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. 

Read the updated report

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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.

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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. 

Learn more

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