong?



CME Bundles

Bundles are prepackaged sets of CRICO content for which you may earn 0.5 Risk Management Category 1 Study in Massachusetts. Learn more...

March 22, 2018
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