Nurse Practitioner Closed Claims Study (The Doctor's Advocate CME)

Program Description

The Doctors Company analyzed claims against nurse practitioners (NPs) that closed over a six-year period from January 2011 through December 2016. These claims arose in family medicine (FM) and internal medicine (IM) practices. To provide context, the analysis compared the NP claims with 1,358 FM and IM claims that closed during the same time period. If a claim was against both the FM or IM physician and the NP, it was eliminated from this study to avoid counting the same claim twice. Cases were included regardless of how the claim or suit was resolved.

This course sheds light on what motivated patients to pursue claims and provides a broader overview of the system failures and processes that resulted in patient harm. Based on these factors, nurse practitioners and physicians can examine the risk mitigation strategies that, if applied in their practices, can prevent some of the injuries identified in the study. 


After completing this activity, learners will be able to:

  • Recognize allegations and contributing factors that lead to malpractice claims for nurse practitioners, physicians, and/or supervising physicians in internal medicine and family medicine practices. 
  • Assess current practice for changes that can reduce risk of patient injury. 
  • Implement two strategies to improve patient care and reduce risk in your practice. 


No individual in a position to control or influence the content of this activity has reported relevant financial relationships with commercial interests. No commercial support was provided for this activity.

Course Developers

Susan Shepard, MSN, MA, RN, CPHRM, Director, Patient Safety Education, Department of Patient Safety and Risk Management, The Doctors Company

Julie Hopkins, MA, MBA, Director, Continuing Medical Education, Patient Safety and Risk Management, The Doctors Company

Continuing Education Credit

The Doctors Company is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical educational activities for physicians.

The Doctors Company designates this enduring material activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Doctors Company estimates one and one-quarters hours for completion of this course. A passing score of 80 percent or greater is required to successfully complete the activity and earn AMA PRA Category 1 Credit™.

Course ID#: TDE 18009.0
Issue Date for This Activity: 03/26/2018
Expiration Date for This Activity: 03/26/2021


The information and guidelines contained in this enduring material activity are generalized and may not apply to all practice situations. The faculty recommends that legal advice be obtained from a qualified attorney for specific application to your practice. The information is intended for educational purposes only.

Complies with State Requirements

Please SEE the Federation of State Medical Boards overview of Continuing Medical Education requirements by State. 

Technical Requirements

This activity is best experienced using the most current browser (or one back) of Firefox, Chrome, Safari, or Microsoft Edge. Internet Explorer is not supported by this platform. For all activities featuring audio you must have a sound card and speakers. To view graphic images and references that appear in separate "pop-up" windows, you must have JavaScript and session cookies enabled on your computer.  Adobe Acrobat Reader may be required for certain activities.


Click Here to download a PDF with resources related to this program.

Contact Us

If you have questions, contact or call 800.421.2368, extension 1243.