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. 1995 Jul-Aug;110(4):383–394.

The National Practitioner Data Bank: the first 4 years.

R E Oshel 1, T Croft 1, J Rodak Jr 1
PMCID: PMC1382147  PMID: 7638325

Abstract

The National Practitioner Data Bank became operational September 1, 1990, as a flagging system to identify health care practitioners who may have been involved in incidents of medical incompetence. Query volumes have grown substantially over the Data Bank's first 4 years of operation. The greatest increase has come in the number of voluntary queries. By the end of 1994, the Data Bank had processed more than 4.5 million requests for information on practitioners, more than 1.5 million of which were received in 1994 alone. The proportion of queries for which the Data Bank contains information on the practitioner in question has grown as the Data Bank has come to contain more reports. During 1994, 7.9 percent of queries were matched. The Data Bank contained more than 97,500 reports at the end of 1994. More than 82 percent of the reports concerned malpractice payments. Licensure reports made up the bulk of the rest. Physicians predominate in reports, accounting for slightly more than 76 percent of the total. The remainder are related to dentists (16 percent) and all other types of practitioners (8 percent). Since reporting of adverse actions is mandatory only for physicians and dentists, the proportion of reports attributable to these types of practitioners is higher than it would be if adverse action reporting requirements were uniform for all practitioners. State malpractice payment rates and adverse action rates vary widely, but a State's rate in any given year is highly correlated with its rate in any other year. State malpractice rates are not strongly correlated with adverse action rates, neither are the rates for physicians strongly correlated with those for dentists. There is a weak tendency for States with smaller physician populations to have higher levels of licensure and privileging actions.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adams E. K., Zuckerman S. Variation in the growth and incidence of medical malpractice claims. J Health Polit Policy Law. 1984 Fall;9(3):475–488. doi: 10.1215/03616878-9-3-475. [DOI] [PubMed] [Google Scholar]
  2. Bovbjerg R. R., Petronis K. R. The relationship between physicians' malpractice claims history and later claims. Does the past predict the future? JAMA. 1994 Nov 9;272(18):1421–1426. [PubMed] [Google Scholar]
  3. Brennan T. A., Leape L. L., Laird N. M., Hebert L., Localio A. R., Lawthers A. G., Newhouse J. P., Weiler P. C., Hiatt H. H. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med. 1991 Feb 7;324(6):370–376. doi: 10.1056/NEJM199102073240604. [DOI] [PubMed] [Google Scholar]
  4. Brennan T. A., Leape L. L., Laird N. M., Hebert L., Localio A. R., Lawthers A. G., Newhouse J. P., Weiler P. C., Hiatt H. H. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. N Engl J Med. 1991 Feb 7;324(6):370–376. doi: 10.1056/NEJM199102073240604. [DOI] [PubMed] [Google Scholar]
  5. Jacobson P. D. Medical malpractice and the tort system. JAMA. 1989 Dec 15;262(23):3320–3327. [PubMed] [Google Scholar]
  6. Localio A. R., Lawthers A. G., Brennan T. A., Laird N. M., Hebert L. E., Peterson L. M., Newhouse J. P., Weiler P. C., Hiatt H. H. Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. N Engl J Med. 1991 Jul 25;325(4):245–251. doi: 10.1056/NEJM199107253250405. [DOI] [PubMed] [Google Scholar]
  7. Mills D. H. Medical insurance feasibility study. A technical summary. West J Med. 1978 Apr;128(4):360–365. [PMC free article] [PubMed] [Google Scholar]
  8. Mullan F., Politzer R. M., Lewis C. T., Bastacky S., Rodak J., Jr, Harmon R. G. The National Practitioner Data Bank. Report from the first year. JAMA. 1992 Jul 1;268(1):73–79. [PubMed] [Google Scholar]
  9. Smarr L. E. Malpractice claims. Does the past predict the future? JAMA. 1994 Nov 9;272(18):1453–1454. doi: 10.1001/jama.272.18.1453. [DOI] [PubMed] [Google Scholar]
  10. Taragin M. I., Sonnenberg F. A., Karns M. E., Trout R., Shapiro S., Carson J. L. Does physician performance explain interspecialty differences in malpractice claim rates? Med Care. 1994 Jul;32(7):661–667. doi: 10.1097/00005650-199407000-00001. [DOI] [PubMed] [Google Scholar]

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