Patient safety event reporting expectation: Does it influence residents' attitudes and reporting behaviors?

Justin Richard Boike*, Jared S. Bortman, Jonathan M. Radosta, Crescent L. Turner, Lisa Anderson-Shaw, Nikki M. Centomani, William H. Chamberlin, David Mayer, Timothy McDonald, Jay L. Goldstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Background: Internal Medicine resident (IMR) physician reporting of patient safety events (PSEs) is suboptimal and may be related to poor attitudes toward reporting. Purpose: 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.

Original languageEnglish (US)
Pages (from-to)59-67
Number of pages9
JournalJournal of Patient Safety
Issue number2
StatePublished - Jun 2013


  • Internal medicine
  • Medical education
  • Medical error reporting
  • Patient safety
  • Patient safety events
  • Reporting

ASJC Scopus subject areas

  • Leadership and Management
  • Public Health, Environmental and Occupational Health


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