Safety Net
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Preventing Breast Cancer Diagnosis Fails with Women 40-49
November 20, 2019 20:12 - 632 MB VideoBreast cancer is the leading cause of non-cutaneous cancer death among women between the age of 45–60.
Harvard Researcher: Hospitals Can Do Better Diagnosing Deadly Sepsis
October 23, 2019 09:00 - 9 minutes - 16.8 MBSepsis is common and it's deadly. It accounts for five percent of the patients admitted to the hospital and a third of hospital deaths. The worry: sepsis is often difficult to detect, giving rise to dangerous clinical outcomes and liability.
Aging Surgeons a Patient Safety Concern for Hospitals
September 19, 2019 09:00 - 13 minutes - 18.6 MBAs the nation copes with an aging population, concern turns to aging surgeons. CRICO's podcast, Safety Net, interviews one physician expert who is trying to encourage more hospitals to ferret out dangerous diminishing cognitive and physical faculties, with Late Career Practitioner Policies.
Can Patient Pics in the Electronic Health Record Cut Identity Mistakes in the ER?
August 08, 2019 18:45 - 514 MB VideoAbout 2 in every 1,000 patient orders in the fast-paced, high-pressure ER environment involve the wrong patient. Can photo IDs help?
What to Know About Genetic Testing
July 09, 2019 18:49 - 560 MB VideoDr. Einstein is an attending oncologist in the genitourinary program at Beth Israel Deaconess Medical Center in Boston, and an instructor of medicine at Harvard Medical School.
Breast Guide Update: Take Care When Nothing's There
June 11, 2019 18:49 - 21.1 MBSpecialists in the Harvard system updated the CRICO Breast Care Management Algorithm in early 2019
Breast Guide Update: Take Care When Nothing’s There
June 11, 2019 18:49 - 21.1 MBSpecialists in the Harvard system updated the CRICO Breast Care Management Algorithm in early 2019
Breast Care Guide Update: Take Care When Nothing’s There
June 11, 2019 09:00 - 11 minutes - 21.1 MBSpecialists in the Harvard system updated the CRICO Breast Care Management Algorithm in early 2019. And it takes into account some of the newest areas of clinical and legal risk.
Expecting Diagnosis Errors
May 14, 2019 16:13 - 742 MB VideoHarvard researcher offers variety of methods to anticipate mistakes with diagnosis and prevent them.
Prostate Perils in Primary Care: Roadmap from an Expert
March 12, 2019 14:13 - 462 MB VideoInternationally renowned prostate expert Marc Garnick, MD, with clinical insights behind a leading cause of malpractice claims.
What's Up with Cardiac Malpractice Cases?
February 14, 2019 14:08 - 6.01 MBAgainst the downward trend: Malpractice cases in the U.S. that involve cardiology appear to be on the rise and getting more expensive.
What’s Up with Cardiac Malpractice Cases?
February 12, 2019 10:00 - 8 minutes - 6.01 MBA rise in cardiology malpractice cases goes against general malpractice trends across specialties that show significant declines. Most of the errors in outpatient cardiac cases involve failures in the diagnostic process. Diagnosis errors bedeviled providers in the inpatient setting as well.
Update on Best Medical Practices: Key Areas in Safety and Risk Outside the Hospital
January 17, 2019 20:49 - 276 MB VideoWe have learned a lot about risks in inpatient care, but there is still lots to learn about safety outside the hospital.
Doctor’s Focus on Patient Safety an Eye Opener
December 12, 2018 14:29 - 216 MB VideoHow getting involved in measuring error, analyzing the data, and helping develop interventions to prevent patient harm, transformed this physician.
Doctor's Focus on Patient Safety an Eye Opener
December 12, 2018 14:29 - 216 MB VideoHow getting involved in measuring error, analyzing the data, and helping develop interventions to prevent patient harm, transformed this physician.
Cracking the Code for Better Rapport Among Generations
October 12, 2018 09:00 - 15 minutes - 13.9 MBUnderstanding “generation codes” gives clinicians insight into their patients' and colleagues' mindsets and provides a tool for building the rapport needed for a productive healthcare relationship.
Primary Care Docs Try to Up Their Diagnosis Game
September 11, 2018 09:00 - 7 minutes - 6.95 MBThe idea of missing something, or finding out that follow up on a lab order or specialty consult fell through the cracks, can haunt providers. Nothing represents these concerns better than a claim from a patient or family that you failed to diagnose their cancer. A recent review of professional liability claims from across the United States shows that diagnosis-related claims account for a higher percentage of dollar costs than any other category.
