title: Do specialty registrars change their attitudes, intentions and behaviour towards reporting incidents following a patient safety course?
abstract: BACKGROUND
  Reporting incidents can contribute to safer health care, as an awareness of the weaknesses of a system could be considered as a starting point for improvements. It is believed that patient safety education for specialty registrars could improve their attitudes, intentions and behaviour towards incident reporting. The objective of this study was to examine the effect of a two-day patient safety course on the attitudes, intentions and behaviour concerning the voluntary reporting of incidents by specialty registrars.
  
  
  METHODS
  A patient safety course was designed to increase specialty registrars' knowledge, attitudes and skills in order to recognize and cope with unintended events and unsafe situations at an early stage. Data were collected through an 11-item questionnaire before, immediately after and six months after the course was given.
  
  
  RESULTS
  The response rate at all three points in time assessed was 100% (n = 33). There were significant changes in incident reporting attitudes and intentions immediately after the course, as well as during follow-up. However, no significant changes were found in incident reporting behaviour.
  
  
  CONCLUSIONS
  It is shown that patient safety education can have long-term positive effects on attitudes towards reporting incidents and the intentions of registrars. However, further efforts need to be undertaken to induce a real change in behaviour.
authors.affiliation: Foreest Medical School, Medical Center Alkmaar, Wilhelminalaan 12, 1815JD Alkmaar, the Netherlands. j.d.jansma@mca.nl
authors.forename: José D
authors.initials: JD
authors.lastname: Jansma
authors.forename: Dorien L M
authors.initials: DL
authors.lastname: Zwart
authors.forename: Ian P
authors.initials: IP
authors.lastname: Leistikow
authors.forename: Cor J
authors.initials: CJ
authors.lastname: Kalkman
authors.forename: Cordula
authors.initials: C
authors.lastname: Wagner
authors.forename: Arnold B
authors.initials: AB
authors.lastname: Bijnen
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003479:Curriculum; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000193:education* / Q000523:psychology; D008511:Medicine; D010043:Outcome and Process Assessment, Health Care; D012308:Risk Management / Q000592:standards*; D017751:Safety Management; D011795:Surveys and Questionnaires; D006113:United Kingdom