European Journal of Law and Economics

, Volume 20, Issue 1, pp 99–112

Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both?


DOI: 10.1007/s10657-005-1019-8

Cite this article as:
Grepperud, S. Eur J Law Econ (2005) 20: 99. doi:10.1007/s10657-005-1019-8


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 providers for not reporting errors, independent of error category, is crucial for reaching the first-best solution.


microeconomic theoryagencyiatrogenic injury

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Institute of Health Management and Health EconomicsUniversity of OsloOsloNorway