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Table 2 Medical students’ perceptions and intentions regarding patient safety

From: Undergraduate medical students’ perceptions and intentions regarding patient safety during clinical clerkship

 

Score (1–5) 1 (Strongly disagree) to 5 (strongly agree)

% positive responses

Domain

 

Item

Mean

SD

Median

IQR

n

%

Safety culture

1

I received appropriate feedback about my performance

3.0

1.0

3

2

64

33.0

2

We followed standard operating procedures, guidelines, and protocols for the floor (e.g. checklists to prevent central blood stream infections, hand washing)

4.0

0.9

4

2

143

73.7

3

I observed excellent patient safety practices

3.8

0.9

4

1

132

68.0

4

Medical errors were handled appropriately

3.7

0.9

4

1

116

59.8

5

I was encouraged by colleagues to report any patient safety concerns I may have had

3.7

1.1

4

2

110

56.7

6

The clinical culture made it easy to learn from the errors of others

3.1

1.1

3

2

67

34.5

7

I would have felt safe being treated here as a patient

3.4

1.0

3

1

96

49.5

8

I knew the proper channels to direct questions regarding patient safety

3.2

1.2

3

2

87

44.8

9

We followed standard operating procedures, guidelines, and protocols for the OR (e.g. preoperative briefings, adherence to sterile technique for surgery and procedures)

4.5

0.7

5

1

173

89.2

Teamwork culture

1

The quality of care received by patients was impacted by teamwork

4.0

0.9

4

1

152

78.4

2

I had good collaboration with nurses

3.7

0.9

4

1

124

63.9

3

I had good collaboration with team members (students, residents, attending, nurses, and other caregivers)

3.8

0.8

4

1

127

65.5

4

Disagreements were resolved appropriately (i.e. by emphasising not who is right but what is best for the patient)

3.7

0.9

4

1

125

64.4

5

It was easy for personnel to ask questions when there was something that they did not understand

3.2

1.1

3

2

78

40.2

Error disclosure culture

1

When errors were made, they were disclosed to patients/families

2.8

1.0

3

1

48

24.7

2

The culture during my rotations made it easy to disclose medical errors

2.5

1.0

2

1

26

13.4

3

I was encouraged by my colleagues to disclose errors to patients/families

2.4

1.0

2

1

20

10.3

4

I received education or training on how to disclose medical errors to patients

2.4

1.1

2

2

35

18.0

5

Medical error disclosure to patients and families was an important component of patient safety

4.0

0.9

4

2

143

73.7

Safety behavioural intent

1

I expect to participate in quality improvement initiatives

3.8

0.8

4

1

118

60.8

2

I intend to encourage my colleagues to tell patients and their families about medical errors that impacted their care

3.5

0.9

4

1

98

50.5

3

I intend to encourage my colleagues to report any patient safety issues they encounter

3.8

0.8

4

1

128

66.0

4

I intend to report any patient safety issues I encounter

3.6

0.9

4

1

109

56.2

5

If I saw a medical error committed by one of my team members, I would keep it to myselfa

2.7

0.9

4

1

80

41.2

Overall patient safety grade

 

Overall, based on your clinical rotation, do you think your hospital is safe?b

7.4

1.9

8

3

120

61.9

  1. aReverse-coding: 5 (strongly disagree) to 1 (strongly agree), positive responses mean “disagree” and “strongly disagree”
  2. bFull marks: 1 (strongly disagree) to 10 (strongly agree)