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Douglas M Brock1, Jeffrey G Nicholson2, Roderick S Hooker3

  • 11 University of Washington, Seattle, WA, USA.

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PubMed
Summary

Malpractice reports and adverse actions were compared for physicians, physician assistants (PAs), and nurse practitioners (NPs) from 2005-2014. Physicians had higher payment rates and lower diagnosis-related allegations than PAs or NPs.

Keywords:
liabilitymalpracticenurse practitionerphysician assistanttrends

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Area of Science:

  • Medical malpractice and healthcare provider liability.
  • Analysis of adverse actions and payment trends in healthcare.
  • Comparative study of provider types in malpractice claims.

Background:

  • Medical errors and negligence can lead to malpractice claims and adverse actions.
  • Understanding trends in malpractice is crucial for patient safety and provider regulation.
  • Previous research has not comprehensively compared malpractice data across physicians, PAs, and NPs.

Purpose of the Study:

  • To examine trends in malpractice awards and adverse actions for physicians, physician assistants (PAs), and nurse practitioners (NPs).
  • To compare the rates and types of malpractice reports and adverse actions among these provider groups.
  • To identify potential factors influencing malpractice trends, such as policy changes.

Main Methods:

  • Utilized data from the National Practitioner Data Bank (NPDB) for the period 2005-2014.
  • Compared malpractice payment report rates per 1,000 providers for physicians, PAs, and NPs.
  • Analyzed median payment amounts and the proportion of diagnosis-related malpractice allegations by provider type.

Main Results:

  • Malpractice payment rates per 1,000 providers were highest for physicians (11.2-19.0), followed by PAs (1.4-2.4) and NPs (1.1-1.4).
  • Physician median payments were 1.3 to 2.3 times higher than those for PAs or NPs.
  • Physicians had significantly fewer diagnosis-related malpractice allegations (31.9%) compared to PAs (52.8%) and NPs (40.6%).

Conclusions:

  • Significant differences exist in malpractice payment rates, award amounts, and allegation types among physicians, PAs, and NPs.
  • The observed trends in malpractice reports may be influenced by policy changes aimed at reducing provider liability.
  • Further research is needed to explore the underlying reasons for these disparities and their implications for healthcare quality.