Patient Safety Attitudes Research Articles

Development of a Patient Safety Model in Independent Practice of Midwifery in Bogor Regency, West Java, Indonesia

The concept of patient safety has been developed due to the increased incidence of medical error in Indonesia.Although incidents related to patient safety occurs in health servicessuch as the Independent Practice ofMidwifery or BidanPraktikMandiri(BPM), it has not received enough attention from the stakeholders. Thisresearch discusses the implementationof Patient Safety Model atthe Independent Practice of MidwiferyinBogor District, West Java Province. The research was conducted with mixed method approach, using threewayphase. The first phase is the construction on patient safety goals in BPM by doing focus group discussionon 3 groups and 2 in-depth interviews with 2 informants. The second phase is the model development inthe form of validation based on findings in the first phase. Additionally, phase 2 is done by using crosssectionaldesign of 90 midwives and SEM analysis using PLS. The third phase is conducting a quantitativeevaluation model with pre and post design at 30 BPM which have had training on Patient Safety Model. Thefindings show allvariables (patient safety goals, knowledge, attitudes, motivations, and behaviors related tothe patient safety) are valid in shaping Patient Safety Model. The results on Model application evaluation(phase 3) indicate that the model effective in increasing knowledge (p 0.000), attitude (p 0.000), motivation(p 0.000) and behavior (p 0.001) on patient safety in BPM.

의사 쉐도잉 프로그램이 의과대학생의 전문직간 협력 준비도와 환자안전 태도에 미치는 영향

본 연구는 의사 쉐도잉 프로그램이 의과대학 학생들의 환자안전에 대한 태도와 전문직간 협력 준비도에 미치는 영향과 그 경험의 의미를 알아보았다. 이를 위해 쉐도잉 프로그램의 사전사후에 전문직간 협력 준비도와 환자안전에 대한 태도 검사를 시행하였으며, 프로그램 종료후 성찰에세이를 작성하도록 하였다. 대응표본 t 검정과 Netminer 4.0을 활용한 키워드 분석을 실시하였다. 그 결과 전문직간 협력 준비도와 환자안전에 대한 태도 검사의 전체 점수에서는 차이를 보이지 않았다. 성찰에세이에서는 ‘의사는 정보 제공을 통해 환자의 걱정을 해소해주는 존재’, ‘전문직간 협력으로 완성되는 진료 현장’, ‘참여를 통한 의료인 체험’의 3가지 주요한 토픽이 나타났다. 의사 쉐도잉 프로그램은 학생들이 의료인의 역할과 협업의 중요성을 인식하고 의료인의 한 사람으로서의 정체성을 확립하는데 도움을 주는 것으로 분석되었다.

Does problem-based learning education improve knowledge, attitude, and perception toward patient safety among nursing students? A randomized controlled trial

BackgroundPatient safety is a top priority for any health care system. Most universities are looking for teaching methods through which they would be able to enhance students’ clinical decision-making capabilities and their self-centered learning to ensure safe and quality nursing care. Therefore, this study aimed to determine the effect of patient safety education through problem-based learning (PBL) on nursing students’ knowledge, attitude, and perceptions toward patient safety.MethodsThis randomized, controlled trial was conducted from September 2019 to January 2020. A total of 78 fourth-year nursing students participated in this study. The participants were randomly assigned to either the intervention group or the control group. In the intervention group, the educational materials were presented to the students using the PBL method during eight sessions of 45–60 min. In each control group, nursing students received eight education sessions through lectures and discussing the same educational content. Data were gathered 1 month after the intervention using demographic information and knowledge, attitudes, and perception questionnaires. Data were analyzed in SPSS ver. 22.0 using descriptive (mean and standard deviation) and inferential (chi-square test, independent t-test, paired t-test, and analysis of covariance (ANCOVA)) statistics.ResultsThe results indicated that the difference in the mean scores of knowledge, attitudes, and perceptions of the nursing students about patient safety was statistically significant between the two groups after the PBL education (p = 0.001). The mean scores of students’ knowledge, attitude, and perceptions of patient safety increased significantly in the intervention group.ConclusionsImplementing patient safety education through PBL positively affects knowledge, attitudes, and perceptions of patient safety among nursing students. Thus, the research team recommended the PBL method to be used by nursing professors to improve nursing students’ clinical skills and cognitive abilities to ensure safe patient care.Trial registrationIRCT20190925044881N1; October 17, 2019.

