CRICO Insights: April 2019

Key Ways to Rise Up When EHRs Are Unexpectedly Down

What you can do before, during, and after an unexpected Electronic Health Records (EHR) system fail.

•	Participate in EHR downtime drills.
•	Know where, how, and to whom to go to for downtime/recovery updates.
•	Communicate responsibly to patients about the downtime status and safeguards in place.
•	Practice safe information exchange, including verbal and paper handoffs.
•	Acknowledge the extra work and increased risk of burnout; support fellow workers and reach out if overwhelmed.
•	Wait for the “all clear.” Downtime isn’t over for you until it’s over for everyone.

Learn more: EHR Downtime: What Clinicians Need to Know. Or, download the complete EHR Downtime Guidelines.

Is an Apology After an Adverse Event Treated as an Admission of Negligence?

Short answer: No. However, some types of apologies are better than others. Get the FAQs about dealing with adverse events...

podcast PODCAST

Fatal Misplaced Tube Casts Light on Supervision?

A 75-year-old woman with respiratory failure had her oral gastric tube replaced with a Dobhoff nasogastric tube, which led to her death. Dr. Laura Myers assesses the case...

case CASE STUDY

A Forgotten Stent

Patient suffers an infection when a biliary stent that should have been removed after three months is discovered still in place after 12 months. What went wrong?

Convenient Bundles for CME

We provide prepackaged sets of content to make earning your 0.5 Risk Management Category 1 Study in Massachusetts easy-peasy. There’s something for everyone...

First Published – April 16, 2019

Related To: Disclosure Apology, EHR, Insight and Publications, Nursing, Surgery

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Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis

News

This CRICO co-funded retroactive study published in the Journal of the American Medical Informatics Association analyzed the records of patients 18 years of age or older in the Mass General Brigham health system with a first Legal Sex entry (registration requirement) between 2018 and 2022. The study was important because "Sex and gender demographic data are widely viewed as essential to providing culturally responsive gender affirming care and facilitating research and public health interventions."

Reforming the Medical Liability System in Massachusetts Communication Apology and Resolution (CARe)

News

Kenneth E. Sands was senior vice president at Beth Israel Deaconess Medical Center at the time he received a CRICO Grant for work that appeared August 2017 in The Agency for Healthcare Research and Quality's (AHRQ) publication, “Advances in Patient Safety and Medical Liability.”

How Does Work Environment Relate to Diagnostic Quality? A Prospective, Mixed Methods Study in Primary Care

News

CRICO Grants

The aim of this CRICO-funded study was to develop a tool assessing key elements of the diagnostic assessment process and apply it to a series of diagnostic encounters examining clinical notes and encounters' recorded transcripts.

The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap

News

CRICO Grants

Many patient safety initiatives fail to be adopted and implemented, even when proven effective. This creates the well-recognized know-do gap—which occurs when health care workers know what should be done based on evidence vs. what takes place in practice. To address this issue, CRICO funded the development of a patient safety adoption framework and had it evaluated by leaders in quality and safety. The framework and its findings were published online in the Journal of Patient Safety in April 2023.

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CRICO Insights: April 2019