Abstract
The paper analyzes the article "Preventable Adverse Patient Outcomes", which states that since 1995 Certified Registered Nurse Anesthetists (CRNA) have been doing closed claim analyses on adverse anesthesia outcomes from cases supplied to them by insurance companies. The paper examines how, by doing this analysis, a board of eight certified nurse anesthetists found that of the cases they studied thirty-eight percent of CRNA-related claims involved a respiratory incident as the primary cause of the negative patient outcome. The paper discusses how, by attaining this information, the research assists in ensuring that hospitals, clinics and surgical centers are made safer.

From the Paper
"The article also states that errors in clinical judgment and failure to adhere to standards of practice and/or recommended protocols also were identified as patterns in practitioner behavior that contributed to the negative outcomes. Also stated was the importance of identifying patients before the procedure, who might have a higher risk of aspiration."

Tags:aspiration, anesthetic, management, endobronchial, intubation, oximetry, capnography