The National Practitioner Database Malpractice Study of Severity of Alleged Malpractice Injuries Trends 2008-2018.

Journal Article (Journal Article)

This research examined trends and severity of alleged injury in malpractice over a 10-year period. An understanding of the severity of patient outcomes is important to gauge improvements in care delivery. Analysis of the National Practitioner Database (NPDB) investigated malpractice payments from 2008 to 2018 by physicians, advanced nurse practitioners, and registered nurses and assessed the relationship of years of practice on the severity of alleged malpractice injury. Malpractice payments over the study period, primarily represented payments for significant permanent or major permanent injuries (25.97%) or death (32.74%). Claims overall have shown a decline, including claims by the severity of malpractice injury, for most outcomes. The clinicians represented in the NPDB with >15 years of practice have greater odds for severity of malpractice injuries classified as minor permanent injury and significant permanent injury than those clinicians represented in the NPDB with fewer years of practice. Top allegation categorizations for malpractice payment were diagnostics, treatment, and surgery related for 4 of the severities of alleged injury.

Full Text

Duke Authors

Cited Authors

  • Goode, V; Douglas, C; Merwin, E

Published Date

  • September 2022

Published In

Volume / Issue

  • 37 / 5

Start / End Page

  • 396 - 404

PubMed ID

  • 35426833

Electronic International Standard Serial Number (EISSN)

  • 1555-824X

International Standard Serial Number (ISSN)

  • 1062-8606

Digital Object Identifier (DOI)

  • 10.1097/jmq.0000000000000060


  • eng