Alfaqawi Maha, Böttcher Bettina, Abuowda Yousef, Alaloul Enas, Elnajjar Ibrahem, Elhout Somaya, Abu-El-Noor Mysoon, Abu-El-Noor Nasser
Nasser Medical Complex, Palestinian Ministry of Health Khan Younis, Gaza Strip, Palestine.
Faculty of Medicine, Islamic University of Gaza, PO Box 108, Remal Gaza, Gaza Strip, Palestine.
BMC Health Serv Res. 2020 May 7;20(1):388. doi: 10.1186/s12913-020-05230-5.
Patient safety is important, as in increasingly complex medical systems, the potential for unintended harm to patients also increases. This study assessed the attitudes of doctors in the Gaza Strip towards patient safety and medical error. It also explored variables that impacted their attitudes.
Doctors, working for at least 6 months in one of the four major government hospitals of the Gaza Strip, were invited to complete a 28-item, self-administered Arabic version of the Attitudes to Patient Safety Questionnaire III (APSQ-III); which assessed patient safety attitudes over nine domains, independent of the workplace.
A total of 150 doctors from four government hospitals participated in this study, representing 43.5% of all 345 doctors working in the four study hospitals at the time of the study. The mean age was 36.6 (±9.7) years. The majority (72.7%) were males, 28.7% worked in surgical, 26.7% in pediatric, 23.3% in medical, 16.7% in obstetrics and gynecology, and 4.7% in other departments. Most participants (62.0%) had never received patient safety training. The overall APSQ score was 3.58 ± 0.3 (of a maximum of 5). The highest score was received by the domain "Working hours as a cause of errors" (4.16) and the lowest score by "Importance of Patient Safety in the Curriculum" (3.25). Older doctors with more professional experience had significantly higher scores than younger doctors (p = 0.003), demonstrating more positive attitudes toward patient safety. Furthermore, patient safety attitudes became more positive with increasing years of experience in some domains. However, no significant impact on overall APSQ scores was found by workplace, specialty or whether the participants had received previous training about patient safety.
Doctors in Gaza demonstrated relatively positive patient safety attitudes in areas of "team functioning" and "working hours as a cause for error", but neutral attitudes in understanding medical error or patient safety training within the curriculum. Patient safety concepts appear to be acquired by doctors via informal learning over time in the job. Inclusion of such concepts into formal postgraduate curricula might improve patient safety attitudes among younger and less experienced doctors, support behaviour change and improve patient outcomes.
患者安全至关重要，因为在日益复杂的医疗系统中，患者受到意外伤害的可能性也在增加。本研究评估了加沙地带医生对患者安全和医疗差错的态度。它还探讨了影响他们态度的变量。
邀请在加沙地带四大政府医院之一工作至少6个月的医生，完成一份28项的、自我管理的阿拉伯语版《患者安全态度问卷III》（APSQ-III）；该问卷在九个领域评估患者安全态度，与工作场所无关。
来自四家政府医院的150名医生参与了本研究，占研究时在四家研究医院工作的所有345名医生的43.5%。平均年龄为36.6（±9.7）岁。大多数（72.7%）为男性，28.7%从事外科工作，26.7%从事儿科工作，23.3%从事内科工作，16.7%从事妇产科工作，4.7%在其他科室工作。大多数参与者（62.0%）从未接受过患者安全培训。APSQ总分为3.58±0.3（满分5分）。得分最高的领域是“工作时间作为差错原因”（4.16），得分最低的是“课程中患者安全的重要性”（3.25）。经验更丰富的年长医生得分显著高于年轻医生（p = 0.003），表明他们对患者安全的态度更积极。此外，在某些领域，随着工作经验的增加，患者安全态度变得更加积极。然而，工作场所、专业或参与者是否曾接受过患者安全培训对APSQ总分没有显著影响。
加沙的医生在“团队协作”和“工作时间作为差错原因”方面表现出相对积极的患者安全态度，但在理解医疗差错或课程中的患者安全培训方面态度中立。患者安全概念似乎是医生在工作中通过非正式学习逐渐获得的。将这些概念纳入正式的研究生课程可能会改善年轻和经验不足医生的患者安全态度，支持行为改变并改善患者结局。