Patient safety attitudes of health worker and its associated factors in Lung Hospital, Son La province, 2020

Patient safety is being seen as an increasingly important topic in the healthcare feld, and the rise in the number of patient safety incidents poses a challenge for hospital management. The cross-sectinal study was conduted to describle the health care professionals’ attitudes regarding patient safety. The results showed that the average score for the questionnaire was 76.8 ± 6.5. In each dimension, job satisfaction was the highest score and stress recognition was the lowest score. Three of the six dimensions achieved positively patient safety attitudes (job satisfaction, work conditions, perception of management). There was a statistically signifcant difference (p < 0.05) between the main training expertise and the expertise scope. Pharmacists were better at safety attitudes than doctors, nurses, and technicians in almost all dimensions (85.1 ± 1.0) (excepted the perception of management). People who graduated from university and had postgraduate degrees had a higher score in patient safety attitudes than people who had intermediate and college degrees (77.5 ± 6.2 versus 76.4 ± 6.8). When results were calculated at each hospital, associated factors of patient safety attitudes differed in occupation and education level. Health workers who are pharmacist and post graduate have patient safety attitude scores higher than others. Evidence could help the government and hospital managers develop strategies in patient safety attitudes. Moreover, the methodology was used for future studies in patient safety attitudes.

Influence of Biomedical Ethics Awareness and Attitude of Patient Safety on the Performance Confidence in Patient Safety in Nursing Students

Influence of Biomedical Ethics Awareness and Attitude of Patient Safety on the Performance Confidence in Patient Safety in Nursing Students

Knowledge, perception and attitude of patient safety amongst clinical year physiotherapy students in Ghana.

BackgroundPatient safety is a part of healthcare that is not only important in the delivery of healthcare but also in the training of healthcare professionals. It is a key component of physiotherapy treatment which, when underrated, can result in more harm than good.ObjectiveTo determine the level of knowledge, perception and attitude of patient safety amongst physiotherapy students.MethodEighty clinical year physiotherapy students from the University of Ghana and the University of Health and Allied Sciences were recruited for this cross-sectional study. Data were obtained using the World Health Organization Medical School Curricular Guide for Patient Safety questionnaire. Pearson Chi-square was used to test for association between the level of study of participants and their knowledge on patient safety.ResultsOf the eighty (80) respondents, there were 41 women (52.1%) and 39 men (48.8%) in our study. Majority of the respondents (97.5%) had a moderate level of knowledge on patient safety. There was no significant association between the level of study and knowledge of clinical year physiotherapy students on patient safety (p = 0.712).ConclusionClinical year physiotherapy students in Ghana have a moderate level of knowledge on the concept of patient safety. Restructuring of the physiotherapy curriculum to specifically cover the concept of patient safety would be beneficial to its promotion in the healthcare system.Clinical implicationsThe outcomes of our study may motivate physiotherapy students to put in additional effort that could facilitate the translation of positive attitudes that have been shown to be effective in reducing errors and promoting patient safety.

Psychological capital, well-being, and patient safety attitudes of nurses and midwives: A cross-sectional survey.

Nursing and midwifery are unarguably stressful endeavors requiring high levels of psychological capital and coping strategies. The impact of the work environment on patient safety outcomes suggests that high nurse/midwife stress may be associated with more adverse patient events. The purpose of this study was to explore the psychological capital of clinical nurses and midwives and identify explanatory factors (including psychological capital, well-being, and health-related behaviors) contributing to attitudes to patient safety. A descriptive web- and paper-based survey comprising a convenience sample of nurses and midwives in acute health facilities in Sydney, Australia, was performed (October 2018 and April 2019). Variables included psychological capital, psychological well-being, work culture, and attitudes to patient safety. Descriptive statistics were performed and a regression model was specified (a statistical significance of P < 0.05 was set a priori). Psychological capital, depression score, and work engagement had a significant effect on patient safety perceptions when controlling for other factors. The findings suggest that nurse and midwife well-being is an important consideration when striving to improve patient safety.

