Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT).
This survey of surgical trainees found that the majority had witnessed practices or behaviors among colleagues that posed risks to patient safety, including poor performance and disruptive behavior. However, a large proportion reported that they had failed to escalate these concerns, as well as concerns about unsafe systems of care, due to fear of reprisal or negative effects on their career. The study points to the need to improve the culture of safety within surgical training.
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