To err on humans is not benign: Incentives for adoption of medical error-reporting systems

Journal of Health Economics

Volumn 23, Issue 5, 2004, Pages 935-949

  Zivin, Joshua Graff ^a   Pfaff, Alexander S P ^b  

^a Department of Medicine   (United States)

^b Columbia University 10032 ^*  (United States)

Author keywords

Event reporting; I1; L5; Liability; Malpractice; Medical errors

Indexed keywords

HEALTH SERVICES;

ARTICLE; HEALTH CARE PERSONNEL; HEALTH CARE POLICY; HOSPITAL CARE; MALPRACTICE; MEDICAL ERROR;

HEALTH PERSONNEL; HUMANS; LEGISLATION, HOSPITAL; LIABILITY, LEGAL; MALPRACTICE; MANDATORY REPORTING; MEDICAL ERRORS; MOTIVATION; PROBABILITY; QUALITY ASSURANCE, HEALTH CARE; RISK MANAGEMENT;

EID: 4444272795     PISSN: 01676296     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jhealeco.2004.01.003     Document Type: Article

References (28)

1. Abraham K., Weiler P. Enterprise medical liability and the evolution of the American healthcare system. Harvard Law Review. 108:1994;381
2. Becker G.S. Crime and punishment: an economic approach. Journal of Political Economy. 76:1968;169-217
3. Bovbjerg R., Sloan F. No fault for medical injury: theory and evidence. University of Cincinnati Law Review. 67:1998;53-123
4. Brennan T., Leape L., Laird N., et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. New England Journal of Medicine. 324:1991;370-376
5. Brennan T. The institute of medicine report on medical errors - could it do harm? New England Journal of Medicine. 342:2000;1123-1125
6. David, B., Appleby, J., 1999. Medical Mistakes 8th Top Killer. USA Today, November 30.
7. Environmental Protection Agency (EPA), 1995. Incentives for self-policing: discovery, disclosure, correction and prevention of violations. Fed. Reg. 66,706, 22 December.
8. Grossman S., Hart O. An analysis of the principal-agent problem. Econometrica. 51(1):1983;7-45
9. Iezonni L.I. The risks of risk adjustment. Journal of American Medical Association. 278:1997;1600-1607
10. Innes R. Self-policing and optimal law enforcement when violator remediation is valuable. Journal of Political Economy. 7(6):1999;1305-1325
11. JCAHO, 2004. Sentinel Events Policy, online at http://www.jcaho.org.
12. Kaplow L., Shavell S. Optimal law enforcement with self-reporting of behavior. Journal of Political Economy. 102(3):1994;583-606
13. Kohn, L., Corrigan, J., Donaldson, M. (Eds.), 1999. To Err is Human: Building a Safer Health System. National Academy Press, Washington, DC.
14. Leape N., Brennan T., Laird N., et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. New England Journal of Medicine. 324:1991;377-384
15. Leape N., Woods D., Hatlie M., et al. Promoting patient safety by preventing medical error. Journal of American Medical Association. 280:1998;1444-1447
16. Liang B. Error in medicine: legal impediments to US reform. Journal of Health Politics, Policy, and Law. 24:1999;27-58
17. Liang B. Risks of reporting sentinel events. Health Affairs. 19:2000;112-120
18. Liang B. Creating problems as part of the 'solution': the JCAHO sentinel event policy, legal issues, and patient safety. Journal of Health Law. 33:2000;263-276
19. Medical Error Reduction Act, 2000. S2038, 106th Congress, 2nd Session, 2000.
20. MIT, 2001. Surgical black box. Technology Review 104 (10), 19.
21. Patient Safety and Errors Reduction Act, 2000. S2738, 106th Congress, 2nd Session, 2000.
22. Pear, R., 1999. Group Asking U.S. for New Vigilance in Patient Safety. New York Times, November 30.
23. Pfaff A.S.P., Sanchirico C.W. Environmental self-auditing. Journal of Law, Economics & Organization. 16(1):2000;189-208
24. Polasky S., Doremus H. When the truth hurts: endangered species policy on private land with imperfect information. Journal of Environmental Economics and Management. 35:1998;22-47
25. Sage W., Hastings K., Berenson R. Enterprise liability for medical malpractice and healthcare quality improvement. American Journal of Law and Medicine. 20:1994;1-28
26. Sage W. Principles, pragmatism, and medical injury. Journal of American Medical Association. 286:2001;226-228
27. Studdert D., Brennan T. No-fault compensation for medical injuries: the prospect for error prevention. Journal of American Medical Association. 286:2001;217-223
28. Vincent C. Understanding and responding to adverse events: health policy report on patient safety. The New England Journal of Medicine. 348(11):2003;1051-1056