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An evaluation of emergency room services during the New York City house officer strike.

J J McNamara and M Greene

A chart audit of emergency services provided by attending staff during the New York City House Officers' strike is compared to an audit of work previously performed by house staff. The usual quality of services provided in this institution was maintained during the strike. However, deficiencies in quality noted in house staff charts, continued to be noted in the charts of attending staff. Failure to improve quality of medical records when trained staff substitute for trainees suggests that the central strike issue of poor working conditions contributes to low quality of care.