Pirzadeh Akbar, Kamran Aziz, Hasanzadeh Mohammad
Department of Surgery, School of Medicine, Fatemi Hospital, Ardabil University of Medical Sciences, Ardabil, Iran.
Department of Community Medicine, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
J Adv Med Educ Prof. 2023 Jan;11(1):61-67. doi: 10.30476/JAMP.2022.94403.1584.
Medical errors are a serious problem in providing medical care and ensuring the health of society, and discovering the causes of errors to minimize the possibility of their occurrence is one of the main challenges in the field of treating patients. This study aimed to determine the relationship between professional identity, performance and attitude to self-reported medical errors among medical interns of Ardabil University of Medical Sciences.
This cross-sectional analytical study was conducted on 187 medical interns with census method in five Ardabil educational hospitals in the second semester of 2020-2021. Data collection tool was a questionnaire consisting of 3 parts (demographic, self-reported attitude towards medical errors and professional identity). The validity of the questionnaire was evaluated using Content validity index (CVI) and Content validity ratio (CVR). The reliability of the attitude section was 0.78 and 0.86 for professional identity section. Data analyses were performed using the IBM SPSS Statistics, version 21 by descriptive statistics, such as mean and standard deviation and independent T-test, chi-square and one-way ANOVA. P-values <0.05 were considered statistically significant.
The mean scores of students' attitudes towards self-report and professional identity were 55.6±8.8 and 60.4±9.8. Less than 50% of the students declared the possibility of reporting their medical errors. There were no significant differences in the mean scores of self-reported attitude, medical error and professional identity according to grade point average, type of faculty and students' gender (P>0.05).
The attitude and performance of students regarding the self-disclosure of medical errors was not satisfactory, and it seems that the analysis of the educational programs in the education of medical errors and the legal and ethical aspects of errors needs serious attention.
医疗差错是提供医疗服务和保障社会健康方面的一个严重问题，找出差错原因以尽量减少其发生可能性是患者治疗领域的主要挑战之一。本研究旨在确定阿尔达比勒医科大学医学实习生的职业认同、表现与自我报告的医疗差错态度之间的关系。
本横断面分析研究于2020 - 2021学年第二学期在阿尔达比勒的五所教学医院采用普查法对187名医学实习生进行。数据收集工具是一份问卷，由3部分组成（人口统计学、自我报告的医疗差错态度和职业认同）。问卷的效度使用内容效度指数（CVI）和内容效度比（CVR）进行评估。态度部分的信度为0.78，职业认同部分为0.86。使用IBM SPSS Statistics 21版进行数据分析，采用描述性统计，如均值和标准差，以及独立t检验、卡方检验和单因素方差分析。P值<0.05被认为具有统计学意义。
学生对自我报告和职业认同的态度平均得分分别为55.6±8.8和60.4±9.8。不到50%的学生表示有可能报告自己的医疗差错。根据平均绩点、学院类型和学生性别，自我报告态度、医疗差错和职业认同的平均得分没有显著差异（P>0.05）。
学生在医疗差错自我披露方面的态度和表现不尽人意，似乎对医疗差错教育中的教育计划以及差错的法律和伦理方面进行分析需要给予认真关注。
