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Medical errors: Mandatory reporting, voluntary reporting, or both?

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  • Grepperud, Sverre

    ()
    (Institute of Health Management and Health Economics)

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    Abstract

    This work evaluates policy recommendations on medical error reporting systems presented in, To err is human, a report published by the Institute of Medicine. Here mandatory reporting should be applied for adverse events, while voluntary reporting is recommended for near misses. This analysis shows that an error reporting scheme of this type is not an optimal one since both near misses and adverse events may remain unreported. This work makes evident that penalising health care decision makers for not reporting errors, independent of error category, is crucial for reaching the first-best solution.

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    File URL: http://www.hero.uio.no/publicat/2004/HERO2004_11.pdf
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    Bibliographic Info

    Paper provided by Oslo University, Health Economics Research Programme in its series HERO On line Working Paper Series with number 2004:11.

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    Length: 19 pages
    Date of creation: 14 Jun 2009
    Date of revision:
    Handle: RePEc:hhs:oslohe:2004_011

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    Postal: HERO / Institute of Health Management and Health Economics P.O. Box 1089 Blindern, N-0317 Oslo, Norway
    Phone: 2307 5309
    Fax: 2307 5310
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    Web page: http://www.hero.uio.no/eng.html
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    Related research

    Keywords: Microeconomic theory; agency; iatrogenic injury;

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    1. Marilyn J. Simon, 1982. "Diagnoses and Medical Malpractice: A Comparison of Negligence and Strict Liability Systems," Bell Journal of Economics, The RAND Corporation, vol. 13(1), pages 170-180, Spring.
    2. Kaplow, Louis & Shavell, Steven, 1994. "Optimal Law Enforcement with Self-Reporting of Behavior," Journal of Political Economy, University of Chicago Press, vol. 102(3), pages 583-606, June.
    3. Danzon, Patricia M., 2000. "Liability for medical malpractice," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 26, pages 1339-1404 Elsevier.
    4. Sloan, Frank A, 1990. "Experience Rating: Does It Make Sense for Medical Malpractice Insurance," American Economic Review, American Economic Association, vol. 80(2), pages 128-33, May.
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