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American Journal of Medical Quality
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Attitudes About Patient Safety: A Survey of Physicians-in-Training

Rachel Sorokin, MD

Thomas Jefferson University Hospital, Philadelphia, Pennsylvania

Jeff M. Riggio, MD

Division of General Internal Medicine, Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, jeff.riggio{at}jefferson.edu

Constance Hwang, MD

Johns Hopkins University

Little is known about the attitudes of physicians-in-training on patient safety, although success in error reduction strategies requires their support. We surveyed house staff and fourth-year medical students from 1 academic institution about their perceptions of adverse patient events. Three hundred twenty-one trainees (41%) completed the survey. Most believe adverse events are preventable (61%) and think improved teamwork (88%), better procedural training (74%), and improved sign-out (70%) would reduce medical mishaps. Forty-seven percent of trainees agree computerized order entry and restricted work hours would prevent adverse events. Although 60% feel malpractice fears inhibit discussion, 80% of trainees agreed physicians must disclose adverse events to patients and grow more comfortable with disclosure as training progresses (P for trend <.01). In conclusion, trainees believe adverse events are preventable and are poised to respond to many components of the patient safety movement.

Key Words: patient safety • attitudes of medical personnel • medical education • medical errors • adverse events

American Journal of Medical Quality, Vol. 20, No. 2, 70-77 (2005)
DOI: 10.1177/1062860604274383


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