PATIENT SAFETY AWARENESS AMONG DENTAL STUDENTS IN LAHORE, PAKISTAN: A MULTI–CENTRE STUDY

Authors

  • Shazia Tufail CMH Lahore Medical College
  • Shehla baqai CMH Lahore Medical College, NUMS
  • Nilofar Mustafa CMH Lahore Medical College, NUMS
  • Rizwana Kamran CMH Lahore Medical College, NUMS
  • Sobia Masood Tirmazi CMH Lahore Medical College, NUMS
  • Arub Ahmed CMH Lahore Medical College, NUMS

DOI:

https://doi.org/10.55519/JAMC-03-9935

Keywords:

dental students, patient safety, surgical errors, APSQIII

Abstract

Background: Awareness of key issues associated with patient safety is vital for improving patient care in all fields of medical sciences including dentistry. This study was done to assess awareness among dental undergraduates towards patient safety in different dental   institutions of Lahore, Pakistan Methods: It was a cross-sectional analytical study conducted at Combined Military Hospital Lahore Medical College & Institute of Dentistry from 1st May to 30th November, 2020. Two hundred third and fourth year BDS students (149 females and 51males; mean age 21.91±1.08) of 4 dental institutions of Lahore, mostly from private institutions (79.5%) completed Awareness of Patient Safety Questionnaire (APSQIII) to assess awareness of patient safety in dental undergraduates. Data was analyzed through SPSS 21. Results: Teaching and learning about patient safety got the highest item scores while “Team functioning” got the highest 6.1 mean domain score. “Professional incompetence as an error cause” got the lowest 3.1 mean score followed by “Disclosure responsibility” (4.3). No significant difference was seen with respect to gender. Fourth year students were found to be more aware about error disclosure and error reporting confidence with statistically significant difference. All reverse coded items were scored in disagreed range by participants. Conclusion: Despite positive attitudes towards patient safety, lack of awareness was seen in key issues. Incorporation of patient safety in undergraduate curriculum may help in improving patient care and health services.

Author Biographies

Shazia Tufail, CMH Lahore Medical College

Associate Professor Gynae/Obst

Shehla baqai, CMH Lahore Medical College, NUMS

Maj Gen Prof

Nilofar Mustafa, CMH Lahore Medical College, NUMS

Prof

References

Ayub A, Khan RA. Learning to cure with care: awareness of faculty and medical student’s roles to patient safety. J Pak Med Assoc 2018;68(9):1350–7.

Leung GK, Ang SB, Lau TC, Neo HJ, Patil NG, Ti LK. Patient safety culture among medical students in Singapore and Hong Kong. Singapore Med J 2013;54(9):501–5.

Mayer D, Klamen DL, Gunderson A, Barach P. Designing a Patient Safety Undergraduate Medical Curriculum: The Telluride Interdisciplinary Roundtable experience. Teach Learn Med 2009;21(1):52–8.

Shiwani MH. Reforms for safe medical practice. J Pak Med Assoc 2007;7(4):166–8.

Snowdon DA, Sandra GL, Nicholas FT. Does clinical supervision of healthcare professionals improve the effectiveness of care and patient experience? A systematic review. BMC Health Serv Res 2017;17(1):1–11.

Walton M, Woodward H, Van Staalduinen S, Lemer C, Greaves F, Noble D, et al. The WHO patient safety curriculum guide for medical schools. Qual Saf Health Care 2010;9(6):542–6.

Ramoni RB, Walji MF, White J, Stewart D, Vaderhobli R, Simmons D, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc 2012;143(9):956–60.

Yamalik N, Perea-Perez B. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. Int Dent J 2012;62:189–96.

Kutaimy R, Zhang L, Blok D, Kelly R, Kovacevic N, Levoska M, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. BMC Med Educ 2018;18(1):215.

Sandars J, Esmail A. The frequency and nature of medical error in primary care: understanding the diversity across studies. Fam Pract 2003;20(3):231–6.

Hull L, Arora S, Carolina A, Wheelock A, Gaitan-duarte H, Vincent C, et al. Building global capacity for patient safety: A training program for surgical safety research in developing and transitional countries. Int J Surg 2012;10(9):493–9.

Wetzel AP, Alan WD, Paul EM. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof 2012;35(2):221–38.

Bari A, Jabeen U, Bano I, Rathore AW. Patient safety awareness among postgraduate students and nurses in a tertiary health care facility. Pak J Med Sci 2017;33(5):1059–64.

West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA 2009;302(12):1294–1300.

Baldwin Jr DC, Steven RD. Sleep deprivation and fatigue in residency training: Results of a national survey of first-and second-year residents. Sleep 2004;27(2):217–23.

Kuehster CR, Hall CD. Simulation: learning from mistakes while building communication and teamwork. J Nurses Staff Dev 2010;26(3):123–7.

Shah N, Jawaid M, Shah N, Ali SM. Patient safety: Perceptions of Medical Students of Dow Medical College, Karachi. J Pak Med Assoc 2015;65(12):1261–5.

Al-khaldi YM. Attitude of primary care physicians toward patient safety in Aseer region, Saudi Arabia. J Fam Community Med 2013;20(3):153–8.

Nabilou B, Feizi A, Seyedin H. Patient Safety in Medical Education: Students’ Perceptions, Knowledge and Attitudes. PLoS One 2015;10(8);1–8.

Mikkelsen TH, Sokolowski I, Olesen F. General practitioners’ attitudes toward reporting and learning from adverse events: Results from a survey. Scand J Prim Health Care 2006;24:27–32.

Carruthers S, Lawton R, Sandars J, Howe A, Perry M. Attitudes to patient safety amongst medical students and tutors: Developing a reliable and valid measure. Med Teach 2009;31(8):e370–6.

Nie Y, Mao X, Cui H, He S, Li J, Zhang M. Hospital survey on patient safety culture in China. BMC Health Serv Res 2013;13:228.

Ghobashi MM, El-ragehy HAG, Mosleh H. Assessment of Patient Safety Culture in Primary Health Care Settings in Kuwait. Epidem Biostat Public Health 2014;11(3):1–9.

Kamran R, Bari A, Khan RA, Al-Eraky M. Patient safety awareness among undergraduate medical students in Pakistani medical school. Pak J Med Sci 2018;34(2):305–9.

Almaramhy H, Al-Shobaili H, El-Hadary K, Dandash K. Knowledge and attitude towards patient safety among a group of undergraduate medical students in Saudi Arabia. Int J Health Sci 2011;5(1):59–67.

Aahmadi HA. Assessment of patient safety culture in Saudi Arabian hospitals. Qual Saf Health Care 2010;19(5):e17.

Leung GKK, Patil NG. Patient safety in the undergraduate curriculum: medical students’ perception. Hong Kong Med J 2010;16(2):101–5.

Black I, Bowie P. Patient safety in dentistry: development of a candidate 'never event' list for primary care. Br Dent J 2017;222(10):782–8.

Published

2022-06-21