Medication Errors as Damaging Events

Journal Article

  1. Fitzgibbon DR, Stephens LS, Posner KL, Michna E, Rathmell JP, Pollak KA, Domino KB. Injury and liability associated with implantable devices for chronic pain. Anesthesiology 124:1384-93, 2016  |  NLM PubMed Link  |  Subjects: Pain Management, Equipment Problems as Damaging Events, Medication Errors as Damaging Events, Malpractice System, Nerve Injury
  2. Lee, L.A., Caplan, R.A., Stephens, L.S., Posner, K.L., Terman, G.W., Voepel-Lewis, T., Domino, K.B.: Postoperative opioid-induced respiratory depression: a closed claims analysis. Anesthesiology 122(3): 659-65, 2015. Accompanied by an editorial by Sessler D.I. Preventing respiratory depression. (Anesthesiology 122(3):484-5, 2015).  |  NLM PubMed Link  |  Subjects: Pain Management, Medication Errors as Damaging Events, Respiratory System Damaging Events, Physiologic Monitoring, Quality of Care
    This article reviews factors related to postoperative opioid-induced respiratory depression (RD). The authors reviewed closed acute pain related anesthesia malpractice claims from 1990 to 2009 from the Anesthesia Closed Claims Project. RD is a significant cause of death and brain damage, with 77% of the cases identified in this study resulting in these outcomes. Most cases occurred within 24 hours of surgery and almost all cases were deemed preventable with enhanced monitoring and response. Common risk factors were identified, including multiple prescribers, concurrent use of non-opioid sedating medications, and inadequate nursing assessment or response.

Abstract

  1. Pollak, K.A., Stephens, L., Fitzgibbon, D.R., Posner, K., Rathmell, J.P., Michna, E., Domino, K.B.: Injury and Liability associated with implantable devices for chronic pain. Anesthesiology, A1006, 2015.  |  Subjects: Professional Liability Related, Pain Management, Equipment Problems as Damaging Events, Medication Errors as Damaging Events, Nerve Injury, Quality of Care  |  PDF icon click here for pdf.pdf
  2. Sandnes DL, Stephens LS, Posner KL, Domino KB: Liability Associated with Medication Errors in Anesthesia: Closed Claims Analysis. Anesthesiology 109: A770, 2008.  |  Subjects: Medication Errors as Damaging Events  |  PDF icon Click here for .pdf

Newsletter

Closed Claims Bibliography

To access a complete bibliography of peer-reviewed journal articles from the Closed Claims Project, click here; Closed Claims Project Bibliography . You may also request delivery of the bibliography via e-mail, fax or postal mail.

Note to Patients

These studies are primarily designed to aid physicians in improving their clinical practice. We are sorry we cannot address individual patient questions or give medical or legal advice or provide data analysis.