Harnessing the power of medical malpractice data to improve patient care

J Healthc Risk Manag. 2020 Feb;39(3):28-36. doi: 10.1002/jhrm.21393. Epub 2019 Nov 24.

Abstract

Intelligence gleaned from medical malpractice cases helps health care institutions analyze their litigation practices, trend financial outcomes, and even identify clinical services needing attention. But when examined more deeply, medical malpractice data can also be a powerful patient safety tool by revealing clinical patterns that contribute to medical errors and by enabling leadership to more accurately plan investments in patient safety and risk management. This case study describes how one organization, UMass Memorial Health Care in Worcester, Massachusetts, harnesses its deeply coded medical malpractice data and benchmarks its performance against national peers to catalyze clinical improvements. This strategy has proven successful in yielding positive change in such areas as emergency department ultrasound coverage, obstetrics communication, and airway management training. UMass Memorial's ability to embed claims data use into its culture and to share learning across clinical services offers lessons for health care organizations of any size.

MeSH terms

  • Benchmarking
  • Data Mining*
  • Humans
  • Insurance Claim Review
  • Intensive Care Units
  • Malpractice*
  • Massachusetts
  • Obstetrics
  • Obstetrics and Gynecology Department, Hospital
  • Patient Care / standards*
  • Patient Safety
  • Quality Improvement*
  • Risk Management