POPULARITY
When a med mal claim emerges from patient injury, we may debate who’s liable but we can agree something undesirable happened. Mark Reynolds leads CRICO, the Risk Management Foundation of the Harvard Medical Institutions, a captive insurance program. CRICO, in addition to serving its members’ medical professional liability insurance and other needs, also provides a comparative database with 30% of U.S. MPL claims. Reynolds shares insights from this 30+ year dataset of clinical and financial data which CRICO uses to identify & propagate root cause interventions. What insights do medical malpractice claims offer to improve the Mission & Margin of healthcare? These data are one of the richest insights into U.S. healthcare quality & safety.
Missing chemotherapy orders drop from 30 percent when patients arrive for treatment, down to two percent. This means patients aren’t delayed and doctors aren’t scrambling.
Disclosure and apology after an adverse event is encouraged a lot, protected a little, and admissible if the clinician does a bad job of it.
The patient was under 50 and lack of communication between the PCP and GI about a sigmoidoscopy order contributed to a diagnostic failure.
(Part 2 of 2) The “Father of Patient Safety” reflects on the impact of the patient safety movement a decade after the IOM report….its successes…and its disappointments, from a national vantage point.
The patient and his wife felt that the surgeon was not forthcoming with an explanation of what happened and seemed indifferent to the impact on his patient, following conversion to an open procedure and large blood loss.
Research helps surgeons find ways to communicate better to prevent mistakes before, during, and after surgery.