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Related Experiment Video

Updated: Mar 29, 2026

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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The AANA Foundation Malpractice Closed Claims Study: A Descriptive Analysis.

Lorraine M Jordan, Jihan A Quraishi

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    |December 8, 2015
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    Summary
    This summary is machine-generated.

    AANA Foundation research shows over 45% of anesthesia adverse events are preventable. CRNA actions and breached standards contributed to negative outcomes, with significant costs for major permanent injuries.

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    Area of Science:

    • Anesthesiology
    • Patient Safety
    • Risk Management

    Background:

    • The AANA Foundation analyzed 245 closed malpractice claims from 2003-2012.
    • Claims primarily involved Certified Registered Nurse Anesthetists (CRNAs) with specific demographic and practice characteristics.
    • The study examined patient demographics, procedure types, and outcomes associated with anesthesia-related adverse events.

    Discussion:

    • Intra-anesthesia adverse events were most common, particularly during orthopedic, general surgery, cosmetic, obstetric, and neurologic procedures.
    • A significant percentage of negative outcomes (45.5%) were deemed preventable.
    • Inappropriate anesthesia treatment and CRNA actions were identified as contributing factors in a notable proportion of claims.

    Key Insights:

    • 35.1% of anesthesia adverse events resulted in patient death.
    • No AANA Standards were breached in 45.7% of claims, but Standards 4, 5, and 3 were most frequently breached.
    • Major permanent injuries, such as paraplegia or blindness, incurred the highest median payments ($299,810).

    Outlook:

    • Findings highlight the critical need for improved anesthesia safety protocols and CRNA education.
    • Further research into specific preventable factors and standard breaches can inform targeted interventions.
    • The study underscores the financial and human cost of anesthesia-related adverse events, emphasizing the importance of risk mitigation.