| Physicians-in-Training Attitudes on Patient Safety: 2003 to 2008. | |
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MedLine Citation:
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PMID: 21857242 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: : Physician trainees will embody medicine's future culture. We assess whether trainees' patient safety attitudes have evolved over time. METHODS: : We anonymously surveyed more than 800 house staff and fourth-year medical students (MS 4) in 2008, at 1 academic institution, with a 19-item questionnaire and compared their responses to the 2003 responses at the same institution on the same questionnaire. RESULTS: : A total of 463 trainees (53%) completed the 2008 survey, with a mean overall safety score of 3.54, which significantly improved from the 2003 overall score of 3.41 (P < 0.001). Compared with those from 2003, respondents in 2008 more strongly agree that physician-nurse teamwork (P = 0.001), attending supervision (P = 0.017), 80-hour workweek (P < 0.001), computer order entry (P < 0.001), and improved resident sign-out (P < 0.001) help reduce adverse events. The 2008 trainees feel more prepared to prevent adverse events (P = 0.030) and more acknowledge the ethical responsibility to disclose adverse events to patients (P = 0.002). However, compared with 2003, fewer 2008 respondents felt that reducing nurses' patient load would reduce adverse events (P = 0.015); on 8 questionnaire items, there were no significant attitudinal changes between 2003 and 2008. CONCLUSIONS: : Physician trainee safety attitudes at 1 institution improved between 2003 and 2008, and these trainees support many system-based solutions to adverse events. The changes seem incremental and responses do not fully align with all aspects of a safety culture. Cultural change in health care must involve trainees and address their attitudes. |
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Authors:
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Rachel Sorokin; Jeffrey M Riggio; Stephanie Moleski; Jacqueline Sullivan |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of patient safety Volume: 7 ISSN: 1549-8425 ISO Abbreviation: J Patient Saf Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-08-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101233393 Medline TA: J Patient Saf Country: United States |
Other Details:
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Languages: eng Pagination: 132-7 Citation Subset: IM |
Affiliation:
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From the *Thomas Jefferson University Hospital, Divisions of †Internal Medicine and ‡Hospital Medicine, Department of Medicine, Thomas Jefferson University, and §Division of Gastroenterology, Department of Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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