Pain Management

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. Pollack KA, Stephens LS, Posner KL, Rathmell JP, Fitzgibbon DR, Dutton RP, Michna E, Domino KB. Trends in Pain Management Liability. Anesthesiology. 2015;123:1133-41.  |  NLM PubMed Link  |  Subjects: Pain Management, Malpractice System
  3. 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.
  4. Rathmell JP, Michna E, Fitzgibbon DR, Stephens LS, Posner KL, Domino KB. Injury and liability associated with cervical procedures for chronic pain. Anesthesiology 114(4):918-26, 2011.  |  NLM PubMed Link  |  Subjects: Pain Management
    Claims related to procedures performed at the cervical level of the spine represented 22% of recent chronic pain management malpractice claims. Injuries were commonly permanent and disabling.
  5. Fitzgibbon DR, Rathmell JP, Michna E, Stephens LS, Posner KL, Domino KB. Malpractice claims associated with medication management for chronic pain. Anesthesiology 112(4):948-56, 2010.  |  NLM PubMed Link  |  Subjects: Pain Management
    Most anesthesia malpractice claims for medication management problems involved patients with a history of risk behaviors commonly associated with medication misuse. Malpractice claims arising from medication management had a high proportion of deaths with both patient and physician contributions to the outcome.
  6. Fitzgibbon DR, Posner KL, Domino KB, Caplan RA, Lee LA, Cheney FW: Chronic pain management: American Society of Anesthesiologists Closed Claims Project. Anesthesiology 100(1):98-105, 2004.  |  NLM PubMed Link  |  Subjects: Pain Management
    Frequency and payments of claims associated with chronic pain management by anesthesiologists increased in the 1990s. Brain damage and death were associated with epidural steroid injection only when opioids or local anesthetics were included. Anesthesiologists involved in home care of patients with implanted devices such as morphine pumps and epidural injections or patient-controlled analgesia should be aware of potential complications that may have severe outcomes.

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. Pollack, K.A., Stephens, L.S., Posner, K.L., Fitzgibbon, D.R., Rathmell, J.P., Michna, E., Domino, K.B.: Chronic Pain Management: A Closed Claims Update. Anesthesiology, BOC02, 2014  |  Subjects: Closed Claims Project Overview, Pain Management  |  PDF icon Click here for.pdf
  3. Lee LA, Stephens LS, Caplan RC, Posner KL, Domino KD. Postoperative Respiratory Depression: A Closed Claims Analysis. Anesthesiology, A305, 2012.  |  Subjects: Pain Management, Respiratory System Damaging Events, Physiologic Monitoring  |  PDF icon Lee_postoprespdepression_A305.pdf
  4. Fitzgibbon DR, Michna E, Rathmell JP, Stephens LS, Domino KB: Medication management in chronic pain malpractice claims. Anesthesiology 111:A1605, 2009.  |  Subjects: Pain Management  |  PDF icon fitzgibbon_chronicpain_A1605.pdf
  5. Rathmell JP, Michna E, Fitzgibbon DR, Stephens LS, Domino KB: The ASA Closed Claims Project: analysis of chronic pain cervical procedure malpractice claims. Anesthesiology 111:A1041, 2009.  |  Subjects: Pain Management  |  PDF icon Click here for .pdf
  6. Bird M, Caplan RA, Lee LA, Stephens LS, Domino KB: Liability Associated with Acute Pain Management. Anesthesiology 106: A1743, 2007.  |  Subjects: Pain Management  |  PDF icon Click here for .pdf
  7. Liau DW, Fitzgibbon DR, Posner KL, Stephens LS, Domino KB: Trends in Chronic Pain Management Malpractice Claims. Anesthesiology 106: A1892, 2007.  |  Subjects: Pain Management  |  PDF icon Click here for .pdf
  8. Fitzgibbon DR, Posner KL, Lee LA, Domino KB, Cheney FW: ASA Closed Claims Project: Pain Management in the Non-Surgical Setting 1970-1998. Anesthesiology, 95: A957, 2001.  |  Subjects: Pain Management  |  PDF icon Click here for .pdf

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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.