PMID: 2508510Oct 1, 1989Paper

Role of monitoring devices in prevention of anesthetic mishaps: a closed claims analysis

Anesthesiology
J H TinkerF W Cheney

Abstract

Anesthesiologist-reviewers examined 1,175 anesthetic-related closed malpractice claims from 17 professional liability insurance companies. The claims were filed between 1974 and 1988. The reviewers were asked to determine if the negative outcome was preventable by proper use of additional monitoring devices available at the time of the review even if not available at the time the incident occurred, and if so, which devices could have been preventative. In 1,097 cases sufficient information was available to make a judgment regarding preventability of the morbidity or mortality by application of additional monitoring devices. It was determined that 31.5% of the negative outcomes could have been prevented by application of additional monitors. Using the insurance industry's scale of 0 (no injury) to 9 (death), the median severity of injury for incidents deemed preventable was 9 compared with 5 for those deemed not preventable (P less than 0.01, scale detailed in text). The severity of injury scores were the same for preventable mishaps occurring during regional or general anesthesia, suggesting that additional monitoring devices may be equally efficacious in preventing serious negative outcomes during either regional or general an...Continue Reading

Associated Clinical Trials

Citations

Feb 1, 1993·International Journal of Clinical Monitoring and Computing·J W McIntyre
Jul 1, 1990·International Journal of Clinical Monitoring and Computing·J W McIntyre
Jan 1, 1990·International Journal of Clinical Monitoring and Computing·J W McIntyre
Jul 1, 1991·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P G Duncan, M M Cohen
Sep 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·S Inomata, T Nishikawa
Jul 1, 1992·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·K Bhavani-ShankarY Delph
Jul 1, 1995·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·R LauberA M Zbinden
May 8, 2001·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P BibouletF d'Athis
Apr 25, 2012·Der Anaesthesist·H AustD Rüsch
Jan 15, 2013·Journal of Clinical Monitoring and Computing·Amit Shah, Kirk H Shelley
Mar 5, 2013·Journal of Clinical Monitoring and Computing·Vitaly HerasevichBrian W Pickering
Oct 30, 2003·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Scott DeBoerKaren Arndt
Dec 5, 2003·Lancet·Wolfgang Buhre, Rolf Rossaint
Aug 22, 2006·The New England Journal of Medicine·James A Greenberg
Apr 1, 1996·Critical Care Medicine·S C PalmonJ R Kirsch
Apr 17, 2004·International Anesthesiology Clinics·David Alspach, Marc Falleroni
Apr 17, 2004·International Anesthesiology Clinics·Vilma A Joseph, Robert S Lagasse
Sep 1, 1990·Anaesthesia·R FrankellK Simon
Oct 1, 1995·Anaesthesia·J A Baum, A R Aitkenhead
Apr 1, 1992·Acta Anaesthesiologica Scandinavica·L P Wang, M Hägerdal
Feb 1, 1995·Acta Anaesthesiologica Scandinavica·J Tikkanen, M Hovi-Viander
May 1, 1994·The Australian and New Zealand Journal of Surgery·D W Blake
Jun 12, 2002·The Journal of Law, Medicine & Ethics : a Journal of the American Society of Law, Medicine & Ethics·R R BovbjergD W Shapiro
May 8, 1995·Quality in Health Care : QHC·J S Walker, M Wilson
Feb 1, 1995·Anesthesia and Analgesia·T S Shomaker
Aug 1, 1996·Anesthesia and Analgesia·V Pollard, D S Prough
Jan 23, 2003·Anesthesia and Analgesia·Tom PedersenBente D Pedersen
Jun 25, 2005·Anesthesia and Analgesia·Penelope M SandersonW John Russell
Dec 21, 2006·Anesthesia and Analgesia·Nathalia JimenezKaren B Domino
Sep 12, 2013·Anesthesia and Analgesia·J Mark Ansermino
Mar 10, 2001·Journal of Perinatal Medicine·G A Dildy
Sep 3, 2011·Anesthesia Progress·Andre ViljoenUNKNOWN Australian and New Zealand College of Anaesthetists
Aug 3, 2011·Indian Journal of Anaesthesia·Gretl A McHughGavin Mm Thoms
Mar 1, 1997·European Journal of Obstetrics, Gynecology, and Reproductive Biology·G A DildyM W Varner
Jul 6, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Balagangadhar R Totapally
Jan 15, 2014·Anesthesia and Analgesia·C Dean KurthJayant K Deshpande
May 1, 1995·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·C W HankeS Bullock

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