Table 2 Distribution of residents’ responses on items of The Medical Student Safety Attitudes and Professionalism Survey (MSSAPS)
Survey items by cultural factor | Agree strongly | Agree sslightly | Neutral | Disagree slithly | Disagree strongly | Not Applicable | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | n | % | n | % | n | % | |
Safety Culture | ||||||||||||
I received appropriate feedback about my performance | 44 | 21.0% | 111 | 52.9% | 28 | 13.3% | 25 | 11.9% | 2 | 1.0% | 3 | 1.4% |
We followed standard operating procedures guidelines and protocols for the floor | 47 | 24.0% | 79 | 40.3% | 17 | 8.7% | 40 | 20.4% | 13 | 6.6% | 17 | 8.0% |
I observed excellent patient safety practices | 25 | 12.3% | 82 | 40.2% | 66 | 32.4% | 27 | 13.2% | 4 | 2.0% | 9 | 4.2% |
Medical errors were handled appropriately | 31 | 15.5% | 95 | 47.5% | 59 | 29.5% | 13 | 6.5% | 2 | 1.0% | 13 | 6.1% |
I was encouraged by colleagues to report any patient safety concerns I may have had | 33 | 16.3% | 66 | 32.7% | 57 | 28.2% | 34 | 16.8% | 12 | 5.9% | 11 | 5.2% |
The clinical culture made it easy to learn from the errors of others | 58 | 28.6% | 93 | 45.8% | 27 | 13.3% | 21 | 10.3% | 4 | 2.0% | 10 | 4.7% |
I would have felt safe being treated here as a patient | 66 | 33.0% | 92 | 46.0% | 20 | 10.0% | 20 | 10.0% | 2 | 1.0% | 13 | 6.1% |
I knew the proper channels to direct questions regarding patient safety | 39 | 19.0% | 71 | 34.6% | 34 | 16.6% | 49 | 23.9% | 12 | 5.9% | 8 | 3.8% |
Teamwork Culture | ||||||||||||
The quality of care received by patients was impacted by teamwork | 114 | 58.2% | 70 | 35.7% | 8 | 4.1% | 3 | 1.5% | 1 | 0.5% | 17 | 8.0% |
I had good collaboration with nurses | 135 | 75.0% | 37 | 20.6% | 8 | 4.4% | 0 | 0.0% | 0 | 0.0% | 33 | 15.5% |
I had good collaboration with team members | 142 | 72.4% | 48 | 24.5% | 5 | 2.6% | 1 | 0.5% | 0 | 0.0% | 17 | 8.0% |
Disagreements were resolved appropriately | 46 | 22.8% | 105 | 52.0% | 25 | 12.4% | 25 | 12.4% | 1 | 0.5% | 11 | 5.2% |
I had the support I needed from other personnel to care for patients | 93 | 45.8% | 100 | 49.3% | 7 | 3.4% | 3 | 1.5% | 0 | 0.0% | 10 | 4.7% |
It was easy for personnel to ask questions when there was something that they did not understand | 96 | 50.5% | 75 | 39.5% | 13 | 6.8% | 5 | 2.6% | 1 | 0.5% | 23 | 10.8% |
Experiences with professionalism | ||||||||||||
A member of my team made disparaging or demeaning remarks about one of our patients | 32 | 16.2% | 52 | 26.3% | 35 | 17.7% | 43 | 21.7% | 36 | 18.2% | 15 | 7.0% |
A member of my team was disrespectful to someone below himself/herself on the team ranking | 13 | 6.8% | 26 | 13.7% | 30 | 15.8% | 46 | 24.2% | 75 | 39.5% | 23 | 10.8% |
The attending physician answered patients’ questions inadequately or simply ignored them | 14 | 7.1% | 48 | 24.5% | 26 | 13.3% | 53 | 27.0% | 55 | 28.1% | 17 | 8.0% |
The resident answered patients’ questions inadequately or simply ignored them | 4 | 2.1% | 21 | 11.1% | 38 | 20.1% | 58 | 30.7% | 68 | 36.0% | 24 | 11.3% |
One of my superiors behaved inappropriately, but I did not report it because I was afraid it would affect my evaluation | 10 | 5.3% | 16 | 8.4% | 22 | 11.6% | 50 | 26.3% | 92 | 48.4% | 23 | 10.8% |
I felt that a patient was discriminated against by a member of my team on the basis of gender, race, sexual orientation or religion | 4 | 2.0% | 10 | 5.0% | 9 | 4.5% | 48 | 24.0% | 129 | 64.5% | 13 | 6.1% |
A member of my team was rude and disrespectful to a patient or family member | 6 | 3.0% | 21 | 10.4% | 12 | 6.0% | 62 | 30.8% | 100 | 49.8% | 12 | 5.6% |
Error disclosure Culture | ||||||||||||
When errors are made. They are disclosed to patients/families | 20 | 10.1% | 92 | 46.2% | 41 | 20.6% | 42 | 21.1% | 4 | 2.0% | 14 | 6.6% |
The culture during my rotations made it easy to disclose medical errors | 12 | 6.6% | 56 | 30.8% | 57 | 31.3% | 49 | 26.9% | 8 | 4.4% | 31 | 14.6% |
I am encouraged by my colleagues to disclose errors to patients/families | 12 | 6.3% | 45 | 23.6% | 75 | 39.3% | 47 | 24.6% | 12 | 6.3% | 22 | 10.3% |
I have received education or training on how to disclose medical errors to patients | 5 | 2.5% | 9 | 4.4% | 19 | 9.4% | 44 | 21.7% | 126 | 62.1% | 10 | 4.7% |
Comfort expressing professional concerns | ||||||||||||
I felt comfortable expressing my concerns about patient safety to my superiors | 37 | 18.6% | 89 | 44.7% | 37 | 18.6% | 31 | 15.6% | 5 | 2.5% | 14 | 6.6% |
I felt comfortable expressing my concerns about patient treatment to my superiors | 63 | 31.5% | 87 | 43.5% | 17 | 8.5% | 25 | 12.5% | 8 | 4.0% | 13 | 6.1% |
I felt comfortable expressing my concerns about my own mistreatment to my superiors | 40 | 20.4% | 57 | 29.1% | 53 | 27.0% | 31 | 15.8% | 15 | 7.7% | 17 | 8.0% |