Download PDF Free of Charge
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.
PDF
AMC PSO
Our Patient Safety Organization convenes clinical leaders to identify and mitigate emerging risks.
Learn with us
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Pharmacy Compounding Safe Practice Recommendations
Newsletter
Patient Safety Alert Issue 14: The AMC PSO recently held its follow up Medication Safety Task Force collaborative convening session to discuss the best practices regarding the issues within compounding sterile preparations and patient safety that were brought up in the first meeting.
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.
Patient ID Risks & the Intersection of Electronic Health Records
Newsletter
Patient Safety Alert Issue 28: The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Patient Safety in Labor and Delivery: Managing Complex Conditions in a Complex Environment
Newsletter
Patient Safety Alert Issue 9: The AMC PSO in conjunction with CRICO's Patient Safety Department has continued to analyze OB-related malpractice claims along with real-time root cause analysis information to identify trends, respond to present system vulnerabilities, and educate members on new emerging risks.
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.
Utilization of Electronic Health Record Sex and Gender Demographic Fields: A Metadata and Mixed Methods Analysis
News
CRICO Grants
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.”