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

Raf Van Gestel, Tobias Mueller and Johan Bosmans

Diskussionsschriften from Universitaet Bern, Departement Volkswirtschaft

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.

Keywords: Physician behavior; Learning; Failure (search for similar items in EconPapers)
JEL-codes: I10 I13 I18 C93 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-knm
Date: 2018-04
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