Expert Causality Analyst; Hospital Sentinel Harm

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Specialties & Experience of this Expert Witness

General Specialties:

Radiology and Legal Nurse Consulting

Keywords/Search Terms:

Root Cause Analysis, Clinical Decisions, Human Factors, Healthcare Systems/Operations, Unexpected Death, Diagnostic Error/Delay, VTE Prophylaxis, Fall with Injury, Central Venous/Vascular Access, Cardiac/Physiologic Monitoring, Moderate Sedation, Procedural Error/Complication, Resuscitation, Failure to Escalate/Rescue

Education:

Associate of Science in Nursing (ASN), Vance Granville Community College; Master of Science in Nursing (MSN) , University of North Carolina at Chapel Hill; Clinical Nurse Leader (CNL), American Association of Colleges of Nursing: AACN; Certified Professional in Patient Safety (CPPS) , Institution for Healthcare Improvement (IHI)

Years in Practice:

12

Additional Information

Caroline A. Strazis, MSN, RN, CNL, CPPS Masters in Science of Nursing, Healthcare Systems (MSN) - University of North Carolina at Chapel Hill Registered Nurse (RN) - North Carolina Board of Nursing Clinical Nurse Leader (CNL) - American Association of Colleges of Nursing Certified Professional of Patient Safety (CPPS) - Institute for Healthcare Improvement CA Strazis Clinical Legal Consulting, PLLC I am a clinical-legal consultant and registered nurse with 12 years of experience spanning high-acuity clinical work and investigative experience. I specialize end-to-end management of complex investigations with speed and precision and am comfortable delivering highly visible findings under sustained executive, legal, and regulatory scrutiny. I am formally trained and certified to perform full causal analysis on events ranging from geriatric falls with injury to catastrophic harm and unexpected death. Root cause analysis is a core discipline within systems science and is setting-agnostic by design. My strategy incorporates human factors engineering, failure-mode analysis, and other structured methods designed to examine how harm develops across time, people, and processes. This extends beyond the traditional scope of many legal nurse consulting reviews, which often focus on timelines and deviations from written standards without advancing to causation and the multidimensional chain of accountability that can dramatically shift litigation strategy. Prior to external consulting, I served as an internal patient-safety investigator managing sentinel-event and serious-harm investigations across the healthcare system. As one of two analysts supporting a >1,000-bed academic hospital and level I trauma center (as well as it's hospital-based clinics), I carried a substantial concurrent caseload spanning settings from ambulatory clinics to ICUs and specialties including pediatrics, neurology, cardiology, emergency medicine, surgery, internal medicine and others. I have hands-on clinical expertise with a decade of experience as a clinician and leader in diagnostic and interventional radiology as well as emergency medicine. I deliver clear, defensible causal analyses that integrate clinical and operational data into a single account of what happened, why, and where risk and accountability lie. I apply systematic review first, escalate to specialty expertise and other credible sources in key areas, coordinate the process transparently where retention of niche experts is indicated. The result is one streamlined, defensible analysis through a single point of contact.