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Awareness: practice, standards, and the law.

Christopher D Kent1, Karen B Domino

  • 1Department of Anesthesiology, University of Washington, School of Medicine, Box 356540, Seattle, WA 98195, USA.

Best Practice & Research. Clinical Anaesthesiology
|September 29, 2007
PubMed
Summary
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Anesthesia awareness liability did not increase in the 1990s, despite growing attention. Future liability may rise due to recent focus on awareness and electroencephalographic monitoring.

Area of Science:

  • Anesthesiology
  • Medical Malpractice Law
  • Patient Safety

Background:

  • Growing public and academic interest in anesthesia awareness.
  • Potential for increased liability claims related to anesthesia awareness.
  • Global variations in medical liability systems influence claim outcomes.

Purpose of the Study:

  • To analyze trends in anesthesia awareness malpractice claims.
  • To assess the impact of increased attention on liability burden.
  • To evaluate the relationship between anesthesia awareness and malpractice claims.

Main Methods:

  • Review of the American Society of Anesthesiologists' Closed Claims database.
  • Analysis of malpractice claims and payment amounts for anesthesia awareness.

Related Experiment Videos

  • Examination of data from the 1990s.

    • Main Results:

    • The proportion of anesthesia malpractice claims for awareness did not increase during the 1990s.
    • Claim payment amounts for awareness also showed no significant increase in the 1990s.
    • Data reflects a time lag in claim settlement, predating recent trends.

    Conclusions:

    • Despite increased attention, anesthesia awareness liability did not rise in the 1990s.
    • Recent advancements in monitoring and awareness focus may influence future liability.
    • Further research is needed to assess the long-term impact of current trends on anesthesia awareness claims.