title: Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors?
abstract: BACKGROUND
  Internal Medicine resident (IMR) physician reporting of patient safety events (PSEs) is suboptimal and may be related to poor attitudes toward reporting.
  
  
  OBJECTIVE
  The objective was to evaluate the impact of a PSE reporting expectation on the rates of reporting among IMRs.
  
  
  METHODS
  In this prospective cohort study, IMRs were informed of an expectation to submit 1 or more PSE report per month based on the ACGME core competencies. The PSE reports were collected over 9 months and compared with a 4-month baseline before the expectation. Report quality and IMRs' attitudes were also evaluated.
  
  
  RESULTS
  There was a significant and initial increase in the total number of reports. However, the number of IMRs meeting the expectation of 1 or more report per month initially rose but was not sustained over the 9-month observational period. Report quality and IMRs attitudes toward reporting were positive but unchanged over time.
  
  
  CONCLUSIONS
  Although a reporting expectation increased the total number of reports, the majority of IMRs did not maintain a 1 or more PSE report per month despite positive attitudes.
authors.affiliation: University of Illinois at Chicago, USA. jboike@uic.edu
authors.forename: Justin R
authors.initials: JR
authors.lastname: Boike
authors.forename: Jared S
authors.initials: JS
authors.lastname: Bortman
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Radosta
authors.forename: Crescent L
authors.initials: CL
authors.lastname: Turner
authors.forename: Lisa
authors.initials: L
authors.lastname: Anderson-Shaw
authors.forename: Nikki M
authors.initials: NM
authors.lastname: Centomani
authors.forename: William H
authors.initials: WH
authors.lastname: Chamberlin
authors.forename: David
authors.initials: D
authors.lastname: Mayer
authors.forename: Timothy
authors.initials: T
authors.lastname: McDonald
authors.forename: Jay L
authors.initials: JL
authors.lastname: Goldstein
mesh_terms: D001291:Attitude of Health Personnel; D030881:Disclosure; D005260:Female; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008297:Male; D061214:Patient Safety; D015397:Program Evaluation; D011446:Prospective Studies