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Data-driven practice improvement: the AANA Foundation closed malpractice claims study.

L M Jordan1, M Kremer, K Crawforth

  • 1AANA Foundation, Park Ridge, Ill., USA.

AANA Journal
|January 5, 2002
PubMed
Summary
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This study examined anesthesia malpractice claims involving Certified Registered Nurse Anesthetists (CRNAs). Findings suggest that appropriate care and vigilance, not patient or provider factors, influenced claim outcomes.

Area of Science:

  • Anesthesiology
  • Healthcare Risk Management
  • Nursing Anesthesia Practice

Background:

  • Anesthesia risk management research has predominantly focused on physician anesthesiologists.
  • Limited research exists on anesthesia care provided by Certified Registered Nurse Anesthetists (CRNAs).

Purpose of the Study:

  • To examine closed malpractice claim files involving CRNAs.
  • To identify factors associated with adverse anesthetic outcomes and monetary awards in CRNA practice.

Main Methods:

  • Analysis of 223 closed malpractice claim files involving CRNAs from 1989 to 1997.
  • Data sourced from St Paul Fire and Marine Insurance Company, investigated by CRNA researchers.

Main Results:

  • Preoperative status, patient/provider age, surgical procedure, and anesthetic type were not significantly related to adverse outcomes.

Related Experiment Videos

  • Appropriate care, vigilance, less severe outcomes, and inability to prevent outcomes correlated with smaller monetary awards.

    • Conclusions:

    • Factors beyond patient and provider demographics significantly influence anesthesia malpractice claims involving CRNAs.
    • Appropriate care and vigilance are key elements in managing anesthesia risk and potential claims.