Closed Claims Project and Registries Dec. 31, 2013 End-Year Report

Closed Claims Project and Registries – Dec. 31, 2013 End-Year Report  ASA 2013 Annual Meeting Abstracts: 3  Peer Reviewed Manuscripts: 4 . Published: 3 1. Mehta SP, Bhananker SM, Posner, KL, Domino KB. Operating Room Fires: A Closed Claims Analysis. Anesthesiology 2013 May; 118(5):1133-1139 2. Kent CD, Mashour GA, Metzger NA, Posner KL, & Domino KB. Psychological impact of unexpected explicit recall of events occurring during surgery performed under sedation, regional anaesthesia, and general anaesthesia: data from the Anesthesia Awareness Registry. British Journal of Anaesthesia 110 (3): 381-7, 2013. 3. Mehta, S.P., Eisenkraft, J.B., Posner, K.L., Domino, K.B.: Patient injuries from anesthesia gas delivery equipment: A closed claims update. Anesthesiology 2013 October; 119(4): 778-795 . In Press: 1 1. Cote, C.J., Posner, K.L., Domino, K.B.: Deaths or adverse events following tonsillectomy in children with a focus on obstructive sleep apnea: Houston, we have a problem! Anesth Analg  ASA Newsletter Articles: 1 1. Lee LA, Domino KB. Factors Associated with Postoperative Respiratory Depression: From the ASA Closed Claim analysis. ASA Newsletter 77(5):34-36, 2013.  Data collection: 22 reviewers collected 280 claims at 9 liability insurance companies  Current database size: 10,367 closed claims Category of Anesthesia Care # Claims (%) Surgical 7669 (74%) OB 1226 (12%) Chronic Pain 1060 (10%) Acute Pain 412 ( 4%)  Claims by time period: Median claim event year = 1994 (Interquartile Range: 1986-2000) Time Period # Claims (%) 1970-1979 670 ( 6%) 1980-1989 2966 (29%) 1990-1999 3889 (38%) 2000- 2009 2651 (26%) 2010-2012 92 ( 1%) Missing 99 ( 1%)  Data Request Service: 60 requests . 15 requests fulfilled by providing reprints of journal or newsletter articles . 2 requests for copy of data collection form . 3 requests for slides . Most common topics: o Airway management, difficult airway: 9 o Regional anesthesia, peripheral nerve blocks: 8 o Eye injury, postoperative visual loss, eye surgery: 7 o Obstetric anesthesia: 6 o Nerve injury: 4 o Fires: 2