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巴勒斯坦视角下护理专业学生临床实习期间医疗差错认知的评估

Assessment of medical errors awareness among nursing students during their clinical internship: Palestinian perspectives.

作者信息

Salameh Basma, Alkubati Sameer A, Kassabry Mayas, Qtait Faeda, Hammad Bahaaeddin M, Hussein Abeer, Anabtawy Rasmieh, Qaddumi Jamal, ALBashtawy Mohammed, Mousa Ola

机构信息

Faculty of Nursing, Arab American University, Jenin, Palestine.

Department of Medical Surgical Nursing, College of Nursing, University of Hail, Hail, Saudi Arabia.

出版信息

BMC Med Educ. 2025 Jul 22;25(1):1095. doi: 10.1186/s12909-025-07692-9.

Abstract

BACKGROUND

Medical errors are a major concern for patient safety in healthcare institutions globally, making this a critical public health issue leading to significant problems, including increased hospital stays and higher mortality rates.

OBJECTIVES

This study aims to assess nursing students' awareness of medical errors during their clinical internship.

METHODS

A cross-sectional study was conducted with 280 intern nursing students from the Arab American University in Palestine. A self-administered questionnaire, comprising 43 items across six subscales based on a medical error scale was used to collect data. The analysis was performed using SPSS version 29, with data collected during the Fall of semester 2024.

RESULTS

The overall mean awareness score was 161 (SD = 75.34) out of a possible 215, with a mean item-level score of 3.74 (on a 5-point scale). Among the subscales, the highest mean score was observed in Care Practices (M = 4.06), while the lowest was in Patient Falls (M = 3.38). Approximately 39.6% of students reported medical errors, with 12.5% involving blood transfusion, 11.4% medication errors, and 20.1% categorized as other errors (e.g., needlestick injuries). The majority (65.7%) reported not committing any errors during their clinical practice.

CONCLUSION

The study suggests that intern nursing students have a low tendency to commit medical errors, which bodes well for the implementation of future patient safety protocols. These findings indicate that nursing students are becoming increasingly proficient in safe care practices, thereby reducing medical error rates, and enhancing patient safety in clinical settings.

CLINICAL TRIAL NUMBER

Not applicable.

摘要

背景

医疗差错是全球医疗机构中患者安全的主要关注点,使其成为一个关键的公共卫生问题,会导致包括住院时间延长和死亡率上升等重大问题。

目的

本研究旨在评估护理专业学生在临床实习期间对医疗差错的认知。

方法

对巴勒斯坦阿拉伯美国大学的280名实习护理专业学生进行了一项横断面研究。使用一份基于医疗差错量表的自填式问卷收集数据,该问卷包括六个子量表的43个项目。使用SPSS 29版进行分析,数据收集于2024年秋季学期。

结果

在可能的215分中,总体平均认知得分为161分(标准差=75.34),平均项目得分3.74分(5分制)。在各子量表中,护理实践的平均得分最高(M=4.06),而患者跌倒方面的得分最低(M=3.38)。约39.6%的学生报告发生过医疗差错,其中12.5%涉及输血,11.4%为用药差错,20.1%归类为其他差错(如针刺伤)。大多数(65.7%)学生报告在临床实习期间未发生任何差错。

结论

该研究表明实习护理专业学生发生医疗差错的倾向较低,这对未来患者安全协议的实施是个好兆头。这些发现表明护理专业学生在安全护理实践方面越来越熟练,从而降低了医疗差错率,提高了临床环境中的患者安全性。

临床试验编号

不适用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c9d2/12285124/a95b76c8ea6a/12909_2025_7692_Fig1_HTML.jpg

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