• Anne Marie Hranchook, Lorraine Jordan, Marjorie Geisz-Everson, Maria Hirsch, Robert W Matthews, Rebecca Boust, Beth Ann Clayton, Karen Crawforth, Michael Kremer, Patrick McElhone, and Wiltse Nicely Kelly K AANA Foundation Closed Claims Researchers: Rebecca Boust, MSNA, CRNA; Beth Ann Clayton, DNP, CRNA; Karen Crawforth, PhD, CRNA; Michael Kremer, PhD, .
• is the director of the Oakland University-Beaumont Graduate Program of Nurse Anesthesia for the School of Nursing at Oakland University, Rochester, Michigan.
• AANA J. 2018 Aug 1; 86 (4): 311-318.

AbstractThe analyses of malpractice closed claims conducted by the AANA Foundation Closed Claims Research Team are scientific studies of adverse anesthetic events where a Certified Registered Nurse Anesthetist was identified as potentially contributing to the outcome. From July 2013 to March 2014, the AANA Foundation Closed Claims Researchers evaluated 245 closed claims from the CNA Insurance Companies spanning from 2003 to 2012. An adverse event leading to death occurred in 87 of the claims. This article describes the use of content and thematic analysis in the evaluation of these closed claims. The purpose of the study was to establish themes that would provide unique insights into the events leading up to death with a focus on the role anesthesia may or may not have had in the outcome. Major themes identified include: (1) patient factors, (2) provider factors, (3) environmental factors, and (4) team/group factors.Copyright© by the American Association of Nurse Anesthetists.

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