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

A. Rohani, Zahra Bameri, H. Ahmadipour
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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.
从医学实习生的角度看患者安全:伊朗的一项横断面研究
引言:由于患者安全的重要性,医护人员有必要对这一问题有足够的知识和积极的态度。因此,本研究旨在评估克尔曼医科大学(KUMS)实习生和住院医师的患者安全观。材料与方法:对2018年在昆明医科大学实习和住院的275名学员进行横断面研究。数据收集工具为波斯语版《世界卫生组织患者安全问卷》,评估医学生对患者安全的知识(7项)和态度(35项)。知识部分最低分7分,态度部分最高分30分,态度部分最高分150分。数据分析采用SPSS 19进行t检验、方差分析和多元线性回归。结果:被试的知识平均分为19.63分,显著低于考虑平均分。参与者的态度平均得分为97.33分,高于平均水平。住院医师的知识和态度得分高于实习生。知识得分与年龄和当前教育水平所花费的时间之间存在显著的相关关系。结论:实习医师和住院医师对患者安全的认知和态度基本处于中等水平。住院医师的态度和知识水平均高于实习生。这可能是由于更多的工作经验和培训课程在住院医师计划的开始。因此,在医学课程规划中考虑患者安全问题是当务之急。
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