临床前与临床学生患者安全感知的比较

Yopi Simargi, Steven Alvianto
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摘要

背景:患者安全是一个全球性问题,需要对医学生进行患者安全教育,以提高卫生服务质量。本研究旨在确定临床预科生与临床生对九项患者安全关键因素认知的平均差异。方法:对2019/2020学年印尼阿特玛查亚天主教大学(AJCUI)医学与健康科学学院的临床预科生和临床生进行观察性分析横断面研究,每批随机抽取。研究数据采用7个李克特量表的患者安全态度问卷-III (APSQ-III)收集。数据分析采用独立t检验。结果:在389名学生中,临床前学生和临床学生在五个关键因素上的患者安全感知存在显著差异:接受过的PS培训(p = 0.000)、错误报告信心(p = 0.000)、作为错误原因的工作时间(p = 0.000)、团队功能(p = 0.001)和患者参与减少错误(p = 0.000)。结论:医学生对患者安全有积极的认知。然而,临床学生和临床预科学生对患者安全的认知仍存在显著差异,这表明需要将患者安全教育纳入医学教育课程。
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COMPARISON OF PATIENT SAFETY PERCEPTION IN PRECLINICAL AND CLINICAL STUDENTS
Background: Patient safety is a global problem and patient safety education for medical students is needed to improve the quality of health services. This study aimed to determine the mean difference of perception on nine patient safety key factors between preclinical students and clinical students.Methods: This observational analytic cross-sectional study was conducted on preclinical students and clinical students at the School of Medicine and Health Sciences of Atma Jaya Catholic University of Indonesia (AJCUI) in the academic year 2019/2020, randomly drawn in each batch. The research data was collected using the Attitude to Patient Safety Questionnaire -III (APSQ-III) with 7 Likert scales. Data analysis using independent t-test.Results: From 389 students, significant mean differences of patient safety perception between preclinical students and clinical were found for five key factors: PS training received (p = 0.000), Error reporting confidence (p = 0.000), Working hours as an error cause (p = 0.000), Team functioning (p = 0.001), and Patient involvement in reducing error (p = 0.000).Conclusion: Medical students had positive perceptions of patient safety. However, there were still some significant different perceptions between clinical and preclinical students, which indicated the need for patient safety education integration in the medical education curriculum.
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