🔍 Recognising treatment errors and first steps
In brief
A treatment error exists if treatment did not follow recognised professional standards. Not every bad outcome is an error.
If the doctor recognises an error, they must inform you when you ask. They must also do so if your health would otherwise be at risk.
If you suspect one: stay calm. Collect documents. Request your record. Get help.
Step by step
- Write it downNote what happened and when. Ideally soon after the events.
- Request the recordRequest the treatment record.
- Insurer and adviceAsk your health insurer and a patient advice service.
- Choose the next routeExpert opinion, arbitration or lawsuit: see the following pages.
Deadlines
- A bad outcome alone does not prove an error. There are known risks.
- The limitation period is running. Do not wait too long.
- Do not rely only on verbal statements. Put conversations in writing.
In depth · legal basis, figures and practice – for advisers and professionals
Standard
Under § 630a Abs. 2 BGB, treatment must follow the generally recognised professional standards existing at the time of treatment. A treatment error is measured against this. Errors can lie in diagnosis, therapy, organisation or in the information given; information before treatment is covered on the page Information and consent.
Duty to inform about errors (§ 630c Abs. 2 Satz 2 BGB)
If the treating practitioner can see circumstances that give grounds to assume a treatment error, they must inform the patient "on request or to avert health risks". The law contains further rules on the use of such information in criminal or administrative fine proceedings; these were not examined in detail.
Extent in practice
According to its 2024 annual statistics, the Medizinischer Dienst (medical service of the health insurers) produced 12,304 specialist expert opinions nationwide on suspected treatment errors. In 3,301 cases (about one in four) the experts found a treatment error with harm; in 2,825 cases (about 23 per cent) the error was the cause of the harm (search extract, not full text).
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