ATTITUDE AND PREFERENCE OF REHAB SCIENCES STUDENTS ON PATIENT SAFETY AND QUALITY IMPROVEMENT EDUCATION

BACKGROUND AND AIMS Patient safety has been neglected in the rehabilitation as per many of the studies, there is a surge demand to get acquainted with the knowledge of patient safety for quality and reliable care. This study aimed to explore the attitude and preferences of rehab sciences students about patient safety and quality improvement education to overcome the gaps in practice regarding patient safety. METHODOLOGY A cross-sectional survey was conducted on undergraduate medical students of physical and occupational therapy, on convenience sampling technique. Data was collected through WhatsApp and e-mail on self-administered questionnaire formulated on google document, based on attitude and preferences of patient safety and quality improvement education. RESULTS A total number of 134 responses received out of which 56.7% were occupational therapy (OT) and rest physical therapy (PT) student. 67.9% OT and 79.9% PT have rated their current knowledge of patient safety and quality improvement as an average. Moreover, students believe that 97.8% good communication, 98.5% patient participation and motivation and 96.3%multidisciplinary teamwork plays a vital role in reducing risk of error. Consecutively, 95.5% of students encourage the safety measurement and quality practice should be an objective of undergraduate curriculum. CONCLUSION The curriculum must include objectives that introduce clinical guidelines to devise a standardized protocol for safety and quality work concepts in order to reduce the risk of errors in practicing and promote patient safety. Patient, Rehab Sciences, Healthcare, Safety, Quality, Education, risk

Patient safety attitude and associated factors among nurses at Mansoura University Hospital: A cross sectional study

BackgroundPatient safety is a high priority for the healthcare system worldwide. It is considered an indicator of the quality of care. ObjectiveThis research assesses Egyptian nurses’ attitude to patient safety and the factors that affect their attitude. MethodsA descriptive cross-sectional study. Data were collected using the staff information form and safety attitudes questionnaire. The study population was 350 nurses working in Mansoura University Hospital. Data were analyzed with frequency, percentage, mean, standard deviation, the Chi squire test, and ANOVA tests using SPSS. ResultsNone of the six domains of safety attitude – job satisfaction, teamwork, safety climate, the perception of management, stress recognition, and working conditions – were awarded a positive mean score above 75. 51.4% of the nurses had a neutral attitude toward patient safety. The main associated factors were educational level, experience, and attending training courses related to patient safety, which had a high effect on nurses’ attitude (p-value < 0.01); age and marital status had a slight effect (p-value < 0.05), while gender and working unit had no significant relationship (p-value > 0.05). ConclusionsThe attitude of nurses towards patient safety at Mansoura University Hospital was neutral, and strongly associated with educational level, years of experience, and attending training courses on patient safety. Therefore, it is strongly recommended to develop strategies towards an increasingly successful patient safety culture.

Undergraduate medical students\u2019 attitudes towards medical errors and patient safety: a multi-center cross-sectional study in the Gaza Strip, Palestine

BackgroundIn undergraduate medical education, patient safety concepts and understanding of medical errors are under-represented. This problem is more evident in low-income settings. The aim of this study was to explore undergraduate medical students’ attitudes towards patient safety in the low-income setting of the Gaza Strip.MethodsA cross-sectional, descriptive study included medical students of the two medical schools in the Gaza Strip with 338 medical students completing the Attitudes to Patient Safety Questionnaire-IV (APSQ-IV), which examines patient attitudes in 29 items over 10 domains. Results are represented as means ± standard deviations for each item and domain as well as percentage of positive responses to specific items.ResultsMedical students reported slightly positive patient safety attitudes (4.7 ± 0.5 of 7) with the most positive attitudes in the domains of situational awareness, importance of patient safety in the curriculum, error inevitability and team functioning. While no negative attitudes were reported, neutral attitudes were found in the domains of professional incompetence as a cause of error and error reporting confidence. Study year and gender had no significant association with patient safety attitudes, except for disclosure responsibility, where male students displayed significantly more positive attitudes. The study university was significantly associated with three of the 10 examined domains, all of which involved understanding of medical errors, for which students of University 2 (who had undergone limited patient safety training) held significantly more positive attitudes, compared with students of University 1 (who did not have structured patient safety training).ConclusionMedical students’ patient safety attitudes were very similar among students from both universities, except for understanding of medical error, for which students, who had received structured training in this topic, displayed significantly more positive attitudes. This underlines the power of the ‘hidden curriculum’, where students adjust to prevalent cultures in local hospitals, while they do their clinical training. Furthermore, it highlights the need for a systematic inclusion of patient safety content in local undergraduate curricula.

