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CRICO/RMF COLORECTAL CANCERSCREENING ALGORITHM
A DECISION SUPPORT TOOLFOR PRIMARY CARE PROVIDERS
Created:
2004
Revised:
2006
&
RMFCRICO
 
CRICO/RMF COLORECTAL CANCER SCREENING ALGORITHM
© 2006
CRICO/RMF
C
olorectal cancer is the second most common type o cancer    g crico-u . G     qu  u . Cu  ug      g u:
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   v   w u  g gu  ;
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  w    g —ug , bu , xb g,  — k     u;
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  uu  w g u, ug     -g    w xb w , ug bg  wg ;  g u  ; 
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    v gg g  g g     w xb w , ug bg  wg ;  g u  .    k u, crico/rm v  k    v  gg  v  C C SgAg. A   u ,  Ag  g  :. A     k , u  ;2. S  ’ k        gu; 
 Average Risk Patients
w  , v g 50, w         , 
Moderate Risk Patients
w v   
1
      ,  
High Risk Patients
  w v  g   
2–5
 bw .
6–8
 3. O  g  g   k  ; 4. I  vg  vg    g . T crico/rm C Sg Ag  b    g    gu
9–4
   -u w u  b u     .
Risk Management forColorectal Cancer Screening
1.Discuss screening options with the patientand document the discussion and thepatient’s preerence in the clinical record.2.Single, in-oce
FOBT
digital exam is notadequate screening.
15
3.Track and document screening tests andresults.4.Recognize that the quality o the bowelclean out may modiy screening intervals.5.Follow up on all positive results.6.Coordinate care with the specialist to clariyroles and responsibilities among providers.7.Document ollow-up testingrecommendations.8.Communicate the ollow-up plan to thepatient and the responsible providers.
CRICO/RMF COLORECTAL CANCER SCREENING ALGORITHM
A DECISION SUPPORT TOOL FOR PRIMARY CARE PROVIDERS
 
CRICO/RMF COLORECTAL CANCER SCREENING ALGORITHM
© 2006
CRICO/RMF
Malpractice Case Examples
Case 1 
A 69-- w w   crc g, w     ,  w . N wk-u     .Fu    ,       .
Case 2
A 55-- w w    g  w bg, w   bu  . O  ,xb g w    u. T      .
Case 3
A 64--  w    g  w   35 . H      u    wk-u. T  ,  g   v.
Case 4
A 69--  w u , ug  vu ,ug    ( u ). R    w . A vuz     . T  ,  7 g   u  x v  b bu . T     .
Key Factors in
Colorectal Cancer
Malpractice Cases
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P w    v   g vu
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Ru g  
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Ru g  bu  w u
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Dg  , bu  u
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Dg  u, bu  
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Og  w-u  g  g u u
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Nw g u
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Ab fg  qu vu
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C   v       kg  g  w-u
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Mu v        u 
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P   f   u
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I u  u
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I   g   
colorectallungbreastprostate
cancer typenumber of cases
8131723
0510152025
CRICO
Cases Filed from
00–005
 Involving Cancer DiagnosesPhysicians Named in
CRICO
Cases(
996–005
) Involving Diagnosis ofColorectal Cancer (
N=63
defendants)
otherob/gynradiologygeneral surgerygastroenterology
generalmedicine
Cases Involving
Colorectal Cancer
DiagnosisAsserted
00-005
(
N=3
)
70+60–6950–5940–4930–39
claimant’s agenumber of cases2468100
cases opened2001–2005cases closed2001–2005incurred losses$27 million$13.3 millionexpenses$1.6 million$1.2 million
Cost of Malpractice Claims Alleging a Missed orDelayed Diagnosis of Colorectal Cancer
of 00

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