Ayub Ayesha, Khan Rehan Ahmed
Independent Medical College, Faisalabad.
Riphah International University, slamic International Medical College, Rawalpindi.
J Pak Med Assoc. 2018 Sep;68(9):1350-1357.
To explore the awareness of faculty and medical students about students' roles with respect to patient safety and to define the domains that should be made a part of undergraduate curriculum.
The descriptive exploratory qualitative research was conducted from December 2016 to March 2017 at Islamic International Medical College, Rawalpindi, Pakistan, and comprised faculty members and final year medical students. World Health Organisation patient safety curriculum guideline for undergraduate medical schools was taken as the reference. Initially 12 codes for faculty and 18 for students were formed which were later reduced to 6 themes: importance of patient safety education; importance of strong student-patient relationship; code of conduct; students and effective team; students' part in management plans; and students and medical errors. Sub themes were also defined. Thematic narrative analysis was done using Atlas ti software.
Of the 30 participants, 12(40%) were faculty members and 18(60%) were students. All (100%) the participants were of the view that patient safety is an important issue, especially for the future doctors and young professionals. All (100%) the participants were aware of the importance of a strong and trustworthy relationship between the patients and doctors. All (100%) the participants suggested that the students must follow proper code of conduct when they come to the wards. The participants advocated the need of establishing a system and culture where students can go and report an error comfortably. The participants identified defective communication to be one of the leading causes of medical errors.
The need to bring reforms in medical curriculum with respect to patient safety was stressed.
探讨教师和医学生对学生在患者安全方面角色的认知,并确定应纳入本科课程的领域。
2016年12月至2017年3月在巴基斯坦拉瓦尔品第的伊斯兰国际医学院开展了描述性探索性定性研究,研究对象包括教师和医学专业最后一年的学生。以世界卫生组织本科医学院校患者安全课程指南为参考。最初为教师制定了12个编码,为学生制定了18个编码,后来缩减为6个主题:患者安全教育的重要性;牢固的学生-患者关系的重要性;行为准则;学生与高效团队;学生在管理计划中的作用;以及学生与医疗差错。还定义了子主题。使用Atlas ti软件进行主题叙事分析。
30名参与者中,12名(40%)为教师,18名(60%)为学生。所有(100%)参与者都认为患者安全是一个重要问题,尤其是对未来的医生和年轻专业人员而言。所有(100%)参与者都意识到患者与医生之间建立牢固且可信赖关系的重要性。所有(100%)参与者都建议学生到病房时必须遵守适当的行为准则。参与者主张需要建立一个系统和文化,让学生能够自在地去报告差错。参与者认为沟通不畅是医疗差错的主要原因之一。
强调了在医学课程中就患者安全进行改革的必要性。