Influence of Perception of Importance of Communication, Self-esteem and Communication skill on Patient Safety attitude of Nursing student

Influence of Perception of Importance of Communication, Self-esteem and Communication skill on Patient Safety attitude of Nursing student

Knowledge and attitude of patient safety, safety performance among caregivers: In nursing home

Knowledge and attitude of patient safety, safety performance among caregivers: In nursing home

Attitudes Toward Patient Safety among Medical Students in Malaysia.

The biggest challenge in moving toward a safer healthcare system is patient safety culture—that is, the prevention of harm to patients. Safe medical practices can prevent doing harm to the patients. For this, healthcare professionals must have good attitudes toward patient safety. Medical education plays an important role in promoting patient safety and patient safety attitudes. A study was conducted among medical students in Malaysia to assess their perceptions toward patient safety, using the 26-items Attitudes Toward Patient Safety Questionnaire (APSQ-III). In the analysis, the average percentage of positive responses (APPR) were computed for each domain, and APPR values of ≥75 were used as an indicator of positive perception. Out of the nine domains of APSQ, the students’ attitude was positive in six—Safety Training (85.2%), Error Reporting (76.3%), Working Hours (89.5%), Error Inevitability (86.1%), Team Functioning (94.6%), and Patient Involvement (80.1%). The desired level of positive attitude was not met in Disclosure Responsibility (68.5%), Professional Incompetence (70.0%), and Safety Curriculum (71.1%). APRR for disclosure responsibility was high among the first-year students, but, generally, the effect wore off over the years of study. The results support the need to enhance perception on Disclosure Responsibility, Professional Incompetence, and Safety Curriculum among the medical students in Malaysia.

Model of patient safety behavior influenced by culture and attitudes of safety patients: Case study of PKU Muhammadiyah Hospital in Bantul

Patient safety is an important issue of in-hospital services. Appropriateness in health services, speed (timeliness), and freedom from danger and error (free from harm and error) are the three main elements of patient safety. This research took place at PKU Muhammadiyah Hospital Bantul with a sample of clinical practitioners, namely doctors and nurses. Data analysis was performed using PLS-SEM to analyze patient safety behavior models as well as the influence of patient safety culture and patient safety attitudes. The patient safety behavior model had a good level of goodness of fit. The culture of patient safety had a positive influence on patient safety behavior. Patient safety attitudes also had a positive influence on patient safety behavior. These results confirmed that enhancing patient safety culture and the attitude of patient safety from nurses and doctors in providing health services in hospitals could improve patient safety behavior.

Patient safety in chiropractic teaching programs: a mixed methods study

BackgroundPatient safety research has lagged within academic settings, including chiropractic teaching institutions. To develop a robust patient safety culture, the Institute of Medicine emphasized the need for employee’s attitudes to be understanding and positive. To initiate the assessment of the current culture and future needs, this study evaluated patient safety attitudes among chiropractic teaching clinic stakeholders (supervising clinicians, student interns, and administrative staff) and compared their standardized survey scores to established medical survey databases.MethodsWe conducted a cross-sectional, mixed methods survey design with quantitative analytic priority. Chiropractic interns, clinical faculty, and clinic staff of 5 international chiropractic educational programs completed a modified version of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Culture for Medical Offices Survey with open-ended comment fields between 2014 and 2016. Composite means of positive responses were calculated and compared to patient safety, quality of care, and overall self-ratings benchmarks from Canadian providers and academic settings in the AHRQ database. Qualitative responses were thematically categorized for a convergent analysis of quantitative results for the chiropractic sample.ResultsChiropractic survey response rate was 45.3% (n = 645). Quantitative survey results indicated moderate scores and ranges (57–85%) on all patient safety dimensions for the chiropractic samples. Academic medicine and chiropractic providers’ benchmarks scored higher positive responses than chiropractic teaching clinics on most quantitative dimensions, except for work pressure/pace. Teamwork, organizational learning, and patient tracking/follow-up were the most positively endorsed quantitative dimensions, with communication, staff training, office standardization, and leadership support considered areas for improvement in both settings. Qualitative responses for the chiropractic clinics identified a need for open communication; additional staff training and student involvement in creating safety cultures; standardization of office processes including information exchange, scheduling, and equipment maintenance; and leadership support that focused on decreasing work pressure/pace and setting safety priorities.ConclusionAs the first report of patient safety attitudes from stakeholders in chiropractic teaching clinics, specific areas of improvement were identified. Chiropractic teaching programs might consider incorporating these and related patient safety concepts into their formal curricula. Mixed methods approach offers teaching clinics opportunities to assess stakeholders’ insights and enhance safe delivery of chiropractic care.

