Highlights

Our findings and interventions.

White Paper

The full report of CRICO Strategies' analysis of MedStar.

FINDING

clinical judgment and communication challenges in labor and delivery ID’d as key source of harm

SYSTEM-WIDE INTERVENTIONS

• standardized OB clinical protocols and embedded clinical decision support in EHR
• simulation-based OB Training with scenarios based on MedStar’s actual MPL claims
• implementation of interdisciplinary huddles for laboring patients

FINDING

missed diagnosis of atraumatic spinal cord compressions in the ED driving harm and losses

SYSTEM-WIDE INTERVENTIONS

• web-based learning program to enhance diagnosis and treatment of atraumatic spinal cord compression
• clinical pathway for diagnosis and treatment of spinal cord compressions embedded in EHR
• creation of STAT order sheet to facilitate communication between ordering provider and MRI suite