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Learning from failure in healthcare: Dynamic panel evidence of a physician shock effect

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Listed:
  • Raf Van Gestel
  • Tobias Mueller
  • Johan Bosmans

Abstract

Procedural failures of physicians or teams in interventional healthcare may positively or negatively predict subsequent patient outcomes. We identify this effect by applying (non-)linear dynamic panel methods to data from the Belgian Transcatheter Aorta Valve Implantation (TAVI) registry containing information on the first 860 TAVI procedures in Belgium. We find that a previous death of a patient positively and significantly predicts subsequent survival of the succeeding patient. We find that these learning from failure effects are not long-lived and that learning from failure is transmitted across adverse events.

Suggested Citation

  • Raf Van Gestel & Tobias Mueller & Johan Bosmans, 2018. "Learning from failure in healthcare: Dynamic panel evidence of a physician shock effect," Diskussionsschriften dp1809, Universitaet Bern, Departement Volkswirtschaft.
    • Handle: RePEc:ube:dpvwib:dp1809
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    More about this item

    Keywords

    Physician behavior; Learning; Failure;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C93 - Mathematical and Quantitative Methods - - Design of Experiments - - - Field Experiments

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