Scope-of-Practice Laws and Patient Safety: Evidence from the Opioid Crisis

Opioid Prescribing by Nurse Practitioners in Medicare Part D: Impact of State Scope of Practice Legislation

Medical Care Research and Review ◽

10.1177/1077558717725604 ◽

2017 ◽

Vol 76 (3) ◽

pp. 337-353 ◽

Cited By ~ 8

Author(s):

Elissa Ladd ◽

Casey Fryer Sweeney ◽

Anthony Guarino ◽

Alex Hoyt

Keyword(s):

Patient Safety ◽

Nurse Practitioners ◽

Nurse Practitioner ◽

State Legislatures ◽

Medicare Part D ◽

Prescribing Patterns ◽

Medicare Part ◽

Scope Of Practice ◽

Part D ◽

Opioid Prescribing

Many state legislatures restrict nurse practitioner (NP) scope of practice as a way of addressing patient safety concerns. The purpose of this study was to investigate the influence of state NP scope of practice laws on the prescription of oxycodone and hydrocodone containing medications by NP and MD/DO/PA prescribers to Medicare Part D beneficiaries. Using the Medicare Part D public use file, we analyzed oxycodone and hydrocodone containing prescriptions per Medicare Part D beneficiary by prescriber type, NP state scope of practice, and geographic variables. Our results demonstrate that the state scope of practice variable had the same effect, in identical direction and significance, on NP opioid prescribing patterns as it had on MD/DO/PA prescribers, a group to whom NP scope of practice laws do not apply. Thus, scope of practice in this study was not an exclusive predictor of NP practice and prescribing.

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Staffing, teamwork and scope of practice: Analysis of the association with patient safety in the context of rehabilitation

Journal of Advanced Nursing ◽

10.1111/jan.15112 ◽

2021 ◽

Author(s):

Carla Jomaa ◽

Carl‐Ardy Dubois ◽

Isabelle Caron ◽

Alexandre Prud’Homme

Keyword(s):

Patient Safety ◽

Scope Of Practice ◽

Practice Analysis

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Certified Nurse Aides and Scope of Practice: Clinical Outcomes and Patient Safety

Journal of Gerontological Nursing ◽

10.3928/00989134-20151008-58 ◽

2015 ◽

Vol 41 (12) ◽

pp. 32-39 ◽

Cited By ~ 5

Author(s):

Tara L. McMullen ◽

Barbara Resnick ◽

Jennie Chin Hansen ◽

Nancy Miller ◽

Robert Rubinstein

Keyword(s):

Patient Safety ◽

Clinical Outcomes ◽

Scope Of Practice ◽

Nurse Aides ◽

Certified Nurse Aides

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Noise-Induced Balance Loss? Rethinking Clinical Implications of Noise Exposure

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_pers-sig8-2019-0006 ◽

2019 ◽

Vol 4 (6) ◽

pp. 1418-1422

Author(s):

Bre Myers ◽

J. Andrew Dundas

Keyword(s):

Vestibular System ◽

Noise Exposure ◽

Balance Control ◽

Scope Of Practice ◽

Hearing Conservation ◽

Exposed Population ◽

Auditory Systems ◽

Current Article ◽

Balance Loss ◽

Cross System

Purpose The primary aim of the current article is to provide a brief review of the literature regarding the effects of noise exposure on the vestibular and balance control systems. Although the deleterious effects of noise on the auditory system are widely known and continue to be an active area of research, much less is known regarding the effects of noise on the peripheral vestibular system. Audiologists with working knowledge of how both systems interact and overlap are better prepared to provide comprehensive care to more patients as assessment of both the auditory and vestibular systems has been in the audiologists' scope of practice since 1992. Method A narrative review summarizes salient findings from the archival literature. Results Temporary and permanent effects on vestibular system function have been documented in multiple studies. Hearing conservation, vestibular impairment, and fall risk reduction may be more intimately related than previously considered. Conclusions A full appreciation of both the vestibular and auditory systems is necessary to address the growing and aging noise-exposed population. More cross-system studies are needed to further define the complex relationship between the auditory and vestibular systems to improve comprehensive patient care.

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