2.50
Hdl Handle:
http://hdl.handle.net/10755/158642
Type:
Presentation
Title:
Analysis of CRNA Closed Claims
Abstract:
Analysis of CRNA Closed Claims
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Jordan, Lorraine
Contact Address:222 S. Prospect Avenue, Park Ridge, IL, 60068, USA
Co-Authors:Michael Kremer
John Powell quotes “The only real mistake is the one from which we learn nothing.” One method of studying errors and improving nursing care is examining adverse patient outcomes through closed claim files. St. Paul Fire and Marine Insurance Company allowed a team of CRNA researchers to examine the claims closed from 1995 to 2001 filed against insured Certified Registered Nurse Anesthetists (CRNAs). Applying Johnson’s conceptual model, analyzing disturbances in the course of an anesthetic that lead to adverse patient outcomes, directs researchers to make recommendations regarding the system to improve patient care. The CRNA research team reviewed the literature, designed, and tested a data collection instrument containing over 150 data points. Resources used to construct the tool included the A+ Risk Management Data Collection Tool, the AANA Scope and Standards for Nurse Anesthesia Practice, and the Severity of Injury Scale (SIS). Reliability, validity and interrater reliability were established using this instrument. A computerized data search conducted at St. Paul Fire and Marine Insurance Company identified all medical liability claims closed from 1995 to 2001 filed against insured CRNAs. Inclusion criteria for file selection were: 1) the availability of an anesthesia record, 2) an indemnity payment of more than $1,000 and 3) the exclusion of all dental claims. Data was maintained using SPSS for Windows. Based on the variable, several statistical methods were applied: Mann-Whitney, Kruskal-Wallis, chi-square, linear association and Spearman-correlation coefficient. A .05 significance level was used for statistical tests. Examples of the variables being analyzed are: type of surgical procedures, patient physical status, type of adverse outcome, provider(s) involved, appropriateness of the anesthesia care, prevention of the lawsuit, CRNA vigilance, contribution of the CRNA’s actions and monetary awards. AN: MN030082
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleAnalysis of CRNA Closed Claimsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158642-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Analysis of CRNA Closed Claims</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Jordan, Lorraine</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">222 S. Prospect Avenue, Park Ridge, IL, 60068, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Michael Kremer</td></tr><tr><td colspan="2" class="item-abstract">John Powell quotes &ldquo;The only real mistake is the one from which we learn nothing.&rdquo; One method of studying errors and improving nursing care is examining adverse patient outcomes through closed claim files. St. Paul Fire and Marine Insurance Company allowed a team of CRNA researchers to examine the claims closed from 1995 to 2001 filed against insured Certified Registered Nurse Anesthetists (CRNAs). Applying Johnson&rsquo;s conceptual model, analyzing disturbances in the course of an anesthetic that lead to adverse patient outcomes, directs researchers to make recommendations regarding the system to improve patient care. The CRNA research team reviewed the literature, designed, and tested a data collection instrument containing over 150 data points. Resources used to construct the tool included the A+ Risk Management Data Collection Tool, the AANA Scope and Standards for Nurse Anesthesia Practice, and the Severity of Injury Scale (SIS). Reliability, validity and interrater reliability were established using this instrument. A computerized data search conducted at St. Paul Fire and Marine Insurance Company identified all medical liability claims closed from 1995 to 2001 filed against insured CRNAs. Inclusion criteria for file selection were: 1) the availability of an anesthesia record, 2) an indemnity payment of more than $1,000 and 3) the exclusion of all dental claims. Data was maintained using SPSS for Windows. Based on the variable, several statistical methods were applied: Mann-Whitney, Kruskal-Wallis, chi-square, linear association and Spearman-correlation coefficient. A .05 significance level was used for statistical tests. Examples of the variables being analyzed are: type of surgical procedures, patient physical status, type of adverse outcome, provider(s) involved, appropriateness of the anesthesia care, prevention of the lawsuit, CRNA vigilance, contribution of the CRNA&rsquo;s actions and monetary awards. AN: MN030082 </td></tr></table>en_GB
dc.date.available2011-10-26T21:15:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:15:20Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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