Medicolegal rounds: Medicolegal issues and alleged breaches of standards of medical care in a patient motor vehicle accident allegedly related to chronic opioid analgesic therapy

David A. Fishbain, John E. Lewis, Brandly Cole, Renné Steele Rosomoff, Hubert L. Rosomoff

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The objective of this medicolegal case report is to present the details of the case of a chronic pain patient (CPP) who was placed on chronic opioid analgesic therapy (COAT) and was involved in a motor vehicle accident, alleged in litigation to be related to COAT. COAT standards are in a process of evolution, and this process is influenced by recent literature developments. We aim to present both the plaintiff's and defendant's expert witnesses' opinions on whether the defendant physician fell below the "standard" in allowing the CPP to drive. Both the methadone and the driving literature are utilized to explain the defendant's and plaintiffs experts' opinions and the differences between them. Based on these opinions, we have attempted to develop some recommendations on how pain physicians should approach the problem of deciding whether patients should be allowed to drive when on COAT.

Original languageEnglish (US)
Pages (from-to)16-20
Number of pages5
JournalJournal of Opioid Management
Volume3
Issue number1
DOIs
StatePublished - 2007

Keywords

  • Breaches of standards
  • Chronic opioid analgesic therapy
  • Chronic pain
  • Driving
  • Informed consent
  • Intractable pain
  • Methadone
  • Motor vehicle accidents
  • Opioids
  • Standards of medical care

ASJC Scopus subject areas

  • Pharmacology (medical)
  • Anesthesiology and Pain Medicine

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