Empowering Nurses at the Bedside and in Business

Malpractice and License Issues Increase for Nurse Practitioners


The Nursing Service Organization (“NSO”) frequently gathers their claim status, data for nurses and nurse practitioners. Recently they finished the fifth edition of Claims for Nurse Practitioners.

Previously, there have been several studies showing that claims against Nurse Practitioners were fewer than those against physicians. They also show NPs tend to spend more time with patients and have better relationships with those they care for.

However, since 2017, malpractice claims against NPs have risen 10.5% and license discipline claims have gone up 19.5%. This is the largest increase in any 5-year-period. The study adds that neonatal, family practice and adult gerontology primary care NPs had the highest growth in malpractice claims.

It is interesting that these are the high-risk areas for Nurse Practitioners but according to the license defense claims data, it says that the number one area of professional licensing issues arises from professional misconduct and prescribing medications.

It would make sense that Nurse Practitioners who work in family practice and adult gerontology primary care would prescribe the most medications.

It is unfortunate that what is happening in nursing is also happening to Nurse Practitioners who are working an inordinate number of hours and are doing the same job as a physician for less pay, yet their malpractice and disciplinary claims are increasing.

I would love to see Nurse Practitioners being able to see a patient every 15 minutes rather than 10 minutes, thereby giving them time to see the patient and complete their documentation within the allotted period so they are not as stressed and can feel accomplished. If this scheduling occurs, I suspect we will see a decrease in malpractice and license protection claims.


  1. Nurse Undone

    “professional misconduct ” sounds like a oxymoron . The BON loves to charge just about everyone with unprofessional conduct , whether on or off the job and whether anything happened or not. If you stick to the facts and refuse to sign their lies , the BON orders psych evaluation , refuse and they will revoke. Why on earth would anyone want to get into to nursing !
    Even if they go the PA route they are much better protected by the medical board. BON are out of control.
    Who is writing and passing laws to level the playing field ?
    ANA ? Nursing profs , who’s school is under the BON, Unions (only for staffing ) legislature members , Senate , House, atty’s who defend nurses . Nursys , are in with the BON . Hospital leadership are bff w/ BON . NSO or Proliablity out there putting and end to 3-5 yr ‘investigations”? Or allowing the complaint to change multiple times based on what the witch hunt exposes . Staffing agencies lose $ too but just move on to the next potential victim. Who is there for the nurse .? It is time for regulatory review.
    1) Full disclosure by nursing programs from the start , (your entire life and reputation can be destroyed and you don’t even have to do anything wrong and it can have nothing to do with nursing , just the fact you have a license and someone wants to retaliate . )

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