Do anesthesia information systems increase malpractice exposure? Results of a survey.

Anesthesia and Analgesia
Jeffrey M Feldman

Abstract

Anesthesia information systems (AIS) record data from patient monitors and create a detailed electronic anesthesia record. Because the anesthesia record is a primary piece of evidence used in court during a malpractice proceeding, the ability to create an anesthesia record has fostered considerable debate concerning the impact of this method of record keeping on malpractice exposure. Fifty-five departments using AIS were surveyed to document their medicolegal experience with electronic anesthesia records. Twenty-four departments responded to the survey, 18 of which had more than 5 yr experience with the technology. Respondents reported 41 malpractice cases filed since adopting AIS technology. Of the cases filed, 30 were dropped, and 11 went on to settlement or litigation. There were no reported cases in which the automated record hindered the defense process. Eighteen respondents viewed this technology as valuable for risk management, and three more viewed it as essential. The experience reported by these departments indicates that AIS are useful for managing malpractice risk.

References

Sep 1, 1989·Anesthesiology·R I CookE Nunziata

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Citations

Nov 18, 2008·Journal of Anesthesia·Eric L Bloomfield, Neil G Feinglass
Jul 6, 2011·Journal of Clinical Monitoring and Computing·Terrence L TrentmanChristine A Doyle
Mar 20, 2012·Journal of Clinical Monitoring and Computing·Thomas Corey DavisChuck Biddle
Jun 5, 2013·International Journal of Medical Informatics·Junghwa JangSukil Kim
Jan 22, 2013·Journal of Clinical Anesthesia·Robert E FreundlichSachin Kheterpal
Jan 17, 2012·International Journal of Medical Informatics·Alexander Avidan, Charles Weissman
Dec 2, 2008·Anesthesiology Clinics·Christoph B Egger Halbeis, Richard H Epstein
Aug 25, 2010·Journal of Clinical Monitoring and Computing·Jesse M Ehrenfeld, Mohamed A Rehman
Mar 1, 2008·Journal of the American College of Surgeons·Thomas R McLeanPatrick B McLean
Oct 4, 2015·Paediatric Anaesthesia·Brian J Anderson, Alan F Merry
May 5, 2012·Korean journal of anesthesiology·Hyun Seung JinHye Won Lee
Oct 20, 2017·Anesthesia and Analgesia·Allan F Simpao, Mohamed A Rehman
Jun 20, 2006·European Journal of Anaesthesiology·A EdenR Pizov
Jul 25, 2007·Anesthesia and Analgesia·Richard H EpsteinDavid M Feinstein
Sep 26, 2007·Journal of Neurosurgical Anesthesiology·William D DriscollRobert A Peterfreund
Apr 23, 2005·Anesthesia and Analgesia·Jeffrey M Feldman
Jul 27, 2011·Anesthesia and Analgesia·David L Reich, David B Wax
Feb 22, 2007·Anesthesia and Analgesia·Sachin KheterpalPaul E Kazanjian

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