Information technology and medical missteps: Evidence from a randomized trial

Jonathan C. Javitt, James B. Rebitzer, Lonny Reisman

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


We analyze the effect of a decision support tool designed to help physicians detect and correct medical "missteps". The data comes from a randomized trial of the technology on a population of commercial HMO patients. The key findings are that the new information technology lowers average charges by 6% relative to the control group. This reduction in resource utilization was the result of reduced in-patient charges (and associated professional charges) for the most costly patients. The rate at which identified issues were resolved was generally higher in the study group than in the control group, suggesting the possibility of improvements in care quality along measured dimensions and enhanced diffusion of new protocols based on new clinical evidence.

Original languageEnglish (US)
Pages (from-to)585-602
Number of pages18
JournalJournal of Health Economics
Issue number3
StatePublished - May 2008
Externally publishedYes


  • Care quality
  • Information technology
  • Medical charges
  • Medical errors

ASJC Scopus subject areas

  • Economics and Econometrics


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