Creating a Culture of Physician Event Reporting Through Resident Physician Education and Engagement

  • Jennifer M. SchmidtEmail author
  • Justin Adams
  • Kathlyn E. Fletcher
Concise Research Report


Adverse event (AE) reporting is an essential part of patient safety. However, physicians are very unlikely to report. The literature suggests that an institutional culture that embraces safety and quality is essential to supporting physician event reporting.1, 2 Additionally, reporting increases when physicians receive feedback on the actions that are taken as a result of their error reports.3 This project sought to increase reporting among internal medicine residents.


Study Design

This study occurred between September 2015 and March 2016 and was designed with four 1-month-long plan-do-study-act (PDSA) cycles, each introducing a new intervention.4We continued each intervention in subsequent cycles. While each intervention was tentatively planned at the start of the project, we analyzed the results of each set of short surveys to determine if we needed further interventions, no further need if 2 months of statistically significant changes occurred in at least two...


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.


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Copyright information

© Society of General Internal Medicine 2019

Authors and Affiliations

  1. 1.Department of Internal Medicine Saint Louis UniversitySaint LouisUSA
  2. 2.HealthFirst BluegrassLexingtonUSA
  3. 3.Department of Internal MedicineMedical College of WisconsinWauwatosaUSA
  4. 4.Clement J. Zablocki VAMCMilwaukeeUSA

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