Learning from failure in healthcare: Dynamic panel evidence of a physician shock effect
研究医生或团队在介入医疗中的操作失败如何影响后续患者结果,发现前一位患者死亡会显著提高下一位患者的生存率,但这种学习效应短暂且通过不良事件传递。
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 registry containing information on the first 860 transcatheter aorta valve implantation 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.