In theory, packaging noncontroversial consensus standards of care into well-defined pathways for routine encounters benefits patients through the provision of evidence-based practice, while simultaneously benefiting clinicians by decreasing workload. However, adherence to these care pathways is variable, partially because educational efforts tend to be one of the least effective forms of change management.
The Anesthesia Closed Claims Project conducted a survey of malpractice insurers in May-July 2018 on behalf of the ASA Committee on Professional Liability. Twenty-six medical liability insurance companies providing coverage to more than 19,600 anesthesiologists practicing in the U.S. responded to query.
Production and time pressure are mentioned frequently in reports from AIRS. Interestingly, the topic of safety also begins to appear in newspapers and literature at the same time as production pressure began to result in worker accidents.