Klutz Diane L
Midwestern State University, Wichita Falls, Texas, USA.
J Am Acad Nurse Pract. 2004 Feb;16(2):70-5. doi: 10.1111/j.1745-7599.2004.tb00375.x.
To inform nurse practitioners (NPs) about the issues related to tort reform and its relationship to malpractice insurance costs.
Current journals, newspapers, professional newsletters, and Internet sites.
NPs are paying more for their malpractice premiums, and many are losing their places of employment as clinics close due to the increased cost of premiums. One method proposed for curbing the flow of monies spent on premiums and litigation is tort law reform. California serves as an example; its Medical Injury Compensation Reform Act (MICRA) tort reform law was passed 25 years ago, and it has maintained stable malpractice premiums. Other states have proposed similar laws, but some have not had similar success. To curb litigation costs, not only should tort laws be reformed, but NPs and physicians should keep abreast of current practice standards in order to provide quality medical care.
Like physicians, NPs are affected directly by tort laws. These laws hold NPs accountable at the same level as physicians. In addition, many states limit NPs' practice to delegation of authority by a physician. Liability is therefore transferred from the NP to the physician and vice versa in cases of injury or wrongful act. In addition, many NPs are finding it increasingly difficult to locate insurers who will write policies for medical liability.
向执业护士（NP）介绍侵权法改革相关问题及其与医疗事故保险成本的关系。
当前期刊、报纸、专业时事通讯和互联网网站。
执业护士支付的医疗事故保险费越来越高，而且由于保费上涨导致诊所关闭，许多人失去了工作岗位。为抑制保费和诉讼费用支出提出的一种方法是侵权法改革。加利福尼亚州就是一个例子；其《医疗损害赔偿改革法》（MICRA）侵权改革法于25年前通过，该州的医疗事故保险费一直保持稳定。其他州也提出了类似法律，但有些州并未取得类似成功。为抑制诉讼成本，不仅应改革侵权法，执业护士和医生还应跟上当前的执业标准，以便提供高质量医疗服务。
与医生一样，执业护士也直接受侵权法影响。这些法律对执业护士的问责程度与医生相同。此外，许多州将执业护士的执业范围限制为在医生授权下进行。因此，在发生伤害或不当行为的情况下，责任会在执业护士和医生之间相互转移。此外，许多执业护士发现越来越难找到愿意为医疗责任承保的保险公司。
