A Contemporary Analysis of Medicolegal Issues in Obstetric Anesthesia Between 2005 and 2015

Anesthesia and Analgesia
Vesela P KovachevaRichard D Urman

Abstract

Detailed reviews of closed malpractice claims have provided insights into the most common events resulting in litigation and helped improve anesthesia care. In the past 10 years, there have been multiple safety advancements in the practice of obstetric anesthesia. We investigated the relationship among contributing factors, patient injuries, and legal outcome by analyzing a contemporary cohort of closed malpractice claims where obstetric anesthesiology was the principal defendant. The Controlled Risk Insurance Company (CRICO) is the captive medical liability insurer of the Harvard Medical Institutions that, in collaboration with other insurance companies and health care entities, contributes to the Comparative Benchmark System database for research purposes. We reviewed all (N = 106) closed malpractice cases related to obstetric anesthesia between 2005 and 2015 and compared the following classes of injury: maternal death and brain injury, neonatal death and brain injury, maternal nerve injury, and maternal major and minor injury. In addition, settled claims were compared to the cases that did not receive payment. χ, analysis of variance, Student t test, and Kruskal-Wallis tests were used for comparison between the different cla...Continue Reading

References

Feb 1, 1991·Anesthesiology·H S ChadwickF W Cheney
Nov 9, 2000·Anaesthesia·C R BroadbentR Russell
Sep 27, 2002·Anesthesiology Clinics of North America·Lorri A Lee, Karen B Domino
Apr 18, 2003·Anesthesiology Clinics of North America·Brian K Ross
May 12, 2006·The New England Journal of Medicine·David M StuddertTroyen A Brennan
Jun 19, 2007·Journal of Clinical Anesthesia·Raj Mitra, Katharine Fleischmann
Dec 18, 2008·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Roxane GardnerDaniel B Raemer
Dec 24, 2008·Anesthesiology·Joanna M DaviesKaren B Domino
Feb 11, 2011·American Journal of Obstetrics and Gynecology·Steven L ClarkJonathan A Perlin
Mar 16, 2012·Clinical Orthopaedics and Related Research·Steven E Pegalis, B Sonny Bal
Aug 4, 2012·Journal of Perinatology : Official Journal of the California Perinatal Association·S S LipmanK Daniels
Jan 5, 2014·Journal of Women's Health·Andreea A CreangaWilliam M Callaghan
Apr 4, 2014·Anesthesiology·Jill M MhyreBrian T Bateman
May 2, 2014·Anesthesia and Analgesia·Steven LipmanUNKNOWN Society for Obstetric Anesthesia and Perinatology
May 8, 2014·Anaesthesia·R A IsaacsUNKNOWN Members of the Modified Obstetric Early Warning Systems Research Group
Oct 12, 2015·Journal of the American College of Radiology : JACR·H Benjamin HarveyGarry Choy
Feb 5, 2016·Current Opinion in Anaesthesiology·Mary C Mushambi, Sahana Jaladi
Jan 19, 2017·Clinical Obstetrics and Gynecology·Joanna M Davies, Linda S Stephens
Mar 21, 2017·Anesthesia and Analgesia·Christopher R AbrechtJames P Rathmell

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