Peer Review Studies


CBS data is an industry leading MPL data set that is frequently referenced in peer-review studies, industry publications, and the news.

CRICO Strategies national Comparative Benchmarking System (CBS) data are cited by researchers in national publications and used by our CBS members—commercial and captive insurers, hospitals, health care organizations—to identify clinical risks, benchmark against peers, and prioritize patient safety efforts.

Journal of Hospital Medicine | July 2021

Rates and Characteristics of Medical Malpractice Claims Against Hospitalists

Researchers analyzed medical malpractice data for claims that involved a hospitalists and found that while many specialties have seen a drop in the claims rate, it has not dropped for hospitalist over a 10-year period. Read more>

American Journal of Gastroenterology | Sep 2020

Do Nontechnical Skills Affect Legal Outcomes After Endoscopic Perforations?

Researchers analyzed malpractice claims from CRICO Strategies Comparative Benchmarking System (CBS) to determine the association of technical and nontechnical skills of endoscopists with indemnity payments to patients after endoscopic perforations. Read more>

Academic Medicine | Aug 2020

An Examination of Medical Malpractice Claims Involving Physician Trainees

Study authors performed a case-control study using closed medical malpractice claims from the CRICO Strategies Comparative Benchmarking System (CBS). They concluded that, “among claims involving physician trainees, procedures were common and often associated with inadequate supervision.” Authors recommend that the training directors of surgical specialties can use insights from this study to improve resident supervision policies. Read more>>

Journal of Clinical Anesthesia | May 2020

A Closed Claims Analysis of Vocal Cord Injuries Related to Endotracheal Intubation Between 2004 and 2015

Brigham and Women’s Hospital researchers worked with CRICO Strategies to analyze data from the CRICO Strategies national Comparative Benchmarking System (CBS) database to better understand claims against anesthesiologists for vocal cord injuries that occurred during endotracheal intubation.  Read more>>

Diagnosis | May 2020

Rate of Diagnostic Errors and Serious Misdiagnosis-related Harms for Major Vascular Events, Infections, and Cancers: Toward a National Incidence Estimate Using the “Big Three”

Prior research based on the Comparative Benchmarking System (CBS) data found that fifteen conditions related to vascular events, infections, and cancers (the ‘Big Three’) account for approximately half of all serious misdiagnosis-related harms. Continuing to explore that line of study, researchers from Johns Hopkins University School of Medicine and co-authors performed a focused literature review of 28 studies representing over 91,000 patients to measure diagnostic error and harm rates for the 15 conditions identified in the 'Big Three' study. Read more>>

Journal of Patient Safety | March 2020

Evidence That Nurses Need to Participate in Diagnosis

Lessons From Malpractice Claims

Researchers analyzed data in the Comparative Benchmarking System (CBS) in order to better understand the contributing factors in diagnosis-related and failure-to-monitor malpractice claims in which nurses are named the primary responsible party. With this understanding, researchers describe actions healthcare leaders can take to enhance the role of nurses in diagnosis. Read more >

Journal of Healthcare Risk Management | Nov 2019

Harnessing the Power of Medical Malpractice Data to Improve Patient Care

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. Read more >

Anesthesia & Analgesia | July 2019

Considerations to Reduce Medicolegal Claims in Interventional Pain Procedures

Editorial on a study that uses CRICO Strategies Comparative Benchmarking Data (CBS) states, “Based on data from the article, several valuable insights can be made.” Read more >

A Contemporary Medicolegal Analysis of Outpatient Interventional Pain Procedures

Closed malpractice claim studies allow a review of rare but often severe complications, yielding useful insight into improving patient safety and decreasing practitioner liability. Read more >

Diagnosis | July 2019

Serious Misdiagnosis-related Harms in Malpractice Claims: the "Big Three" - Vascular events, Infections, and Cancers

New research conducted by researchers from Johns Hopkins University School of Medicine and CRICO finds one in three malpractice cases with serious patient harm is due to misdiagnosis. Read more >

Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database

Researchers from Montefiore Medical Center sought to identify and describe breakdowns in the diagnostic process among patients with ischemic stroke to facilitate future improvements in diagnostic accuracy. Read more >

Journal of Patient Safety | June 2019

Electronic Health Record–Related Events in Medical Malpractice Claims

Analysis of a CRICO medical malpractice claims study of cases involving health IT. Read more >

International Journal of Radiation Oncology, Biology, Physics | March 2019

Medical Malpractice Analysis in Radiation Oncology: A Decade of Results From a National Comparative Benchmarking System

Researchers used the CRICO Strategies’ national database of medical liability claims, Comparative Benchmarking System, to analyze the issue of medical errors in radiation oncology (RO). The closed RO cases reviewed ranged from years 2005 to 2014. Read more>

Journal of Cardiovascular Nursing | Jan/Feb 2019

Nurses Are Key in Preventing Deadly Diagnostic Errors in Cardiovascular Diseases

Cardiovascular nurses have tremendous potential to reduce unnecessary cardiovascular deaths from misdiagnoses and lead efforts to address diagnostic errors in both independent and collaborative practices. Read more>

Joint Commission Journal on Quality and Patient Safety | June 2017

Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data

CRICO Strategies and The Doctors Company partnered to conduct an in-depth analysis of cardiovascular disease-related medical malpractice claims data in outpatient general medicine. Read more >

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Medical malpractice devastates individuals and exposes weaknesses…and it is uncomfortable to talk about. But discussing and analyzing malpractice cases is essential to bringing about the changes necessary to prevent similar injuries. Indeed, the human tragedy of malpractice cases drives our mission to turn that data into credible evidence: what failed, why, and changes in vulnerabilities over time.


Michael Paskavitz Vice President, CRICO Strategies