Harvard Joins IHI to Cut Referral Mistakespart III
July 16, 2018 17:35 - 9.68 MBpart III: A new evidence-based tool helps doctors and practices close the loop on referral failures that may harm patients and lead to lawsuits
Part III: Harvard Joins IHI to Cut Referral Mistakes
July 16, 2018 09:00 - 10 minutes - 9.68 MBAccording to estimates, as many as half of medical specialty referrals are not fully completed. In a study of medical malpractice cases asserted in the Harvard system between 2006 and 2015, 46 cases involved referral breakdowns, with an incurred cost of $11 million. The vast majority involved severe harm to the patient. Closing the Loop... is a guide to prevent this from continuing.
Patient Safety Becoming a Family Affair
June 18, 2018 09:00 - 5 minutes - 4.99 MBExperts: the need to pull families onto the patient safety team will only grow with ongoing trends of shorter hospital stays, and care moving into ambulatory sites and even into the patient's home. Family caregivers will be a big part of safety at each stage.
Harvard Joins IHI to Cut Referral Mistakespart II
May 14, 2018 19:35 - 7.15 MBpart II: A new evidence-based tool helps doctors and practices close the loop on referral failures that may harm patients and lead to lawsuits
Part II: Harvard Joins IHI to Cut Referral Mistakes
May 14, 2018 09:00 - 7 minutes - 7.15 MBMishandled specialty referrals in ambulatory care can harm patients and lead to litigation if a diagnosis is delayed or missed. Two leading groups hope individual practices and institutions will use the Guide to make their referrals more reliable and reduce mistakes.
Harvard Joins IHI to Cut Referral Mistakes: part I
April 18, 2018 19:35 - 12 MBA new evidence-based tool helps doctors and practices close the loop on referral failures that may harm patients and lead to lawsuits
Removing Pebbles: Joy as a Cure for Clinician Burnout
January 30, 2018 10:00 - 6 minutes - 5.96 MBEach of the providers at the big, annual IHI quality conference heard a personal message loud and clear above the three-day din: doctors and nurses deserve to have joy in their work. More than that, the happiness of clinicians is essential to good patient care.
Harvard Primary Care Sites Collaborate for Ambulatory Care Innovations in Patient Safety, Quality
November 30, 2017 18:33 - 475 MB VideoMulti-institution collaborative meets to improve care and promote safety in the ambulatory setting.
Catching Transitioning Patients Before They Fall (through the cracks)
November 06, 2017 10:00 - 9 minutes - 9.09 MBBetter clinical outcomes, lower cost: we're talking about care transitions and a recently completed research project at Cambridge Health Alliance that identified a patient population that needs specialized help after a hospitalization. Our interview is with Dr. Richard Balaban, who led the care transition project, funded through a grant from CRICO.
Getting Boards on Board with Patient Safety
October 13, 2017 09:00 - 5 minutes - 11.4 MBOn this episode we are at the IHI/NPSF Lucian Leape Institute's 10th Annual Forum. Patient safety luminaries from around the world gathered near Boston to review a new study on public perceptions of medical error, to discuss new trends, and to generate ideas on a singular focus: how to more fully engage a healthcare organization's governing board to make care better and safer.
How Simulators Help OR Teams Really Act Like Teams
July 05, 2017 14:32 - 197 MB VideoOR teams learn from dummies how to work together.
Cooling Brain-injured Babies to Reduce Disability, Liability
June 01, 2017 09:00 - 7 minutes - 14 MBResearch and recent experience show that some babies who show signs of brain injury suffered before or during birth have better outcomes when hospitals cool the baby's body temperature. Thus, early identification and treatment of this condition has the potential for improving patient outcomes and reducing the risk of liability. CRICO has recently awarded grant funding to promulgate guidelines, titled “Therapeutic Hypothermia in Neonates,” that were developed under its federally-designated PS...
Doctors and the Law: A Judge Offers a Peek Behind the Gavel
May 11, 2017 09:00 - 9 minutes - 8.49 MBUnlike other areas of modern clinical practice, there still isn’t much training in medical school around what to do or what not to do as a malpractice defendant, or an expert witness for someone else’s case. In a one-on-one interview, author and retired Massachusetts Superior Court Associate Justice Hiller B. Zobel offers some sage how-tos and reassurance as he highlights the second edition of his book, “Doctors and the Law: a guide for physicians entering uncharted waters.”
Understanding "Standard of Care" A Doctor and a Lawyer Share from the Medmal Front Lines
January 24, 2017 21:44 - 30 MBPanel discussion about standard of care in the medmal courtroom
Understanding “Standard of Care” A Doctor and a Lawyer Share from the Medmal Front Lines
January 24, 2017 21:44 - 30 MBPanel discussion about standard of care in the medmal courtroom
Understanding “Standard of Care” A Doctor and a Lawyer Share from the Medmal Front Lines
January 24, 2017 10:00 - 16 minutes - 30 MBFor many in the medical profession, some of the basics of law and malpractice claims are a little mysterious. The key question about negligence is whether or not the provider failed to meet the “standard of care.” But how do we know what the standard of care is? We hear from a lawyer and and a doctor about what they've learned working in the world of medical errors and malpractice law.
