Many states have recently changed their scope of practice laws and granted full practice authority to nurse practitioners, allowing them to practice without oversight from physicians. Physician groups have argued against this change, citing patient safety concerns. In this paper, we use a ratio-in-ratio approach to evaluate whether the transition to full practice authority results in harm to patients as proxied by malpractice payouts and adverse action reports against nurse practitioners. We find no evidence of such harm, and instead find that physicians may benefit from the law change in terms of reduced paid malpractice cases against them.

中文翻译：

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执业护士的执业范围和患者伤害：来自医疗事故赔付和不良行为报告的证据

许多州最近改变了执业法的范围，并授予执业护士充分的执业权，允许他们在没有医生监督的情况下执业。医生团体以患者安全为由反对这一改变。在本文中，我们使用比率方法来评估向完全执业权力的过渡是否会对患者造成伤害，这可以通过针对执业护士的医疗事故支出和不良行为报告来衡量。我们没有发现这种伤害的证据，相反发现医生可能会从法律变更中受益，因为减少了针对他们的有偿医疗事故案件。