Department of Social Medicine, College of Medicine, Dankook University College of Medicine, Cheonan, Republic of Korea.
Department of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, Republic of Korea.
BMC Med Educ. 2018 Apr 4;18(1):66. doi: 10.1186/s12909-018-1180-8.
The purpose of this study was to examine undergraduate medical students' perceptions and intentions regarding patient safety during clinical clerkships.
Cross-sectional study administered in face-to-face interviews using modified the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS) from three colleges of medicine in Korea. We assessed medical students' perceptions of the cultures ('safety', 'teamwork', and 'error disclosure'), 'behavioural intentions' concerning patient safety issues and 'overall patient safety'. Confirmatory factor analysis and Spearman's correlation analyses was performed. In total, 194(91.9%) of the 211 third-year undergraduate students participated.
78% of medical students reported that the quality of care received by patients was impacted by teamwork during clinical rotations. Regarding error disclosure, positive scores ranged from 10% to 74%. Except for one question asking whether the disclosure of medical errors was an important component of patient safety (74%), the percentages of positive scores for all the other questions were below 20%. 41.2% of medical students have intention to disclose it when they saw a medical error committed by another team member.
Many students had difficulty speaking up about medical errors. Error disclosure guidelines and educational efforts aimed at developing sophisticated communication skills are needed. This study may serve as a reference for other institutions planning patient safety education in their curricula. Assessing student perceptions of safety culture can provide clerkship directors and clinical service chiefs with information that enhances the educational environment and promotes patient safety.
本研究旨在探讨医学生在临床实习期间对患者安全的认知和意向。
采用横断面研究，在韩国三所医学院以改良版的医学生安全态度与专业精神调查问卷（MSSAPS）进行面对面访谈。我们评估了医学生对文化（“安全”、“团队合作”和“错误披露”）、有关患者安全问题的“行为意向”和“整体患者安全”的看法。进行了验证性因子分析和斯皮尔曼相关分析。共有 194 名（211 名三年级本科生的 91.9%）参与了研究。
78%的医学生报告说，在临床轮转期间，团队合作影响了患者的护理质量。关于错误披露，积极评分范围从 10%到 74%。除了一项关于披露医疗错误是否是患者安全的重要组成部分的问题（74%）外，其他所有问题的积极评分百分比均低于 20%。41.2%的医学生在看到另一个团队成员犯医疗错误时有披露的意向。
许多学生在谈论医疗错误方面有困难。需要制定错误披露指南和教育措施，以发展复杂的沟通技巧。本研究可为其他计划在课程中进行患者安全教育的机构提供参考。评估学生对安全文化的认知，可以为实习主任和临床服务主管提供信息，从而改善教育环境，促进患者安全。
