No harm found when nurse anesthetists work without supervision by physicians

Health Affairs

Volumn 29, Issue 8, 2010, Pages 1469-1475

  Dulisse, Brian ^a   Cromwell, Jerry ^a  

^a RTI INTERNATIONAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AFRICAN AMERICAN; AGED; ANESTHESIA; ARTICLE; CLINICAL SUPERVISION; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAID; MEDICARE; MORTALITY; NURSE ANESTHETIST; PATIENT SAFETY; PHYSICIAN; REIMBURSEMENT;

CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); HUMANS; MEDICARE; NURSE ANESTHETISTS; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PHYSICIAN-NURSE RELATIONS; PHYSICIANS; RISK MANAGEMENT; UNITED STATES;

EID: 77958174721     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2008.0966     Document Type: Article

References (17)

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3. American Association of Nurse Anesthetists. About AANA [Internet]. Park Ridge (IL): AANA; 2009 [cited 2009 Oct 1]. Available from: http://www.aana.com/ AboutAANA.aspx?ucNavMenu-TSMenuTargetID=7&ucNavMenu-TSMenuTargetType= 4&ucNavMenu-TSMenuID=6&id=46
4. Medicare's conditions of participation have never mandated anesthesiologist supervision of certified registered nurse anesthetists, nor has the Joint Commission required it. American Association of Nurse Anesthetists. AANA fact sheet: final supervision rule - frequently asked questions [Internet]. Park Ridge (IL): AANA; 2002 Apr 19 [cited 2010 Jun 28]. Available from: http://www.aana.com/news.aspx?id=515&terms=final+supervision+rule
5. Centers for Medicare and Medicaid Services. Medicare and Medicaid programs: hospital conditions of participation; anesthesia services. Fed Regist. 2001;66(12):4674-87.
6. Centers for Medicare and Medicaid Services. Medicare and Medicaid programs: hospital conditions of participation; anesthesia services. Fed Regist. 2001;66(219):56762-9.
7. Certified registered nurse anesthetists are required to have a bachelor of science degree in nursing or other relevant field and at least one year of acute (critical care) experience before completing a two- or three-year master's degree program in anesthesia care. After passing their certification exam, certified registered nurse anesthetists complete a year of clinical residency in the specialty. Anesthesiologists complete four years of clinical internship and residency in anesthesia and other specialties after medical school and four years of college.
8. American Society of Anesthesiologists. The limitations on the role of CRNAs in anesthesia care. Unpublished white paper. Park Ridge (IL): The Society; 1995 May. p. 1-2.
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12. Cooper RA, Henderson T, Dietrich CL. Roles of nonphysician clinicians as autonomous providers of patient care. JAMA. 1998;280(9):795-802. (Pubitemid 28406754)
13. The states that opted out are as follows: 2001, Iowa (December); 2002, Nebraska (February), Idaho (March), Minnesota (April), New Hampshire (June), and New Mexico (November); 2003, Kansas (March), North Dakota, Washington, and Alaska (October), and Oregon (December); 2004, Montana (January); and 2005, South Dakota (March) and Wisconsin (June).
14. American Society of Anesthesiologists. Relative value guide: a guide for anesthesia values. Park Ridge (IL): The Society; 2007.
15. Agency for Healthcare Research and Quality. AHRQ Quality Indicators [Internet]. Rockville (MD): AHRQ; 2007 Mar 31 [cited 2010 Jul 14]. Available from: http://www.qualityindicators.ahrq.gov
16. The online Appendix can be accessed by clicking on the Appendix link in the box to the right of the article online.
17. Simonson DC, Ahern MM, Hendryx MS. Anesthesia staffing and anesthetic complications during cesarean delivery: a retrospective analysis. Nurs Res. 2007;56(1):9-17.