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United States: Chronic Pain Management (American Society of Anesthesiologists’ Closed Claims Project)

  • Albert H. Santora
Chapter

Key Points

  • The American Society of Anesthesiologists’ Closed Claims Project’s database of insurance claims resulting from the practice of chronic pain management is summarized in this chapter.

  • The first study showed that most claims (76 %) relating to chronic pain management were associated with temporary or nondisabling injuries, with 64 % of claims resulting from injury that was not apparent until after discharge. Half of the claims related to spinal cord injury.

  • The second study revealed that 22 % of the chronic pain management cases were associated with cervical procedures. Direct needle trauma to a nerve or the spinal cord was the most common cause of injury (31 %).

  • The third study analyzed claims associated with implantable devices used to treat chronic pain.

  • Of note, reviewers deemed that in a significant percentage of cases patient care was “substandard,” and that appropriate informed consent was lacking in many instances.

Keywords

American Society of Anesthesiologists’ Closed Claims Project Chronic pain management Injury and chronic pain management Etiology of injury and chronic pain management The United States 

References

  1. 1.
    Fitzgibbon DR, Posner KL, Domino KB, Caplan RA, Lee LA, Cheney FW. Chronic pain management: American Society of Anesthesiologists Closed Claims Project. 2004.Google Scholar
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    Rathmell JP, Michna E, Fitzgibbon DR, Stephens LS, Posner KL, Domino KB. Injury and liability associated with cervical procedures for chronic pain. Anesthesiology. 2011;114:918–26.CrossRefPubMedGoogle Scholar
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    Neal JM, Bernards CM, Hadzic A, Hebl JR, Hogan QH, Horlocker TT, Lee LA, Rathmell JP, Sorenson EJ, Suresh S, Wedel DJ. ASRA practice advisory on neurologic complications in regional anesthesia and pain medicine. Reg Anesth Pain Med. 2008;33:404–15.CrossRefPubMedPubMedCentralGoogle Scholar
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    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. 2016;124:1384–93.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.St. Mary’s HospitalAthensUSA

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