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Read about the practices employed to reduce risks that were the result of missed or delayed diagnoses.
Newsletter
Delayed Diagnosis
Jun 30, 2013
Patient Safety Alert 11: Delayed Diagnosis (PDF)
The AMC PSO has performed an in-depth analysis of patient safety issues in the ED setting and has identified practices employed to reduce risks that were the result of missed or delayed diagnoses.
Alert
ED personnel need to be progressively educated in techniques to increase patient safety and cognizant of best practices to reduce their own risk.
- These root cause analysis highlighted distinct areas in the patient care delivery process where errors were most likely to occur leading to missed and delayed diagnosis:
– during patient hand-offs - Learn more.
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AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
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More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
No Surgical Items Left Behind
Newsletter
While the occurrence is rare, Massachusetts reported rising rates of retained surgical items over the past several years.
Periprocedural Management of Anticoagulation Therapy
Newsletter
Patient Safety Alert Issue 24: The AMC PSO recently convened to discuss this high-risk area and important patient safety issue, the contributing factors often associated with this medication event type, and the strategies to proactively mitigate this risk.
Patient Falls
Newsletter
Patient Safety Alert Issue 23: The AMC PSO convened a panel of nursing leaders to review recent trends, evaluate the current literature, and discuss novel interventions aimed at mitigating the risk regarding patient falls.
Failure to Rescue
Newsletter
Patient Safety Alert Issue 22: The AMC PSO has recently assembled a panel of subject matter experts to review data, literature, and their own experiences with insufficient patient monitoring and failure to rescue.
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identification of Gaps in Practice
News
Neonatal encephalopathy continues to be a significant risk for death and disability. To address this risk, regional guidelines were developed with the support of CRICO. A neonatal encephalopathy registry was also established. The aim of this study was to identify areas of variation in practice that could benefit from quality improvement projects.
Characterizing Malpractice Cases Involving Emergency Department Advanced Practice Providers, Physicians in Training, and Attending Physicians
News
Beth Israel Deaconess Medical Center’s emergency department experts collaborated with CRICO patient safety experts to co-author this study that was published in the Academic Emergency Medicine journal.
Teleradiology Medical Malpractice Cases
News
Candello Member
This June 4, 2024, podcast by RSNA, features Dr. Francis Deng, a Diagnostic Neuroradiologist and Assistant Professor at Johns Hopkins University, who interviews CRICO’s Dr. Adam Schaffer about the characteristics of teleradiology medical malpractice cases.
Ambulatory Safety Nets: Protecting Providers and Promoting Safety with Systems to Reduce Delayed Cancer Diagnoses
News
CRICO Grants
Ambulatory safety nets (ASNs) are person-centered programs that provide a highly reliable backup system for following up on abnormal test results when the standard follow-up process fails. Co-authored by CRICO’s Pat Folcarelli RN, MA, PhD, and Luke Sato, MD, this article about ASNs was featured in Inside Medical liability Online.