Patient Voice: Beth Felt a Lump but the Nurse Didn't. How a Patient and her Providers Turned it Around
November 15, 2016 16:27 - 235 MB VideoBeth's Story of Apology and Great Care
Patient Voice: Beth Felt a Lump but the Nurse Didn’t. How a Patient and her Providers Turned it Around
November 15, 2016 16:27 - 235 MB VideoBeth's Story of Apology and Great Care
Called to be Juror in Medmal Case? Lawyers Want to Talk to You
November 11, 2016 10:00 - 5 minutes - 5.24 MBIn Massachusetts, the law recently changed, regarding how juries are selected in civil trials, including medical malpractice cases. Now lawyers can question individual jurors directly.
‘Grass Roots’ Research Sprouts From Harvard Medmal Data
October 12, 2016 07:22 - 84.2 MB VideoCRICO’s grant-funded research advances patient safety across disciplines and care settings.
‘Grass Roots' Research Sprouts From Harvard Medmal Data
October 12, 2016 07:22 - 84.2 MB VideoCRICO's grant-funded research advances patient safety across disciplines and care settings.
National MedMal Huddle Looks at Communication Errors/Solutions
July 26, 2016 14:16 - 9.05 MBNearly 3 in 10 medical malpractice cases have identifiable problems with communication, according to a report by CRICO, the malpractice insurer for the Harvard medical institutions. Proven solutions highlighted a national gathering of patient safety leaders in Boston.
Team Care, Alert Fatigue Near Top of EMR Agenda: Dr. David Bates
April 29, 2016 09:00 - 6 minutes - 5.57 MBAt a recent gathering of medical malpractice professionals in Boston, health information and international patient safety leader David Bates shared a vision of the next five years of health information and electronic medical records.
Can Access to Doctor Notes Help Patients Find Mistakes, Recall Care Plans?
February 25, 2016 10:00 - 3 minutesVideo podcast: A program called “OpenNotes” gives patients direct access to the notes their doctors wrote in their charts. Will they find mistakes and better understand their care plans with this new tool?
How Does a Hospital Make Care Safer for 400,000 Ambulatory Patients?
October 16, 2015 16:08 - 43.8 MB VideoBoston Children's Hospital shares journey to improve safety in the outpatient setting.
Harvard Hospitals Receive $2 Million for Patient Safety Projects
July 21, 2015 09:00 - 6 minutes - 12.3 MBFrom debriefs after surgery to automatic warnings for abnormal vitals at discharge from the ED, Harvard researchers are using CRICO for funding and influence.
What a High Leapfrog Safety Score Means to Hospitals
May 28, 2015 09:00 - 6 minutes - 8.4 MBIn early 2015, an honorary distinction began to appear on web sites and publications for 94 hospitals across the country. They are the nation's Top Hospitals, according to quality watchdog The Leapfrog Group.
How Do Diagnosis Errors Happen? New National Report Sheds Light
February 11, 2015 10:00 - 9 minutes - 8.28 MBDiagnostic errors out-paced errors in obstetrics, and were costlier than surgical cases in the newest annual CRICO Benchmarking Report. In the five-year period studied, 57 percent of the diagnosis-related malpractice cases from across the country arose in the ambulatory setting. By far, the diagnosis most commonly missed was cancer. And the benchmarking data indicate that improvements should zero in specifically on differential diagnosis, test interpretation, and follow-up of consults. This ...
Physician Health Services: Social Media Ills Added to Substance Abuse for Intervention Needs
January 06, 2015 10:00 - 9 minutes - 8.92 MBSocial media mis-use by physicians is a new area for intervention by professional health services that were initially founded to help with substance abuse. Increased focus on workplace behavior in an era of team training means that now, inappropriate Facebook postings or texts with sensitive information can also threaten a doctor's professional life. Physician Health Services in Massachusetts shares its experience trying to help clinicians find their way.
Physician Health Service: Social Media Ills Added to Substance Abuse for Intervention Needs
December 31, 2014 20:03 - 8.92 MBSocial media mis-use by physicians is a new area for intervention by professional health services.
Culture Warriors Share Secrets for Better Care Environments
November 05, 2014 19:02 - 57.9 MB VideoHow to change cultures at your hospital/office practice/clinic for the sake of patient safety and satisfied clinicians
PCPs Work to Hold Onto MD to Patient Relationship in Era of Team Care
September 30, 2014 16:30 - 37.7 MB VideoHow do PCPs maintain strong bonds with their patients as care shifts to a team-based model?
Safer Primary Care: the World Catches Up with Dr. Gila Kriegel
July 30, 2014 14:30 - 22.1 MB VideoGila Kriegel, MD been attacking medical error in primary care far longer than most.