Sweeney Casey Fryer, LeMahieu Anna, Fryer George E
MGH Institute of Health Professions, 36 1st Avenue, Boston, MA 02129, United States.
(b)University of Arkansas for Medical Sciences, Little Rock, AR, United States.
J Prof Nurs. 2017 Jul-Aug;33(4):271-275. doi: 10.1016/j.profnurs.2017.01.002. Epub 2017 Jan 5.
Nurse practitioners (NPs) are often identified in medical malpractice claims. However, the use of malpractice data to inform the development of nursing curriculum is limited. The purpose of this study is to examine medical errors committed by NPs.
Using National Practitioner Data Bank public use data, years 1990 to 2014, NP malpractice claims were classified by event type, patient outcome, setting, and number of practitioners involved.
The greatest proportion of malpractice claims involving nurse practitioners were diagnosis related (41.46%) and treatment related (30.79%). Severe patient outcomes most often occurred in the outpatient setting. Nurse practitioners were independently responsible for the event in the majority of the analyzed claims.
Moving forward, nurse practitioner malpractice data should be continuously analyzed and used to inform the development of nurse practitioner education standards and graduate program curriculum to address areas of clinical weakness and improve quality of care and patient safety.
执业护士（NPs）常在医疗事故索赔中被提及。然而，利用医疗事故数据来指导护理课程的开发却很有限。本研究的目的是调查执业护士所犯的医疗差错。
利用1990年至2014年国家从业者数据库的公开数据，根据事件类型、患者结局、环境以及涉及的从业者数量对执业护士的医疗事故索赔进行分类。
涉及执业护士的医疗事故索赔中，最大比例与诊断相关（41.46%）和与治疗相关（30.79%）。严重的患者结局最常发生在门诊环境中。在大多数分析的索赔中，执业护士对事件独立负责。
展望未来，应持续分析执业护士的医疗事故数据，并将其用于指导执业护士教育标准和研究生课程的开发，以解决临床薄弱环节，提高护理质量和患者安全。