Patient safety culture amongst dental students and interns in Dammam, Saudi Arabia

To evaluate awareness and attitudes of dental students and interns about patient safety culture in Dammam, Saudi Arabia. This cross-sectional study was conducted on 272 undergraduate dental students and interns using the Safety Attitudes Questionnaire (SAQ) from November 2019 to January 2020. The SAQ consists of six domains: teamwork climate, safety climate, job satisfaction, stress recognition, perception of management and work conditions. The score of SAQ ranges from 0 to 100, and a cut-off ≥75 is considered a positive attitude of patient safety. The study included 47.1% of males and 52.9% of females with a mean age of 22.58±1.3years. Few participants (9.9%) showed a positive attitude of patient safety culture. Nearly one-third of participants (35.7%) attended a course on patient safety and 31.6% reported experiencing adverse events by them or their families. Out of six domains, job satisfaction showed the highest mean score (70.25) and 75.4% of participants felt proud to practise in the dental clinic. Female students demonstrated a significantly higher mean score of stress recognition (64.28±18.98) than male students (56.98±22.53) (P 0.004). The mean SAQ score increased significantly from fourth year students to interns (P<.001). A small percentage of students demonstrated a positive attitude of patient safety and only one-third attended a patient safety course. The job satisfaction domain was highly rated and patient safety culture significantly improved from junior to senior students. Dental curricula should include patient safety courses to improve the quality and safety of patient care.

The mediator effect of learning ethics consciousness on the relationship between the personality and patient safety attitude of medical students

The mediator effect of learning ethics consciousness on the relationship between the personality and patient safety attitude of medical students

Patient Safety Attitude of Nurses Working in Surgical Units: A Cross-Sectional Study in Turkey

PurposeTo determine the attitudes of nurses working in surgical units toward patient safety. DesignA descriptive and cross-sectional study. MethodsThe sample in this study was 207 nurses (92% of all the nurses) working in surgical units in a training and research hospital in Turkey, all of whom agreed to participate in this study between April 30 and June 25, 2019. Study data were collected using a demographic characteristics form and the Patient Safety Attitude Questionnaire. Number, mean, SD, percentage calculations, Kruskal-Wallis test, Mann-Whitney U test, and the Spearman correlation test were used to analyze the study data. FindingsThe mean total attitude score of the nurses was 176.30 ± 26.92. Nurses who previously received training on patient safety had statistically higher attitude scores than those who did not (U = 3883.000; P = .01). ConclusionsNurses working in surgical units had a positive attitude toward patient safety, and previous training on patient safety significantly improved their attitude scores. A recommendation is to conduct effective in-service training programs for patient safety in hospitals and to encourage participation by nurses in training programs such as courses and conferences that will result in attitude improvement.

Treating patients in a safe environment: a cross-sectional study of patient safety attitudes among doctors in the Gaza Strip, Palestine

BackgroundPatient 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.MethodsDoctors, 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.ResultsA 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.ConclusionDoctors 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.

Evaluating patient safety culture at a private hospital

ABSTRACT Objectives: To evaluate the patient safety culture perception of a private hospital staff in a less developed region, to compare these perceptions according to socio-demographic and professional characteristics of the staff, and to investigate the effects of these characteristics on the patient safety culture. Methods: The Turkish version of the Safety Attitudes Questionnaire (SAQ) was administered to all staff members (340 people) of a private hospital in the less developed eastern region of Turkey. Data was analysed by independent samples t-test, ANOVA, Welch statistics and multiple linear regression analyses. Results: The response rate was 76%. Among six dimensions of the SAQ (teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions), stress recognition was the dimension with the lowest average. According to multivariate analyses; being younger, having a position as a nurse or technician/technical staff, working day–night and having longer years in the current hospital have an effect on the staff's more negative safety culture perception (p < 0.05). Conclusion: This study provides important information on patient safety attitudes of a private hospital staff in the least developed region of a country. Stress recognition and safety climate dimensions are the areas that primarily need improvement.