Main Article Content
Background: Understand patient safety attitude in medical students is important and useful to improve teaching on patient safety at undergraduate level.
Objective: To assess the attitude on patient safety in clinical year medical students.
Methods: A cross-sectional survey was conducted in 4th to 6th year medical students in Maharat Nakhon Ratchasima Hospital from August to September 2018. The 26-item Attitudes toward Patient Safety Questionnaire (APSQ) was sent via Google Forms to medical students for voluntary, anonymous answer. The 9 topics of patient safety culture were collected and analyzed.
Results: There were 106 of 128 medical students responded to the questionnaire. In 9 topics of safety culture, the highest positive attitude in medical students was working hours as an error cause (76.1%). Meanwhile, the lowest positive attitude was professional incompetence as an error cause (26.9%). Neither academic year nor grade point average (GPA) of medical students was associated with positive attitude score. Half of medical students reported a positive attitude of the importance of patient safety in the curriculum.
Conclusions: Medical students had positive attitude of patient safety. Perspective in systems thinking of patient safety should be emphasized in patient safety education of medical students.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
2. Abd Elwahab S, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;(6):297-300. doi:10.1016/j.surge.2014.06.004.
3. Weaver SJ, Lubomksi LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):369-374. doi:10.7326/0003-4819-158-5-201303051-00002.
4. Kachalia A. Improving patient safety through transparency. N Engl J Med. 2013;369(18):1677-1679. doi:10.1056/NEJMp1303960.
5. Kohn LT, Corrigan JM, Donaldson MS, eds. To Err Is Human: Building a Safer Health System. Committee on Quality of Health Care in America, Institute of Medicine. Washington, DC: National Academy Press; 2000. https://books.nap.edu/catalog/9728.html. Accessed April 4, 2019.
6. Oates K, Wilson I, Hu W, Walker B, Nagle A, Wiley J. Changing medical student attitudes to patient safety: a multicentre study. BMC Med Educ. 2018;18(1):205. doi:10.1186/s12909-018-1313-0.
7. Wetzel AP, Dow AW, Mazmanian PE. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof. 2012;35(2):221-238. doi:10.1177/0163278711414560.
8. Carruthers S, Lawton R, Sandars J, Howe A, Perry M. Attitudes to patient safety amongst medical students and tutors: developing a reliable and valid measure. Med Teach. 2009;31(8):e370-e376.
9. Google. Google Forms. https://www.google.com/forms. Accessed April 4, 2019.
10. Walton M, Woodward H, Van Staalduinen S, et al. The WHO patient safety curriculum guide for medical schools. Qual Saf Health Care. 2010;19(6):542-546. doi:10.1136/qshc.2009.036970.
11. Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. doi:10.1136/bmj.320.7237.768.
12. Wong KC. Using an Ishikawa diagram as a tool to assist memory and retrieval of relevant medical cases from the medical literature. J Med Case Rep. 2011;5:120. doi:10.1186/1752-1947-5-120.
13. Braithwaite J, Herkes J, Ludlow K, Lamprell G, Testa L. Association between organisational and workplace cultures, and patient outcomes: systematic review protocol. BMJ Open. 2016;6(12):e013758. doi:10.1136/bmjopen-2016-013758.
14. Liu H, Li Y, Zhao S, et al. Perceptions of patient safety culture among medical students: a cross-sectional investigation in Heilongjiang Province, China. BMJ Open. 2018;8(7):e020200. doi:10.1136/bmjopen-2017-020200.
15. Leung GK, Ang SB, Lau TC, Neo HJ, Patil NG, Ti LK. Patient safety culture among medical students in Singapore and Hong Kong. Singapore Med J. 2013;54(9):501-505. doi:10.11622/smedj.2013172.