Learning from Pain Management Closed Claim Analysis for Advanced Practice Clinicians


TDC Group has published an analysis of lawsuits and claims filed against pain management advanced practice clinicians (APC). This study completed in 2020 provides quantitative and qualitative information that an APC who practices pain management, including interventional approaches to treatment would find useful in mitigating the risks of unintended outcomes or harms. This study breaks down where most patient injuries occur, what those injuries are, and the lessons learned from those claims.

Course ID #: APE 221072.0 Issue Date: 6/28/2022 Expiration Date: 6/28/2025

Description of the Professional Practice Gap (PPG)
The Comprehensive Addiction and Recovery Act (CARA) of 2016 led to the creation of the Pain Management Best Practices Inter-Agency Task Force (Task Force), whose mission is to determine whether gaps in or inconsistencies between best practices for acute and chronic pain management exist and to propose updates and recommendations to those best practices. Three of the initial key concepts in best practices; education, innovation, and research will be looked at from the perspective of a closed claims study from a national professional liability insurance carrier; The Doctors Company, and what information can be shared to improve the overall approach and outcomes to chronic pain conditions in relationship to the CARA and Task Force endeavors.

Learning Outcome

  • At the conclusion of the education activity, participants will self-report an intent to implement one or more strategies to reduce risks of patient harm and improve patient safety when providing controlled substances and prescriptive medications.

Learning Objectives

After completing this activity, learners will be able to:
  • Correctly prioritize the major patient injuries alleged in claims or lawsuits filed against pain management advanced practice clinicians (APC).
  • Correctly identify the anatomical area that was most involved in the pain management closed claim study.
  • At conclusion of the education activity, participants will self-report an intent to implement one or more strategies to reduce risks and improve patient safety when providing controlled substances and prescriptive medications.
  • Correctly apply four strategies included in a “time-out” checklist to safeguard a patient’s outcome.
  • Evaluate your informed consent practices regarding pain management for patients undergoing invasive procedures.
  • Correctly identify best documentation practices for prescribing opioids.

Course Developers

Kimberly Hathaway, MSN, RN, CPHRM, CPHQ, Director Patient Safety Healthcare Quality & Risk Management, The Doctors Company
Johanna Lackner, MPH, MSW, Senior Director, Continuing Professional Development, Department of Patient Safety and Risk Management, The Doctors Company

Accreditation and Disclosure Statements
CPE Department, TDC Group is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

TDC Group designates this activity for a maximum of 1.0 nursing contact hourLearners should claim only the credit commensurate with the extent of their participation in the activity.

To receive the maximum number of credits or units, you must pass the interactive test questions with a score of 80 percent or higher and complete the program evaluation. 

No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity. 

Disclaimer Statement
This program is being offered for informational and educational purposes only from a Patient Safety Risk Management perspective and does not constitute legal advice. Laws vary from state to state, actual clinical situations often involve subtle differences and nuances from program scenarios or recommendations, and the recommendations provided in this activity may not apply to all practice situations. In complex circumstances, which present significant potential for an adverse event or litigation, TDC and the faculty recommend you consult directly with your corporate or personal counsel for professional legal guidance. 

Complies with State Requirements

Please SEE the Registered Nurse and Licensed Practical Nurse CE Requirements by State.

Technical Requirements

The activity is best experienced using the most current browser: Firefox, Chrome, Safari, or Microsoft Edge. Internet Explorer is not supported on this platform. All activities featuring audio must have a speaker. To view graphic images and references that appear in separate "pop-up" windows, JavaScript and session cookies must be enabled on your computer. Adobe Acrobat Reader may be required for certain activities.

Contact Us

If you have questions, contact educationsupport@thedoctors.com or call 800.421.2368.


Visit our Resource document for this program.