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Partnering With a Medical Malpractice Insurer to Improve Patient Safety and Decrease Risk
Carol A Keohane1, Kathy Dwyer, Jason Boulanger
1Department of Patient Safety (Mss Keohane, Dwyer, and Zigmont, Mr Boulanger, and Dr Babayan), Claims Department (Ms Cushing), CRICO/Risk Management Foundation of the Harvard Medical Institutions, Boston, Massachusetts; and Department of Newborn Medicine, Brigham and Women's Hospital, Boston, Massachusetts (Dr Walsh).
Abstract:
Implementing evolving science into clinical practice remains challenging. Assimilating new scientific evidence into clinical protocols and best practice recommendations, in a timely manner, can be difficult. In this article, we examine the value of partnering with a captive medical malpractice insurance company and its Patient Safety Organization to use data and convening opportunities to build upon the principles of implementation science and foster efficient and widespread adoption of the most current evidence-based interventions. Analyses of medical malpractice and root-cause analysis data set the context for this partnership and acted as a catalyst for creating best practice guidelines for adopting therapeutic hypothermia in the treatment of neonatal encephalopathy. What follows is a powerful example of successfully leveraging the collective wisdom of healthcare providers across specialties and institutional lines to move patient safety forward while managing risk.
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