Unclear Discharge Instructions, Patient Loses Foot
Lessons in preventing tragic patient misunderstandings and multi-year legal entanglements.
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About
For more than 20 years, CRICO has analyzed claims and suits from the Harvard medical community to understand causes of error. We have learned that 67% of claims fall into four high risk areas: Diagnosis, Obstetrics, Surgery and Medication.
Woman Dies from Post-op Stroke When Anticoagulant Not Restarted
In a lawsuit naming four physicians, the patient’s estate alleged negligent failure to restart anticoagulation after surgery, resulting in a stroke an...
Woman Dies from Post-op Stroke When Anticoagulant Not Restarted
In a lawsuit naming four physicians, the patient’s estate alleged negligent failure to restart anticoagulation after surgery, resulting in a stroke an...
Young Patient, Flawed Test, Fatal Delay in Colon CA Diagnosis
A young patient with multiple visits for the same complaints needed an accurate diagnosis sooner to survive.
“What Else Might This Be?” Might Have Saved PE Patient
A typical urgent care decision needed a simple re-thinking in this fatal PE case.
A Forgotten Stent and Unclear Responsibility for Follow Up
The patient sued his oncologist and the hospital, claiming they mismanaged his post-op recover when a stent was left behind for a year, leading to com...
Nothing is “Routine” for an Anxious Patient or Family
A pediatric practice struggled to satisfy the family of a boy after two years of appropriate primary care. What did they learn about communicating wit...
Status Change Missed, Consultation Flawed, and the Patient Loses Baby
OB case: communication between the primary provider and a phone consultant needed more clarity and changes in the patient's status needed a stronger r...