NHS Dumfries & Galloway, Education Centre, Dumfries and Galloway Royal Infirmary, Bankend Road, Dumfries, UK.
Postgrad Med J. 2011 Nov;87(1033):750-6. doi: 10.1136/pgmj.2011.117366. Epub 2011 Jul 29.
Making healthcare safer is an international priority. Patient safety modules are now taught in medical schools, and methods to assess related student knowledge and attitudes have been developed. However, little is known about the attitudes and knowledge which foundation doctors are developing to patient safety and incident reporting in the healthcare workplace, since a specific assessment tool appears to be lacking.
To develop, content validate and pilot test an online questionnaire survey to elicit foundation doctors' knowledge and experience of patient safety and incident reporting, and assess related attitudes and behaviours.
Questionnaire content validity was facilitated through: a steering group; literature review; feedback from foundation year doctors and consultant staff; a modified Delphi group; and completion of a content validity index by experts. In 2010 a cross-sectional online survey of 110 foundation year 1 and 2 doctors was then undertaken in three Scottish NHS board areas, utilising the developed 25 item questionnaire.
The questionnaire was validated, and piloted among 69 foundation year doctors who responded to the questionnaire. The pilot has provided valuable insights into trainee attitudes and experience. For example, 32 (48%) believed that most safety incidents were due to things that they could not do anything about; and 31 (43%) admitted to being involved in medication errors which were not formally reported.
The pilot study was successful in taking the first steps to developing a validated survey questionnaire for a key staff group, foundation year doctors, in a priority area. However, the findings raise concerns about trainee experience of and attitudes to reporting, and the frequency with which incidents go unreported.
保障医疗安全是一项国际性的优先任务。目前，医学院校开设了患者安全模块课程，并开发了评估相关学生知识和态度的方法。然而，由于缺乏特定的评估工具，对于基础医生在医疗工作场所中对患者安全和事件报告的态度和知识的了解甚少。
开发、内容验证并初步测试一种在线问卷调查工具，以了解基础医生在患者安全和事件报告方面的知识和经验，并评估相关态度和行为。
通过以下方式促进问卷内容的有效性：指导小组；文献回顾；向基础年医生和顾问人员征求反馈意见；修改后的德尔菲小组；以及专家完成内容有效性指数。然后，在 2010 年，在苏格兰三个 NHS 理事会区域内，对 110 名基础年 1 年级和 2 年级的医生进行了横断面在线调查，使用开发的 25 项问卷进行了调查。
问卷得到了验证，并在 69 名回应问卷的基础年医生中进行了试点。该试点研究为培训生的态度和经验提供了有价值的见解。例如，有 32 名（48%）医生认为大多数安全事件是由于他们无法控制的事情引起的；有 31 名（43%）医生承认参与了未正式报告的用药错误。
初步研究成功地迈出了为优先领域的关键员工群体——基础年医生开发经过验证的调查问卷的第一步。然而，调查结果令人担忧，基础医生在报告方面的经验和态度以及未报告事件的频率。
