The Most Common Causes of Chiropractic Malpractice Claims

Malpractice claims are, unfortunately, part of the healthcare industry. Let’s look at the most common causes of chiropractic malpractice claims so chiropractors can learn how to avoid them and provide top-notch care to their patients.

The Elements of Medical Malpractice

Before we explore the most common types of negligence claims against chiropractors, it’s worth reviewing the elements that every malpractice suit needs in order to succeed in court. First, there needs to be a clear duty of care owed to the patient—whether the chiropractor has treated the patient.

Next, there must be a proven dereliction of duty—often the core of malpractice suits; this is where the patient proves their healthcare provider failed, neglected, or harmed them in their treatment. The plaintiff must prove they’ve suffered an injury from this breach of duty and that this injury causes them economic or noneconomic losses (damages). Without these core elements, a plaintiff would lose their negligence case against a chiropractor.

Common Types of Malpractice Suits Against Chiropractors

While a chiropractic malpractice claim can take many forms, the most common causes are typically botched spinal manipulation, a failure by the chiropractor to diagnose, or a lack of informed consent from the patient.

Harm to the Patient From Incorrect Spinal Manipulation

While certified chiropractors are excellent and exceedingly careful at their jobs, accidents and errors occur. When dealing with spinal manipulation, the margin for error is slim. Even the slightest incorrect adjustment could significantly harm the patient. Injuries from botched spinal adjustments include nerve damage, herniated discs, broken ribs, or even strokes.

Failure To Diagnose

Part of the duty owed to the patient by the healthcare provider (chiropractor) is to diagnose medical conditions that require immediate care. While chiropractors don’t have the same medical training as physicians, they can still diagnose conditions in patients who have a more severe condition that’s outside of their skills and recommend they see a specialist.

If a chiropractor believes their patient has a more serious condition outside their expertise in spinal manipulation, they should recommend their patient see a physician or professional with sufficient diagnosis equipment.

Lack of Informed Consent

Informed consent is a critical factor in many chiropractic malpractice cases. Informed consent means the patient is completely clear about the procedure they’re about to undergo and the risks involved.

The chiropractor must explain the risks of spinal manipulation. If something goes wrong, the patient can claim they weren’t duly informed of the risks and sue the chiropractor for withholding critical information for informed consent.

Stay Protected With Baxter & Associates

Chiropractors are certainly not immune to malpractice claims, and Baxter & Associates can ensure you’re protected against negligence claims. We will connect you with malpractice insurance providers and even provide a chiropractic malpractice insurance quote online in minutes. Contact our staff if you’d like to learn more about our services for chiropractors today!

A Look at the Evolution of Anesthesiology Over Time

Every year, more than 40 million patients in North America experience anesthesia in some form, according to the National Institutes of Health. And this number seems to increase every year. Peering through the annals of history, we can see the paramount role of anesthesiology in the progression of modern medicine. This silent yet pivotal science is the saga of human ingenuity, innovation, and compassionate care.

Below, we take you through anesthesiology over time so that you can look at its remarkable evolution from its simple origins thousands of years ago to the complex medicine of today. You’ll learn about the ancient world of anesthesia, its contemporary development, and the future of the vital medicine.

What Is Anesthesiology, and Why Does Its History Matter?

Before we plunge into the depths of its evolution, we lay the groundwork. Anesthesiology is the intricate science of balancing consciousness and unconsciousness. It encompasses the development, application, and ongoing research of anesthetics—the essential assistant of modern surgery.

Understanding its past is crucial for appreciating how anesthesiology weaves through the tapestry of medical advancements. The steady crescendo of progress brings us to modern anesthetic techniques, intricate health monitoring, and the expanding frontier of pharmaceutical innovation. If you’re an anesthesiologist, nurse anesthetist, or anesthesiology student, you need to familiarize yourself with the origins of the practice to understand how far we’ve come.

Early Practices and Discoveries in Anesthesiology

Before Hippocrates neatly partitioned the roles of diet, environment, and emotional state into the creed of the Hippocratic Oath, the concept of using agents for pain relief had already begun.

The Ancient World of Anesthesia

The Greeks and Romans borrowed the crude practice of inhalation anesthesia from the Egyptians and Persians. But it was no refined feat; instead, it was a miasma mixture of substances that, while unstandardized and unpredictable, laid the cobblestones for future experimentation.

The Eastern Roots of Anesthesia

Even more archaic were the Chinese and Hindu societies, with lore dating back to the dawn of written language. These writings speak of herbs and minerals capable of arresting the senses. The Eastern roots of anesthesia, entwined with Ayurveda and Traditional Chinese Medicine, framed a philosophical foundation that synced with their spiritual and physiological beliefs.

A Clash of Ancient Anesthesia Practices

The conflict of cultures during the Greco-Persian Wars also meant the collision of medicines of the Greek and Persian worlds. Ancient warfare bred ancient advancements in medicine, and particularly anesthesia, with tales of Herodotus and Persian doctors comforting soldiers with applications of poppy seeds and Indian hemp.

Development of Modern Anesthesiology

From the bitter distillates and noxious vapors of antiquity emerged the alchemists’ ambition to refine, categorize, and engineer substances that would transform surgery into a safer, less fearsome undertaking.

The Ether Dome Reverberations

On that milestone day of October 16, 1846, at Massachusetts General Hospital in the so-called Ether Dome, the echo of Morton’s whiff of sulphuric ether was louder than any applause. Ether and chloroform became the heralds of a new era in surgical anesthesia.

The Curious Case of Curare Conundrum

While not an anesthetic in the true sense, the curare drug’s blockade of the neuromuscular junction disrupted the clench of spastic muscles during surgery. This highlighted a critical intersubjectivity between anesthesiology and pharmacological innovation.

The Halothane Hierarchy

Halothane and the following fluorinated family made headlines for their potency, security, and stability. They heralded the consanguinity between synthetic chemistry and anesthesiology, reducing the ODs from the medicine often used before.

Anesthesiology in Contemporary Medicine

As we jump from historical reflections to the mirrored walls of the contemporary operating room, we can see that anesthesiology has become indispensable in the domain of surgical miracles.

From Observations to Oscillography

The stethoscopes and a good, watchful eye on the patient gave way to a flurry of modern monitoring techniques, from capnography to bispectral analysis. This offered anesthesiologists a better look at physiology by enhancing visibility in kinetic responses and metabolic trends to increase patient safety and exploration.

The Advancement of Precise Anesthetic Delivery

The precision in anesthetic delivery now allies with engineered diligence, vaporizers, laryngeal mask airways, and developments like the Supraglottic Airway Management. These technological tethers equip the anesthesiologist to anticipate airway intricacies with an almost clairvoyant confidence.

The Articulation of Emergence and Calibration

The wake-up and shake-up strategy in anesthesiology is a contemporary approach to postoperative care, focusing on accelerated recovery protocols that facilitate quicker patient awakening and mobilization after surgery. This paradigm shift underscores the meticulous calibration of anesthesia to optimize patient outcomes, reduce the incidence of postoperative complications, and enhance the overall recovery experience. Through this process, anesthesiologists can assure patient comfort and safety during surgery and significantly contribute to their swift return to normalcy.

The Future of Anesthesiology

Now that we’ve seen the evolution of anesthesiology over time, we can finally look to the future and the many possibilities that the study of anesthesiology holds for health care.

The Escalating Demand for Anesthesiology in Modern Health Care

The aging population, the expanding repertoire of surgical procedures, and the desire for cosmetic surgery all portend an increasing demand for the handiwork of skilled anesthesiologists. This ensures that anesthesiologists are always in high demand.

Pharmacogenetics and the Fine Art of Individuality

The ripples of Anesthesia Wave 1.0—the General Anesthesia—will meet its own Genetic Revolution, with bespoke anesthetics tailored to an individual’s DNA landscape. This trajectory spans the spectrum from physiological variations to psychological predispositions, where the medicine of tomorrow becomes as unique as the patient it serves.

The Virtual Versatility and the Learning Curve

Virtual reality simulators and augmented reality interfaces will transform the anesthetic training and allow established professionals to rehearse their work through high-fidelity reconstructions of anatomy and scenarios.


We hope you’ve enjoyed our trip through the history of anesthesiology, its humble origins in medicine and science, and its modern utility and future potential. If you’re a student or nurse anesthetist in the industry, protect yourself now and in the future with nurse anesthetist malpractice insurance. Get a quote for an insurance policy online at Baxter & Associates today!

A Look at the Evolution of Anesthesiology Over Time

The Importance of a Positive Nurse-Patient Relationship

When seeing and interacting with so many patients in one day, it can be easy for nurses to consider patients just another name on a chart. However, a positive nurse-patient relationship is important for both the nurse and the patient. We explain how a positive relationship with patients benefits nurses below.

Better Patient-Nurse Communication

Communication between the patient and the nurse is integral to treatment. The best way for a nurse to open an honest channel of communication with their patient is by building trust, which is gained through a positive relationship.

Patients must trust their healthcare providers and communicate their symptoms, feelings, and thoughts regarding treatment thoroughly with them. We all know that we’re more likely to be more honest in communication and feedback with someone we trust, so building a trusting relationship with patients is essential to the efficacy of the treatment.


A positive relationship between patient and healthcare provider also makes for a more efficient treatment process. When patients are more open in their communication because they trust their healthcare provider fully, it takes less time for nurses to coax and pry answers and feedback from them.

Patients are also less likely to be anxious and upset if they feel they’re being heard and cared for by someone they trust, so nurses don’t have to spend as much time soothing distressed patients. It may take more time initially to gain the trust of a patient, but the long-term dividends in work efficiency are worth the investment for nurses.

Job Satisfaction

The importance of a positive nurse-patient relationship is a two-way street and just as beneficial to the nurse as it is to the patient. Everyone understands that positive relationships with people you work with make your job more satisfying and enjoyable, and this is just as true with nurses.

Building a positive relationship with patients makes the job easier and more enjoyable as you interact with patients you genuinely enjoy and care for. Negative patient relationships make each task harder and are one of the principal factors for many nurses experiencing job burnout.

Prevent Malpractice

Another reason that nurses should always strive for a good relationship with their patients is to prevent claims of negligence and malpractice later on. One of the most common reasons cited by malpractice plaintiffs against healthcare providers is they felt they weren’t being heard and the healthcare provider neglected them during treatment.

It’s frustrating for patients when they don’t feel they’re being heard and don’t trust their healthcare providers, and if the treatment results in negative effects or results, they could seek legal retribution. Patients are much less likely to make a malpractice claim against a nurse if they have a positive relationship and feel they can trust them, even if the results of the treatment were unsatisfactory.

Protect Your Nursing Career with Baxter & Associates

As professionals in malpractice insurance, we understand how important it is for nurses to protect their careers against negligence claims. We offer malpractice policies of all kinds, from nurse practitioner liability insurance to CRNA insurance and more. If you need a medical malpractice policy, request a quote online or contact our staff today.

The Impact of Malpractice Claims on Nurse Practitioners

Medical malpractice casts a looming shadow over nurse practitioners in the healthcare industry. Industry professionals must understand medical malpractice and its effect on themselves and their work. Let’s look closely at the impact of malpractice claims on nurse practitioners.

The Quiet Financial Burden on Nurse Practitioners

The financial side of medical malpractice might go overlooked until nurse practitioners find themselves at the center of a legal battle. It’s not just the compensation packages, which can be considerable, that weigh heavily on those involved. Many trickle-down costs of a malpractice claim, like legal defenses and higher insurance premiums, exist.

The average malpractice case can run for years, tying up significant funds and creating legal uncertainty. Nurse practitioners often find their insurance premiums skyrocketing after a claim, sometimes leading to career-altering decisions or shifts in practice areas. The strain can devastate a nurse practitioner’s finances, which means having comprehensive medical malpractice insurance is vital professional protection.

Navigating Personal and Professional Repercussions

The impact of a malpractice claim goes beyond the financial realm, seeping into nurse practitioners’ personal and professional lives. These claims can also lead to a pervasive culture of fear in the medical community, where every decision becomes a calculated risk to avoid future claims, possibly at the expense of patient care.

Patients, too, feel the effects—transparency and trust in the medical professional can falter. Addressing and supporting those involved in these claims, from the accused to the patient, is paramount for maintaining a stable healthcare system.

Strategies for Safeguarding Against Malpractice Risk

By recognizing the specter of malpractice, nurse practitioners must arm themselves with proactive strategies to mitigate these risks. Open communication with patients about potential complications can foster an environment where mistakes are learning opportunities, not causes for litigation.

Maintaining records, adhering to protocol, and staying abreast of the latest evidence-based practices can be strong defenses. Also, continuing education can protect against claims of negligence and ensure patients receive the highest standard of care.

A Call to Action for a Safer Medical Landscape

We hope our look at the impact of malpractice claims on nurse practitioners has been enlightening for many healthcare professionals. Malpractice claims are legal matters that reflect the complex human interactions defining the healthcare field. Everyone involved in the medical ecosystem must approach these issues with honesty, vigilance, and a lens of improvement.

Malpractice insurance is vital for nurse practitioners and healthcare professionals, and if you need a policy to stay protected, we can help. We cater to healthcare professionals, and our years of experience make us experts in providing industry workers with the protection they need. Get a quote for an insurance policy online, or contact our staff to learn more about malpractice insurance today.