The Closed Claims Project. Has it influenced anesthetic practice and outcome?

@article{Lee2002TheCC,
  title={The Closed Claims Project. Has it influenced anesthetic practice and outcome?},
  author={Lorri A. Lee and Karen B. Domino},
  journal={Anesthesiology clinics of North America},
  year={2002},
  volume={20 3},
  pages={
          485-501
        }
}

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References

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TLDR
This analysis examines ASA’s Closed Claims Project database to compare closed malpractice claims against anesthesiologists for adverse events after officebased anesthesia compared to anesthesia and surgery in other ambulatory surgical settings.
Role of monitoring devices in prevention of anesthetic mishaps: a closed claims analysis.
TLDR
Anesthesiologist-reviewers examined 1,175 anesthetic-related closed malpractice claims from 17 professional liability insurance companies to determine if the negative outcome was preventable by proper use of additional monitoring devices available at the time of the review, and if so, which devices could have been preventative.
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New strategies for prevention of nerve damage cannot be recommended at this time because the mechanism for most injuries, particularly those of the ulnar nerve, is not apparent.
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It is concluded that in the tort-based system of compensation for anesthesia-related injury, the patient has a high probability of financial recovery for injury caused by substandard care, but if the anesthesiologist provides appropriate care there is still a greater than 40% chance that payment will be made for the claim of malpractice.
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Physicians with better rapport with their patients, who took more time to explain, and who were available had fewer malpractice suits and the number of suits decreased.
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TLDR
It is concluded that nerve damage is a significant source of anesthesia-related claims but that the exact mechanism of nerve injury is often unclear and in particular, ulnar nerve injuries seemed to occur without identifiable mechanism.
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There is a substantial amount of injury to patients from medical management, and many injuries are the result of substandard care, and the percentage of adverse events attributable to negligence increased in the categories of more severe injuries.
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Unexpected Cardiac Arrest during Spinal Anesthesia: A Closed Claims Analysis of Predisposing Factors
Fourteen cases of sudden cardiac arrest in healthy patients who received spinal anesthesia were discovered in a preliminary review of 900 closed insurance claims for major anesthetic mishaps. All
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