The costs of medical error in Massachusetts
Medical errors remain frequent, harmful, and costly.
In 2019, we released our first study of medical harm in Massachusetts that found almost 62,000 patient harm events in one year and estimated the cost to payers at a very conservative $617 million. Since then, costs have risen and researchers have found that, in hospitals, about one in four patients experience harm events during their admissions. These findings allow us to calculate the annual cost of patient harm events in Massachusetts hospitals with a high degree of confidence. We estimate:
- 179,478 patients experienced at least one harm event during their hospitalizations;
- Health plans paid $2.14 billion in excess claims for additional care necessitated by the harm, at least $446 million of which was paid by MassHealth.
These figures do not include costs to patients and families and to the hospitals themselves. Nor do they capture how harm events impact patient and workforce well-being and strain system capacity.
The Financial and Human Cost of Medical Error
The Betsy Lehman Center’s 2019 report details original research findings and proposes a coordinated response to accelerate improvement.
Updated Findings and an Opportunity to Accelerate Change
This 2025 report updates the Center’s pre-pandemic analysis of the financial cost of medical error in Massachusetts. It also projects harm reduction and cost savings through a state pilot of automated adverse event monitoring (AAEM).
What we’re doing about it
The Roadmap to Health Care Safety for Massachusetts is a strategic plan to propel investment, action, and transformative change.
Related Research
The Safety of Inpatient Health Care
New England Journal of Medicine
The Safety of Outpatient Health Care: Review of Electronic Health Records
Annals of Internal Medicine
The Public’s View on Medical Error in Massachusetts
Harvard School of Public Health
Patient Safety in the Commonwealth
RAND Corporation
Related News
Medical errors prevalent and costly, new survey of Massachusetts residents shows
Boston Globe
No drop in medical errors, but their human toll endures
CommonHealth WBUR
Association of open communication and the emotional and behavioural impact of medical error
BMJ Quality and Safety