Scandinavian Working Papers in Economics
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Health Economics Research Programme, University of Oslo HERO On line Working Paper Series

No 2004:11:
Medical errors: Mandatory reporting, voluntary reporting, or both?

Sverre Grepperud ()

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.

Keywords: Microeconomic theory; agency; iatrogenic injury; (follow links to similar papers)

JEL-Codes: D82; I18; K42; (follow links to similar papers)

19 pages, June 14, 2009

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