CRICO Resources


Through more than four decades of experience protecting the Harvard medical community’s clinicians and organizations, CRICO has established itself as a leader in medical professional liability (MPL).

Founded more than 40 years ago, the CRICO insurance program insures all of the Harvard medical institutions and their affiliates, providing coverage to 26 hospitals, 14,000 physicians, more than 300 other health care organizations, and in excess of 100,000 other clinicians and employees. 

Through its uniquely neutral position within the Harvard medical community, CRICO has been highly successful convening clinical leaders from its member hospitals to discuss common areas of risk; reaching consensus on solutions that will be most effective in ensuring the safest possible health care environment for patients and providers. CRICO-supported researchers, armed with intelligence from an extensive database of national MPL claims, have applied the clinically coded data to identify risk reduction solutions such as: simulation training, closed-loop communication, and checklists in surgical settings.

Clinical Guidelines

At the request of the institutions insured by CRICO, and in conjunction with clinical experts from those health care organizations, CRICO develops and maintains evidence-based decision support tools for physicians and nurses whose patient encounters align with high-severity malpractice risks. These guidelines, algorithms, and other tools are designed and periodically updated to help clinicians identify risk prone steps in specific diagnostic or treatment processes, and suggest protocols.

Available guidelines include:

For a complete listing, visit the CRICO Clinical Guidelines page.


The Academic Medical Center Patient Safety Organization (AMC PSO) strives to act as a national convener of clinicians and health care organizations to promote patient safety.

AMC PSO makes patient safety learnings available to the public as part of CRICO’s ongoing commitment towards improving patient safety across the continuum of care. These learnings can be found in guidelines, papers and our Patient Safety Alerts, which can be downloaded. New editions are published regularly and are free and available here.

AMC PSO Publications include:

Closed MPL Case Studies

CRICO has developed a library of closed medical malpractice liability case studies that are available to anyone to learn from past experiences. They analyze the case from the clinical and claims perspective providing valuable insights to clinicals, risk managers, and hospital leaders.

Visit the CRICO Closed MPL Case Study library.

In addition, CRICO has developed Are You Safe? (AYS) case studies which are designed to help all members of a multidisciplinary team reduce the risk of patient harm in the course of diagnosis and treatment.

Are You Safe? topics include:

  • Closing the Loop
  • Partnering with Patients
  • Reliable Diagnoses

For a complete listing of Are You Safe? case studies, visit the Are You Safe? library.

Sign up for our newsletter

Stay in the know by signing up for our quarterly newsletter, Safety in Numbers. It is available to anyone interested in patient safety and risk management.

CRICO let us make fundamental changes in our capacity to identify and monitor quality and safety information. These improvements created a foundation for future advances in ambulatory risk management and patient safety.

Saul N. Weingart, MD, PhD, Former VP for Quality Improvement and Patient Safety Dana-Farber Cancer Institute

My interactions and impressions are strong, powerful, and positive for CRICO. I’m glad they’re here. I’m glad we’re doing business together.

Les Selbovitz, MD Newton-Wellesley Hospital