Kremer M, Faut-Callahan M
Rush University College of Nursing, Chicago, IL 60612, USA.
CRNA. 1998 Nov;9(4):157-62.
The National Practitioner Data Bank (NPDB), created by the 1986 Health Care Quality Improvement Act, has been in operation since 1990. Hospitals and other credentialing bodies must query the NPDB when granting and renewing privileges. The NPDB receives about 25,000 reports of adverse actions against health practitioners each year. The NPDB was designed to be a flagging system providing information to licensing or credentialing authorities who would further examine practitioner records. Its purpose is to ensure that decision makers have information that might not otherwise be readily available, especially in the case of incompetent practitioners who move from hospital to hospital or state to state. Access to NPDB information is a concern for consumers and providers alike. Only 2% of matched reports to the NPDB made a difference in hospital privileging decisions. A limitation of NPDB information is that malpractice payments recorded in the NPDB do not necessarily constitute a comprehensive and definitive reflection of actual health care incompetence. All health care providers need to be aware of the NPDB, its mission, potential impact on their ability to be credentialed, and proposed additional uses of its information.
国家从业者数据库（NPDB）由1986年的《医疗保健质量改进法案》设立，自1990年起开始运作。医院和其他资格认证机构在授予和更新特权时必须查询NPDB。NPDB每年收到约25000份针对医疗从业者的不良行为报告。NPDB旨在成为一个标记系统，向许可或资格认证机构提供信息，以便他们进一步审查从业者记录。其目的是确保决策者能够获得可能无法轻易获取的信息，特别是对于那些在不同医院或不同州之间流动的不称职从业者。获取NPDB信息是消费者和提供者共同关心的问题。与NPDB匹配的报告中只有2%对医院特权授予决策产生了影响。NPDB信息的一个局限性在于，NPDB中记录的医疗事故赔偿金不一定能全面、确切地反映实际的医疗保健不称职情况。所有医疗保健提供者都需要了解NPDB、其使命、对其获得资格认证能力的潜在影响以及对其信息的其他拟议用途。
