Safety Issues Clinical Trial
Official title:
Changing Housestaff Culture and Tracking Housestaff Attitudes Regarding Patient Care and Safety
Background: The occurrence of medical errors and their deleterious effects on quality of
care delivered are widely recognized phenomena in healthcare today. This has spurned an
aggressive nationwide campaign to improve the quality of care all hospitals throughout the
country. Currently, there are numerous reports of quality improvement initiatives across
medical centers in the United States. However, a review of the literature failed to identify
any publications regarding targeted resident/housestaff involvement in hospital quality
improvement and safety related activities.
Purpose: To investigate and track housestaff attitudes on patient care, patient safety,
communication and overall quality within the institution.
Objective: To investigate, analyze and publish the results of this prospective study. The
information obtained will help us and others understand whether proactive attempts to change
housestaff culture can indeed change attitudes towards the better with regards to patient
care and safety. It is assumed that improved attitudes ultimately translates into improved
care and safety.
Methods: Each residency coordinator in each clinical department will be asked to distribute
a survey, which has already been validated for this type of investigation, to each resident
in the respective program (see attachment).
The Vice-President of Medical Affairs will provide a cover letter to help with the process.
After a week, a reminder will be distributed by the coordinators to each resident asking
them to fill out the survey. The surveys will be filled out anonymously. However, each
participant will be asked to note their sex, department and year of postgraduate training.
This process will be repeated every eight months until June of 2010. The Housestaff Quality
council (HQC) has already distributed and collected this survey. The results of those
surveys will be used in a retrospective part of this study. The results of (HQC) survey will
be used to establish a baseline of the housestaff attitudes at the New York Presbyterian
Hospital-Weill Cornell.
Data will be stored on a password protected computer. The Institutional Review Board (IRB),
Office of Human Research Protection and Food and Drug Administration and all appropriate
federal oversight agencies may have access to those files.
Each residency coordinator in each clinical department will be asked to distribute a survey, which has already been validated for this type of investigation, to each resident in the respective program ;
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