CLOSED CLAIMS PORTAL
ASA Closed Claims Limited Analysis
There are many types of data available including but not limited to:
Years: 2005 – 2018
Patient Characteristics (Gender, Height, Weight, ASA)
Damaging Event (Cardiovascular, Airway, Blocks, Equipment)
Complications (Neurologic, Airway, Equipment, CV, Eye, Esophageal)
Standard of Care
Settlement (Claim resolution, Cost)
Application is completed by the ASA Member
AQI reviews the application.
Please note that you may be contacted for further clarifications on your request.
An initial scientific review is performed by the Chair of the Closed Claims Committee.
A second/final scientific review is performed by the Closed Claims Committee.
Once the request is approved, a
Limited Data Use Agreement (DUA)
will be delivered to the investigator for review and signature.
Upon the completion of the DUA, the investigator will receive analysis.
Please complete the entire form before submitting.
Applications may be edited and saved by entering
Case Reference Code.
Once the application has been submitted, changes cannot be made.
Check the checkbox to confirm that you read the above information.
Create New Request
Edit/Submit previous request