Patient safety from the perspective of medical trainees: a cross sectional study in Iran

Document Type : Original Article

Authors

1 Department of Community and Family Medicine, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

2 School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

3 Associate Professor of Community Medicine, Social Determinants of Health Kerman University of Medical Sciences, Kerman, Iran

Abstract

Introduction: Due to the importance of patient safety, it is necessary that health care providers have sufficient knowledge and positive attitude toward this issue. Therefore, current study aimed to evaluate the patient safety viewpoint among trainees in internship and residency programs in Kerman University of Medical Sciences (KUMS).
Materials and Methods: A cross-sectional study carried out on 275 trainees in internship and residency in KUMS, 2018. The data collection tool was the Persian version of World Health Organization, Patient Safety questionnaire which evaluates medical students’ knowledge (7 items) and attitude (35 items) toward patient safety. The minimum and maximum score was 7 and 35 for knowledge and 30 and 150 for attitude section. Data analyzed by SPSS 19 using T-test, ANOVA, and multiple linear regressions.
Results: The mean score of participants' knowledge was 19.63 which were significantly lower than the considered average. The mean score of participants' attitude was 97.33 which was considered higher than the average. Residents had higher knowledge and attitude scores compared to interns. A significant relationship was found between the knowledge score and age and the time spent in the current educational level.
Conclusion: Our study showed that knowledge and attitude of interns and residents was almost moderate toward patient safety. The residents had a higher attitude and knowledge than interns. This is probably due to more work experience and training courses provided at the beginning of the residency program. Therefore, it is imperative that patient safety topics be considered in medical curriculum planning.

Keywords


  1. World Health Organization. Summary of the evidence on patient safety: implications for research. Geneva , Switzerland  Publications of the World Health Organization; 2008
  2. World Health Organization. Patient safety 2018 [cited 2018]. Available from: http://www.who.int/patientsafety/en/.
  3. Jha AK, Larizgoitia I, Audera-Lopez C, Prasopa-Plaizier N, Waters H, Bates DW. The global burden of unsafe medical care: analytic modelling of observational studies. BMJ Qual Saf. 2013; 22:809-13.PMID:24048616
  4. Torabi F, Rashidian A, Sedaghat M, Prasopa-Plaizier N. The incidence, nature and consequences of adverse events in Iranian hospitals. Arch Iran Med. 2015 Dec 1; 18(12):811.PMID:26621012
  5. World Health Organization. Patientsafety [11/5/2018]. Available from: http://www.who.int/patientsafety/SummaryReport_WHA71_PSU-side-event.pdf?ua=1.
  6. Kim L, Lyder CH, McNeese‐Smith D, Leach LS, Needleman J. Defining attributes of patient safety through a concept analysis. J Adv Nurs. 2015 Nov; 71(11):2490-503.PMID:26122016
  7. Ahmadipour H, Nahid M. Medical error and related factors during internship and residency. Indian J Med Ethics. 2015; 12(4):215-9.PMID:26592783
  8. Colla JB, Bracken AC, Kinney LM, Weeks WB. Measuring patient safety climate: a review of surveys. BMJ Quality & Safety. 2005 Oct 1; 14(5):364-6.PMID:16195571
  9. Reis CT, Paiva SG, Sousa P. The patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions. Int J Qual Health Care. 2018 May 17; 30(9):660-77.PMID:29788273
  10. Azami-Aghdash S, Azar FE, Rezapour A, Azami A, Rasi V, Klvany K. Patient safety culture in hospitals of Iran: a systematic review and meta-analysis. Med J Islam Repub Iran. 2015; 29:251.PMID:26793642
  11. Tabrizchi N, Sedaghat M. The first study of patient safety culture in Iranian primary health centers. Acta Med Iran. 2012; 50(7):505-10.PMID:22930384
  12. World Health Organization. Patient safety [cited 2018]. Available from: http://www.who.int/patientsafety/education/curriculum/Topic1_questionnaire_before.pdf.
  13. Nabilou B, Rasouli J, Khalilzadeh H. Patient Safety Status in Medical Education: Students Perception, Knowledge and Attitude. Research in Medical Education. 2013 Oct 15; 5(2):23-31.(Persian)
  14. Blasiak RC, Stokes CL, Meyerhoff KL, Hines RE, Wilson LA, Viera AJ. A cross-sectional study of medical students' knowledge of patient safety and quality improvement. N C Med J. 2014 Jan 1; 75(1):15-20.PMID:24487752
  15. Leung GK, Patil NG. Patient safety in the undergraduate curriculum: medical students' perception. Hong Kong Med J. 2010. 16(2):101-5. PMID:20354243
  16. Nie Y, Li L, Duan Y, Chen P, Barraclough BH, Zhang M, Li J. Patient safety education for undergraduate medical students: a systematic review. BMC Med Educ. 2011 Dec; 11(1):33.PMID:21669007
  17. Liu H, Li Y, Zhao S, Jiao M, Lu Y, Liu J, Jiang K, Fang H, Sun P, Li P, Wang Y. Perceptions of patient safety culture among medical students: a cross-sectional investigation in Heilongjiang Province, China. BMJ open. 2018 Jul 1; 8(7):e020200.PMID:30002006
  18. Gaupp R, Körner M, Fabry G. Effects of a case-based interactive e-learning course on knowledge and attitudes about patient safety: a quasi-experimental study with third-year medical students. BMC Med Educ. 2016 Dec; 16(1):172.PMID:27400872
  19. Dankbaar ME, Richters O, Kalkman CJ, Prins G, Ten Cate OT, van Merrienboer JJ, Schuit SC. Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. BMC Med Educ. 2017 Dec; 17(1):30.PMID:28148296
  20. Zare Fazlollahi Z, Mohaddesi H, Hemmati Maslakpak M. Attitude among Urmia Medical University health workers about patient safety. The Journal of Urmia Nursing and Midwifery Faculty. 2013; 11(8):606-13.(Persian)
  21. Kamran R, Bari A, Khan RA, Al-Eraky M. Patient Safety Awareness among Undergraduate Medical Students in Pakistani Medical School. Pak JMed Sci. 2018 Mar; 34(2):305.PMID: 29805398