Page 35 - Part 1 Anesthesiology Common Risk Issues
P. 35

SVMIC Anesthesiology: Common Risk Issues


                   The types of communication issues in claims include:


                       •  Physician to CRNA


                       •  Physician to physician

                       •  Physician to staff


                       •  Physician to patient (including inadequate consent
                          discussion)


                       •  CRNA to patient



                   When there is poor documentation on the pre-anesthesia
                   evaluation such as we have earlier discussed, there are also

                   related breakdowns in communication between providers.
                   In one case involving a patient having hernia surgery in an

                   outpatient setting, it was alleged that the anesthesiologist
                   and surgeon did not discuss the plan of care for this obese

                   patient with a large hernia. Had they done so, they would have
                   considered and likely been prepared for potential airway needs,

                   thereby preventing an emergency situation.


                   Other communication issues between physicians include the

                   on-call handoff between anesthesia providers.





























                                                          Page 35
   30   31   32   33   34   35   36   37   38   39   40