Lessons learned from examination of Canadian medico-legal cases related to interventional therapies for chronic pain management
Study context
- Population
- Patients in Canadian medico-legal cases related to injection therapies for chronic pain, CMPA database 2015–2019
- Participants
- 91 cases
- Outcome
- Health care-related harm, peer expert criticism and contributing factors
Methodological detailsCMPA database, closed civil legal actions and regulatory college complaints, 2015–2019
- CMPA database
- Closed civil legal actions and regulatory college complaints
- 2015–2019
Main finding
As reported in the abstract
- Health care-related harm with negative effect on health or quality of life
- 58% (53/91)
- Peer experts critical of clinical care
- 74% (67/91)
- Provider-related contributing factors
- 60%, 40/67
- Team-related contributing factors
- 75%, 50/67
- System-related contributing factors
- 21%, 14/67
Observational data: associations, not effects.
Further findings
Provider-related factors
- Deficiencies in clinical decision-making
- 48%, 19/40
- Failure to follow established procedures
- 43%, 17/40
- Situational awareness
- 38%, 15/40
Team-related factors
- Deficiencies in medical record keeping
- 80%, 40/50
- Communication breakdowns
- 56%, 28/50
System-related factors
- All related to inadequate office procedures
Safety
Health care-related harm with negative effect on health or quality of life
- Patients with health care-related harm
- 58% (53/91)
Original publication
Lessons learned from examination of Canadian medico-legal cases related to interventional therapies for chronic pain management. Can J Anaesth. Published 31 July 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →