Procedural Errors Research Articles

Analysis of reasons for medical malpractice litigation due to laminectomy.

The aim of this study was to identify the incidence and characteristics of malpractice lawsuits pertaining to laminectomy performed either as a stand-alone operation or concurrent with another procedure by querying the Westlaw Edge and VerdictSearch databases. Malpractice claims analysis is performed by several medical specialties to provide insight into patient values, methods to improve quality of care, and risk factors for litigation pertaining to specific procedures or treatments. Westlaw and VerdictSearch were queried using the keywords "laminectomy" and "spine." Claims were reviewed, with the inclusion criteria defined as a case filed between 2000 and 2022 that involved the plaintiff's basis of litigation resting on a claim of medical malpractice due to laminectomy. Additional collected data included the case date, verdict ruling, state or federal location of the filed claim, sustained injuries, and payment or settlement amount. After review of 4732 cases, 201 were identified as malpractice claims due to laminectomy. The most common reasons for litigation were delayed or denied treatment (n = 106), procedural errors (n = 38), inadequate management of postlaminectomy syndrome (n = 26), and incorrect procedural selection (n = 14). Regarding the verdict ruling, 47.3% (n = 95) of cases ruled in favor of the defendant, 9.0% (n = 18) resulted in a mixed ruling, 15.9% (n = 32) ruled in favor of the plaintiff, and 9.5% (n = 19) were resolved with an out-of-court settlement. An average payment of $4,530,277 resulted from the cases that ruled in favor of the plaintiff, while out-of-court settlements yielded an average payment of $1,193,146. This study suggests that there are several well-documented risk factors for malpractice claims attributed to laminectomy. The study findings suggest that prompt and accurate diagnosis, coordination of care, timely referral for surgical intervention, and understanding of the indications versus limitations of conservative therapy may help to mitigate the risk of litigation associated with laminectomy.

Analisis Teknik Entity-Relationship Diagram Dalam Perancangan Database

The purpose of this research is to find out how to develop the data entity relationship model in the data based data management system. Where the entity relationship is a system that is important for the company or as a liaison to explain the relationship between data and database systems. There are many techniques used in database design. One of them is Entity Relationship Diagram (ERD). ERD is one of the main diagrams representing the conceptual data model that reflects the user data requirements in the database system. ERD is the first stage in database design. There are several things that must be considered in making ERD for database design. Each database must have entities that are interconnected and each entity must have attributes consisting of a primary key as the entity's characteristics and descriptive attributes. Many users fail to create databases due to errors in ERD creation. Conceptual errors, procedural errors, or technical errors. This article was created using the SLR method, namely reviewing various kinds of references that discuss database design, then drawing conclusions to make it easier for users to overcome problems that occur when making ERD and implementing them.

Physical and Radiobiological Evaluation of Patient Setup Errors in the Radiotherapy Procedure for Prostate Cancer

Physical and Radiobiological Evaluation of Patient Setup Errors in the Radiotherapy Procedure for Prostate Cancer

The error role in risk perception

After some time since the onset of the Covid19 pandemic, we believe it is now possible to reflect on how the global response to the worldwide spread of the virus has been organized, and at the same time reflect on the emergency approach that has characterized the responses on the health front but also the public communication of the same pandemic. The hypothesis around which we work is that the term of emergency itself is not appropriate except to designate a sit-uation that is strictly related to a reductionist approach to understanding and explaining phenomena. An event becomes an emergency only if we reason in terms of a linear explanation, avoiding paying attention to the real complexity of the phenomena, with a comprehensive look at systemic interrelationships. In this perspective, Horton correctly proposed the term syndemic to characterize the set of events related to Covid19 (Horton, 2020). Because the unexpected, which is experienced and managed as an emergency, arises from an obvious interpretative error if the problem is not addressed with a systemic logic. And it can perhaps also be hypothe-sized that as such - that is, as unexpected and emerging - any phenomenon legitimizes proce-dural and communicative errors, thus exonerating in some way whoever is responsible for facing them.

An in vitro evaluation of antibacterial effect of curcumin-loaded chitosan nanoparticle-coated gutta-percha against Staphylococcus aureus.

The persistence of microorganisms in root canal system is pivotal factor pertinent to endodontic failure. Even if you meet the highest technical and asepsis standards and also minimize the procedural errors, failures result. The rapidly increasing antibiotic resistance among these bacteria and the adverse effects of these antibiotics along with their toxicity are the main situations indicating the utmost urgent requirement of a safe, effective, natural phytochemical like curcumin with tremendous medicinal potential. Nanoformulations of curcumin are their improved version with enhanced antibacterial activity. A thin layer of nanocurcumin was coated on the surface of gutta-percha cones. To observe the uniformity and adherence of nanocurcumin coating on the exterior surface of gutta-percha, scanning electron microscopy (SEM) was done. Further agar gel diffusion technique was used to assess the antimicrobial activity of nanocurcumin-coated gutta-percha cones and conventional gutta-percha cones and their results were compared statistically. The results of SEM study showed a layer of nanocurcumin adhering uniformly to the surface of gutta-percha cones. Furthermore, the nanocurcumin-coated gutta-percha cones demonstrated higher antibacterial activity as compared to the conventional cones. Our study results reveal that the coating of nanocurcumin on gutta-percha cones has augmented their antibacterial activity.

Klasifikasi Gender Berdasarkan Fingerprint Menggunakan Metode Naive Bayes Classifier

No two fingerprints are identical, as everyone has their own characteristics. The most fundamental problem lies in the results of the fingerprint image, typically due to inconsistencies in the emphasis of the fingerprint and the position of the fingerprint, resulting in inconsistencies in the thickness of the black line and shifting positions, which negatively impact the overall performance of the system. To solve this issue, research is required on a classifier that assumes all attributes exist independently. The NBC (Naïve Bayes Classifier) is a classifier based on the assumption that all attributes are independent. The NBC method for gender classification based on fingerprints consists of three steps. The initial step is to evaluate the quality of the image to be processed. This is demonstrated by the consistency of the grayscale values, which are not skewed when converted to a binary image. The second is the selection of data that exhibits no data deviation, which also leads to errors in the classification procedure that follows. With the existence of machine learning, class-based measurement formulations can be acquired through training. Even with unbalanced data, it is preferable to use NBC for classification purposes.

Analysis Of Students' Mistakes In Completing Exponent Materials Based On Castolan Theory

This research is motivated by the importance of analyzing student errors in solving exponential problems, because there are still many students who make mistakes in solving exponential material problems. The purpose of this study was to find out the errors made by students in solving exponential problems using the Kastolan theory. The types of errors in the Kastolan theory are conceptual errors, procedural errors and technical errors. The type of research used is descriptive qualitative research. The subjects in this study were 31 students of class X8 SMAN 1 Kampar Timur. This study uses data collection techniques in the form of description tests and interviews. The description questions used in this study amounted to 5 questions related to the properties, equations and inequalities of the modified exponents. Data analysis is used in this study to reduce, present, and draw conclusions. Based on the results of the study, the percentage of students who made mistakes in working on exponential material problems were as follows: 1) Students made conceptual errors, with a percentage of 20.31%, 2) Students made procedural errors with a percentage of 35.55%, 3) Students made mistakes technique with a percentage of 44.12%. The mistakes that many students make on exponent material are procedural errors and technical errors.
 

A Study on the Impact of Integrating Reinforcement Learning for Channel Prediction and Power Allocation Scheme in MISO-NOMA System.

In this study, the influence of adopting Reinforcement Learning (RL) to predict the channel parameters for user devices in a Power Domain Multi-Input Single-Output Non-Orthogonal Multiple Access (MISO-NOMA) system is inspected. In the channel prediction-based RL approach, the Q-learning algorithm is developed and incorporated into the NOMA system so that the developed Q-model can be employed to predict the channel coefficients for every user device. The purpose of adopting the developed Q-learning procedure is to maximize the received downlink sum-rate and decrease the estimation loss. To satisfy this aim, the developed Q-algorithm is initialized using different channel statistics and then the algorithm is updated based on the interaction with the environment in order to approximate the channel coefficients for each device. The predicted parameters are utilized at the receiver side to recover the desired data. Furthermore, based on maximizing the sum-rate of the examined user devices, the power factors for each user can be deduced analytically to allocate the optimal power factor for every user device in the system. In addition, this work inspects how the channel prediction based on the developed Q-learning model, and the power allocation policy, can both be incorporated for the purpose of multiuser recognition in the examined MISO-NOMA system. Simulation results, based on several performance metrics, have demonstrated that the developed Q-learning algorithm can be a competitive algorithm for channel estimation when compared to different benchmark schemes such as deep learning-based long short-term memory (LSTM), RL based actor-critic algorithm, RL based state-action-reward-state-action (SARSA) algorithm, and standard channel estimation scheme based on minimum mean square error procedure.

Objective assessment of intraoperative skills for robot-assisted partial nephrectomy (RAPN)

RAPN training usually takes place in-vivo and methods vary across countries/institutions. No common system exists to objectively assess trainee capacity to perform RAPN at predetermined performance levels prior to in-vivo practice. The identification of objective performance metrics for RAPN training is a crucial starting point to improve training and surgical outcomes. The authors sought to examine the reliability, construct and discriminative validity of objective intraoperative performance metrics which best characterize the optimal and suboptimal performance of a reference approach for training novice RAPN surgeons. Seven Novice and 9 Experienced RAPN surgeons video recorded one or two independently performed RAPN procedures in the human. The videos were anonymized and two experienced urology surgeons were trained to reliably score RAPN performance, using previously developed metrics. The assessors were blinded to the performing surgeon, hospital and surgeon group. They independently scored surgeon RAPN performance. Novice and Experienced group performance scores were compared for procedure steps completed and errors made. Each group was divided at the median for Total Errors score, and subgroup scores (i.e., Novice HiErrs and LoErrs, Experienced HiErrs and LoErrs) were compared. The mean inter-rater reliability (IRR) for scoring was 0.95 (range 0.84–1). Compared with Novices, Experienced RAPN surgeons made 69% fewer procedural Total Errors. This difference was accentuated when the LoErr Expert RAPN surgeon’s performance was compared with the HiErrs Novice RAPN surgeon’s performance with an observed 170% fewer Total Errors. GEARS showed poor reliability (Mean IRR = 0.44; range 0.0–0.8), for scoring RAPN surgical performance. The RAPN procedure metrics reliably distinguish Novice and Experienced surgeon performances. They further differentiated performance levels within a group with similar experiences. Reliable and valid metrics will underpin quality-assured novice RAPN surgical training.

Intraosseous access: a simulation analysis

Introduction: The priority in critical patients is to find a vascular access. The most used access is the peripheral venous access, but when its placement goes wrong or is difficult, the literature recommends implementing intraosseous (IO) access as a valid alternative. The IO access is a rapid, reliable and a relatively safe method. Despite the recommendations, IO access is rarely used when indicated. The objective of this study was to evaluate the critical points of the IO procedure, positioning time, percentage of success at first attempt in simulation and, in according to obtained outcomes, checking of the procedure inclusion within university programs. Material and methods: A sample of 84 people was recruited; among them 44 were students attending the third year of the Degree Course in Nursing of the University of Turin (site of Asti) and 40 nurses from intensive care unit and emergency ward of Cardinal Massaia Hospital of Asti. A short lesson about IO access took place, followed by a practical demonstration. Subsequently, the IO access insertion performance and difficulty perceived were evaluated. Statistical analysis was performed by means of inferential and descriptive bivariate analysis. Results: The average value of the performance “IO access insertion” was 12.2±1.22 (average of the assigned points by the sample). The average difficulty perceived was 1.65±0.42, and mainly found in “selection of the correct point of insertion” with a value of 2.64±0.87, “needle placement” with a medium value of 2.35±1.02 and “medication” with a value of 2.0±0.94. Average execution time of IO access and needle placement were 73.3 and 36.1 seconds, respectively. Finally, the success rate at the first attempt was 72.6%. Discussion: The IO access execution time, for the complete procedure and for the needle placement only, was below the 3 minutes. Among nurses and students, data of the success of the procedure show significant results, but the difference between subgroups is still lower than expected considering the results of the statistical analysis about procedure success, execution time and error percentage. Most critical issues were found in the retrieval of area of insertion, whereas the most difficulty perceived was on reference point selection, correct needle placement and medication. The procedure may become subject of teaching in the University. Conclusion: The study evaluates the possibility of the IO access use, by underlining how is necessary a training about it. The principal reason of ‘non-use’ of this device is the disinformation of healthcare professionals. The results seem to underline the importance of a possible integration of IO access technique in the programs of Degree Nursing Course and post-base course. This may improve nursing in emergency situations and therefore, patient outcomes. When healthcare staff training is possible, periodical refresh is particularly recommended in order to maintain the acquired skills.

Do Plastic Surgery Residents Get Sued? An Analysis of Malpractice Lawsuits.

Using the LexisNexis database, verdicts and settlements from appellate state and federal cases between February 1988 and 2020 were queried. A nonrepresentative sample of 300 cases was compiled. During a 32-year period, 21 lawsuits involving plastic surgery trainees were identified. Of these, 14 (66.67%) involved claims when a trainee was directly named as a defendant. Eighteen (85.7%) cases were due to procedural-related adverse outcomes, while three (14.3%) cases were associated with clinical or diagnostic-related adverse outcomes. Of the procedure-related cases, five (27.8%) occurred when the trainee was the lead surgeon. Allegations included lack of informed consent of procedure complications (11, 52.4%), procedural error (11, 52.4%), failure to supervise trainee (11, 52.4%), inexperience of trainee (eight, 38.1%), incorrect diagnosis or treatment (five, 23.8%), delay in evaluation (three, 14.3%), lack of awareness of resident involvement (three, 14.3%), lack of follow-up (three, 14.3%), and prolonged operative time (one, 4.8%). Median time from injury to lawsuit resolution was 3.8 years [interquartile range (IQR), 3-5 years]. Verdicts were ruled in favor of the defense in eight (38.1%) cases and for plaintiff in six (28.6%) cases. A settlement was made in seven (33.3%) cases. Median payout for plaintiff-won cases was $5,100,000 (IQR, $1,530,000-$17,500,000); the median settlement was $2,500,000 (IQR, $262,500-$4,410,000). Procedural error, improper informed consent, improper trainee supervision, and resident inexperience were the most common allegations. These factors can lead to financial and psychological burdens early in a physician's career.

Estimation of temperature, local and global radiation of flames, using retrieved hyperspectral imaging

A flame emits energy over a wide spectral region, providing important information about the combustion process. Its associated spectra, classified into continuous and discontinuous features, provide information concerning the temperature of the soot particle and atomic or molecular reactions. However, because of the non-linear and turbulent nature of the flame, added to the high-dimensional nature of the spectral data and the overlap between continuous and discontinuous spectral emissions, complex methods are needed to obtain valuable information for combustion closed-loop control and optimization. In this paper, we propose a method for retrieval of hyperspectral flame images from Liquefied Petroleum Gas (LPG) fuel, using only images captured by a trichromatic camera, but combined with a spectral recovery method. The hyperspectral flame data recovered was used to estimate indexes, such as the flame temperature (in K), the local emitted radiance (at the pixel level) and the global radiance (both in μW/cm2), thus performing a dynamic, spectral and spatial combustion diagnosis in different air/fuel ratios. Our method was validated by performing measurements with a calibrated spectrophotometer, achieving small errors in the retrieval procedure (less than 1%) and in the temperature estimation (less than 4%). The results show that our approach can play an essential role in flame sensing, providing an important tool for monitoring or controlling combustion processes.

The Effect of Failure Root Canal Treatment on the Tooth: A Systematic Review

The failure of root canal treatment occurs due to lack of standards or aspects of procedure were not followed accurately. Root canal treatment’s failure can be justified by response ratio of teeth and procedural errors that limits the intracanal endodontic infection, but not control it properly as preventive measure. Although there was very little evidence regarding the predictive factors for tooth preservation, effects of failure of root canal system and tooth survival was investigated. Very few studies have been conducted to evaluate the clinical outcomes of failure of root canal treatment on tooth survival. Therefore, we will aim to design a systematic review to evaluate clinical outcomes of failure of root canal treatment on tooth survival. We conducted a systematic review by following “Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)” guidelines related to title which was “The effect of failure root canal treatment on the tooth” according to study aims. The study selection criteria (as including both inclusion and exclusion criteria) were designed for screening and selection of collected data in recent systematic review. For recent systematic review, we collected about 67 studies related to the effect of failure root canal treatment on the tooth through searching from above mentioned databases About 7 out of remaining papers were up to the standard and met the above-mentioned criteria. The above included 7 studies were relevant to study aims and evaluated the effects of failed toot treatments or root canal treatment (RCT) on tooth survival, tooth health and safety. All included studies coded the major effects of failure root canal treatment as the swelling, (Topçuoğlu & Topçuoğlu, 2017 & Ulin et al., 2020) prospective pain, (Ballal et al., 2020, Wang et al., 2010 & inflammation, (Verma et al., 2019) and microbial attack (Chen et al., 2017 & Jordan et al., 2014) intensity. However, all studies have evaluated different root canal treatment with different non-surgical treatments. Overall, the clinical effects of failure of root canal treatment are severe and should be overcome with retreatment.

Anthropometry-Based Prediction Equation of Body Composition in a Population Aged 12–88 Years

BackgroundDirect anthropometric measurements to assess body composition have limited precision and/or specificity. ObjectivesThe study aimed to develop a prediction equation based on anthropometric measurements for estimating total body water (TBW) in a healthy population. MethodsTBW was assessed using the deuterium dilution method in 398 Moroccan participants (235 women and 163 men) aged 11.6–88 y, then compared to the estimations made by previously published anthropometric equations. By sex, participants were randomly assigned into development (n = 199) and validation subgroups (n = 199). A new anthropometric equation was developed in the development subgroup from data obtained on body volume (BV), weight, and sex, where the BV was calculated from participants’ height. Then the equation was validated in the validation subgroup using the Bland and Altman procedure, bias, and pure error. External validation was performed using a sample from Tunisia (n = 220, 51.8% female, 18–65 y). ResultsBias in predicting TBW showed unacceptable value for all previously published equations as it was significantly overestimated. The following new equation using anthropometric measurements [TBW (kg) = –5.249 + 107.502 BV (L) + 0.289 weight (kg) + 2.015 sex (male: 1, female: 0); (R2 = 0.91, RMSE = 1.885 kg)] was developed, and its internal validation was confirmed. The generated bias and pure error values were 0.047 kg (95% CI: –0.235, 0.330) and 2.02 kg (95% CI: 1.73, 2.31), respectively. The external validation of the new TBW prediction equation on a Tunisian sample showed a bias and pure error values of 0.07 kg (95% CI: –0.289, 0.429) and 2.36 kg, respectively. ConclusionsThe results indicate that the new anthropometric-based prediction equation provides a good estimation of TBW and other body composition compartments. It could be recommended as an alternative method to assess body composition for epidemiological and clinical studies.

Assessment of Modality and Accuracy of Single Root Canal Treatment Performed by Undergraduate Students in Saudi Arabia: A Retrospective Study.

Aim To assess the radiographic quality of root canal treatment (RCT) performed on single-rooted anterior teeth by undergraduate dental students of Imam Abdulrahman Bin Faisal University (IAU). Moreover, the study also aimed to assess the types of procedural errors encountered during root canal treatment and to compare the results between male and female students. Methodology The record of patients who visited the endodontic clinics at IAU between the years 2018 and 2021 was obtained from the medical records department. The inclusion criteria for the study involved: i) RCT performed on anterior teeth with a single root; ii) RCT performed by fourth, fifth, and sixth-year undergraduate dental students; and iii) availability of pre-operative and post-operative peri-apical radiographs. After the inclusion criteria, a total of 278 records were selected. The radiographs were accessed by two calibrated examiners for the length of the obturation, homogeneity, and taper. In addition, procedural errors such as the presence of a ledge, perforation, or fractured instruments were also observed. Analysis was done using the Chi-square test. Results A total of 139 teeth (50%) were found to have an adequate quality root canal treatment. Regarding the length of the obturation, 85.6% were considered acceptable, while 65.1% of the obturations had acceptable radiographic homogeneity. The acceptable taper was found in 71.9% of the obturations. Dental students who participated in this study demonstrated a low rate of procedural errors, with 4.7% ledge formation and 1% perforation. A statistically significant difference was found in the quality of root canal obturation (P=<0.001) performed by fourth, fifth, and sixth-year students. Moreover, a significant difference was also observed between maxillary and mandibular teeth (P= 0.032). Conclusion The quality of RCT performed by undergraduate dental students demonstrated that improvements are required. The teaching methods used in the endodontic courses need to be developed and improved to ensure the best possible learning and treatment outcomes.

Students' Conceptual Error and Procedural Error in Solving Algebraic Problems

Students' Conceptual Error and Procedural Error in Solving Algebraic Problems

Complications and treatment errors in root coverage procedures.

Root coverage procedures have become very common in clinical dental practice. Even though these techniques are considered safe, the clinician may face several issues during the therapy due to their surgical nature. Some of these issues can be defined strictly as complications inherent to the procedure, whereas others are medical errors or treatment errors. This review will focus on describing treatment errors and complications that may arise during different phases of the root coverage therapeutic process and on how to prevent and manage them.

Complications and treatment errors in nonsurgical periodontal therapy.

Nonsurgical periodontal therapy can be subject to iatrogenesis, which includes all the complications directly or indirectly related to a treatment. These complications include both operator-dependent harms and errors and the consequences and adverse effects of the therapeutic procedures. The complications arising following nonsurgical periodontal treatment can be categorized as intraoperative and postoperative and can affect both soft and hard tissues at an intra-oral and extraoral level. Soft-tissues damage or damage to teeth and restorations can occur while performing the procedure. In the majority of cases, the risk of bleeding associated with nonsurgical therapy is reported to be low and easily controlled by means of local hemostatic measures, even in medicated subjects. Cervicofacial subcutaneous emphysema is not a frequent extraoral intraoperative complication, occurring during the use of air polishing. Moreover, side effects such as pain, fever, and dentine hypersensitivity are frequently reported as a consequence of nonsurgical periodontal therapy and can have a major impact on a patient's perception of the treatment provided. The level of intraoperative pain could be influenced by the types of instruments employed, the characteristics of tips, and the individual level of tolerance of the patient. Unexpected damage to teeth or restorations can also occur as a consequence of procedural errors.

Cone-Beam Computed Tomography Assessment of Prevalence of Procedural Errors in Maxillary Posterior Teeth.

A range of procedural errors can occur when performing endodontic treatment on posterior teeth. These errors may decrease the success rate in endodontic practice. This study assessed the prevalence of procedural errors and the quality of endodontic treatments in maxillary molars and premolars using cone-beam computed tomography (CBCT). CBCT scans from two private radiology centers were assessed retrospectively to ensure the same calculated sample size of 327 teeth for each of the four maxillary posterior tooth types (a total of 1,308 endodontically treated teeth). Image sets were evaluated for procedural errors categorized as follows: obturation length (overfilling or underfilling by >2 mm short of the root apex), missed canals, perforations, strip perforations (with extrusion of material into the furcation area), separated instruments in the root canal space, and root fracture. Data were analyzed with SPSS version 20 (SPSS Inc., Chicago, IL, USA), and frequency data was assessed using the Monte Carlo test at the 0.05 level of significance. The procedural errors most commonly reported in the present study were from most frequent to least frequent: underfilled canals (50.0%), missed canals (27.5%), overfilled canals (12.5%), apical perforations (5.0%), separated instruments (3.1%), and root fractures (1.9%). No strip perforations (with extrusion of material into the furcation area) were seen in the study (0%). Underfilled and missed root canals were the most frequent procedural errors identified in the present study. These findings underline the importance of more consideration of critical working length management during all stages of root canal treatment, greater awareness of root canal anatomy, and the use of imaging and diagnostic devices that enhance the ability to identify and treat root canals both safely and effectively.

Causes and Outcomes of Medicolegal Proceedings Following Gastrointestinal Endoscopy in Canada.

Endoscopic procedures are frequently performed in Canada but can be associated with potential complications and medicolegal implications. This study aimed to identify potential medicolegal cases in Canada relating to upper and lower endoscopies as well as advanced endoscopic procedures. Westlaw Canada was searched for any cases regarding upper and lower endoscopies and advanced endoscopic procedures from inception to December 31, 2020. Cases were classified by type of case, procedure performed, patient and defendant demographics, outcome, and alleged reason for litigation/complaint. Twenty-nine civil cases and 9 board and tribunal decisions for upper and lower endoscopies and 3 advanced endoscopic procedure cases were analyzed. The most frequent defendant specialties were family physician, general surgery, and gastroenterology. The plaintiff was successful in 12 cases involving upper or lower endoscopy with an average award of $243,934 (2021 CDN). The most alleged reasons for litigation were procedural error or negligence (n= 19). The plaintiff was successful in 1 advanced endoscopic procedure case with an award of $153,032. Medicolegal cases regarding gastrointestinal endoscopy in Canada occur infrequently. Endoscopy should be performed by skilled providers with appropriate informed consent from the patient, and careful consideration of whether procedures are indicated are key for endoscopic providers.