TAILIEUCHUNG - Who Pays for Medical Errors? An Analysis of Adverse Event Costs, the Medical Liability System, and Incentives for Patient Safety Improvement

You may decide you want your walk to finish in the same place as the start. If so, you will need to think about how to separate the starters from the finishers – either by using a different part of the park for example, or by being sure that no one will finish the course before the last person sets off. You need to set up a well-defined finish line to give walkers that moment of knowing that they’ve completed the distance. As well as the all-important finish line the finish site should ideally offer toilets and refreshments and. | Journal of Empirical Legal Studies Volume 4 Issue 4 835-860 December 2007 Who Pays for Medical Errors An Analysis of Adverse Event Costs the Medical Liability System and Incentives for Patient Safety Improvement Michelle M. Mello David M. Studdert Eric J. Thomas Catherine S. Yoon and Troyen A. Brennan Patient safety advocates argue that the high costs of adverse events create economic incentives for hospitals to invest in safety improvements. However this may not be the case if hospitals externalize the bulk of these costs. Analyzing data on 465 hospital adverse events derived from medical record reviews we investigated the amounts that hospitals and other payers incurred in medical-injury-related expenses. On average the sampled hospitals generated injury-related costs of 2 013 and negligent-injury-related costs of 1 246 per discharge. However hospitals bore only 22 percent of these costs. Legal reforms or market interventions may be required to address this externalization of injury costs. Address correspondence to Michelle M. Mello Harvard School of Public Health 677 Huntington Ave. Boston MA 02115 email mmello@. Mello is the C. Boyden Gray Associate Professor of Health Policy and Law Harvard School of Public Health Studdert is a Federation Fellow and Professor of Law at University of Melbourne Thomas is Associate Professor of Medicine at the University of Texas-Houston Medical School Yoon is a Senior Statistical Programmer Analyst at Brigham and Women s Hospital in Boston Brennan is Chief Medical Officer of Aetna. This work was funded by a grant from the Commonwealth Fund Grant 20020530 . The original data collection was funded by the Robert Wood Johnson Foundation. All views presented herein are solely those of the authors. The authors gratefully acknowledge programming assistance from Timothy Zeena research assistance from Carly Kelly and helpful comments on earlier drafts of the article from Bill Sage and participants at the Columbia Law .

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