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患者安全:卡拉奇道医学学院医学生的认知

Patient safety: Perceptions of Medical Students of Dow Medical College, Karachi.

作者信息

Shah Nusrat, Jawaid Masood, Shah Nighat, Ali Syed Moyn

机构信息

Department of Obstetrics & Gynecology, Dow University of Health Sciences, Karachi, Pakistan.

Department of Surgery, Dow International Medical College, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2015 Dec;65(12):1261-5.

Abstract

OBJECTIVE

To assess medical students' perceptions about patient safety issues before the teaching of "patient safety" can be recommended.

METHODS

The cross-sectional survey was undertaken at the Dow Medical College and Civil Hospital, Karachi, in September, 2013. Data collection tool was a structured questionnaire administered to medical students. The main outcome measures were students' perceptions about patient safety issues and their attitude towards teaching of patient safety curriculum.

RESULTS

There were 229 medical students in the study with a response rate of 100%. Overall, 129(57%) students agreed that medical errors were inevitable, but 106 (46.9) thought competent physicians do not make errors. While 167(74%) students said medical errors should be reported, 204(90%) thought reporting systems do not reduce future errors. Besides, 90(40%) students thought only physicians can determine the causes of error and nearly 177(78%)% said physicians should not tolerate uncertainty in patient care. Overall, 217(96%) agreed that patient safety is an important topic; 210(93%) agreed that it should be part of medical curriculum; 197(87%) said they would like to learn how to disclose medical errors to patients and 203(90%) to faculty members.

CONCLUSIONS

A significant knowledge gap existed among medical students regarding patient safety issues. The teaching of 'patient safety' was highly supported by students and needs to be included in medical curriculum on an urgent basis.

摘要

目的

在推荐开展“患者安全”教学之前,评估医学生对患者安全问题的认知。

方法

2013年9月在卡拉奇的道氏医学院和市民医院进行了横断面调查。数据收集工具是一份针对医学生的结构化问卷。主要结果指标是学生对患者安全问题的认知以及他们对患者安全课程教学的态度。

结果

该研究中有229名医学生,回复率为100%。总体而言,129名(57%)学生认为医疗差错不可避免,但106名(46.9%)认为称职的医生不会犯错。虽然167名(74%)学生表示医疗差错应被报告,但204名(90%)认为报告系统不会减少未来的差错。此外,90名(40%)学生认为只有医生能确定差错原因,近177名(78%)表示医生在患者护理中不应容忍不确定性。总体而言,217名(96%)同意患者安全是一个重要话题;210名(93%)同意它应成为医学课程的一部分;197名(87%)表示他们想学习如何向患者披露医疗差错,203名(90%)想向教职员工学习。

结论

医学生在患者安全问题上存在显著的知识差距。学生高度支持“患者安全”教学,迫切需要将其纳入医学课程。

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