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Seth A. Krevat, M.D., FACP

Former Assistant Vice President for Safety, Ten-Hospital Health System; AHRQ CANDOR Toolkit Expert Faculty

M.D. · FACP · Board Certified, Hospice & Palliative Medicine · AHRQ CANDOR Expert Faculty

Seth A. Krevat, M.D., FACP
Patient Safety & Disclosure of Medical Error

Seth A. Krevat, M.D., FACP, served for seven years as Assistant Vice President for Safety at a ten-hospital integrated healthcare system in the Mid-Atlantic, where he led the development and implementation of the system's patient safety program. In that role every reported adverse event in the system was reported to him and his team of safety professionals — missed diagnoses, wrong-site and wrong-procedure events, falls with injury, and medication errors — and he was responsible for the comprehensive, standardized, required response. That response included open and honest communication with patients and families (disclosure) and systems-based event reviews to understand contributing factors, so as to develop sustainable and effective solutions. His team worked alongside the system's risk management department, ensuring bills were waived if it was discovered that care did not meet the standard of care, and he sat on the system's monthly claims review committee, where serious claims were evaluated alongside attorneys and clinical experts.

Dr. Krevat is named on the Agency for Healthcare Research and Quality's acknowledgments for the CANDOR toolkit as a member of the Expert Faculty that led the design and teaching of the CANDOR curriculum, alongside Thomas Gallagher, Richard Boothman, and Timothy McDonald. The system piloted the CANDOR toolkit for AHRQ, and Dr. Krevat led its implementation across the system; the system reported that its rate of serious safety events was cut in half after adopting CANDOR principles.

He later served as Senior Medical Director of the system's National Center for Human Factors in Healthcare, where he led and participated in patient safety science research, led an internal consulting team addressing system safety issues across the health system, and coauthored more than 30 additional papers on patient safety. Dr. Krevat is an assistant professor of Clinical Medicine at Georgetown University School of Medicine. He was board certified in internal medicine for 20 years and is currently board certified in hospice and palliative medicine. He continues to practice, caring for critically ill patients as part of the palliative care team at Georgetown University Hospital.

Dr. Krevat's research is published in JAMA Network Open, JAMA Health Forum, the Journal of Patient Safety, the Joint Commission Journal on Quality and Patient Safety, Applied Ergonomics, and npj Digital Medicine. He is first author of a study analyzing closed malpractice claims to identify how the electronic health record contributes to diagnostic error in ambulatory care.

Before joining the system he was a hospitalist and physician advisor at Virginia Mason Medical Center, where he was trained in Lean and Toyota Production System methods. He received his medical degree from Georgetown University School of Medicine and holds a B.A. in Economics and English, cum laude, from Tufts University.

Disclosure of medical error to patients and familiesCANDOR — communication and optimal resolutionSerious safety event review and root cause analysisOccurrence and near-miss reporting systemsJust culture and organizational accountabilityCare for the caregiver / second victim programsHuman factors in healthcare deliveryDiagnostic error and the electronic health recordHospital patient safety program design and operationHealth system risk management and claims reviewHospice and palliative medicineTraining clinicians to conduct disclosure conversations

Dr. Krevat's litigation experience is described here precisely because it is recent. He was retained in 2026 as a consulting expert in a single matter, concerning a hospital's obligation to disclose a missed diagnosis to the patient. His depth in this subject is operational rather than forensic: seven years directing patient safety, event review, and disclosure for a ten-hospital system, participation in that system's monthly claims review committee alongside risk management, and a national role in writing the federal curriculum that defines the process. He is available for consulting and testifying engagements, for plaintiff and defense counsel alike.

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