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Speaking up culture of medical students within an academic teaching hospital: Need of faculty working in patient safety


Autoři: David Schwappach aff001;  Gerald Sendlhofer aff003;  Lars-Peter Kamolz aff004;  Wolfgang Köle aff005;  Gernot Brunner aff004
Působiště autorů: Swiss Patient Safety Foundation, Zurich, Switzerland aff001;  Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland aff002;  Executive Department for Quality and Risk Management, University Hospital Graz, Graz, Austria aff003;  Research Unit for Safety in Health, c/o Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria aff004;  Department of General Otorhinolaryngology, Medical University of Graz, Graz, Austria aff005;  Medical Directorate, University Hospital Graz, Graz, Austria aff006
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0222461

Souhrn

Background

Speaking up behavior is a manifestation the culture of safety in an organization; however, withholding voice is commonly observed. Within one academic teaching hospital, it was the aim to assess students’ speaking up behaviors and perceived culture in order to stimulation of the academic development in terms of patient safety.

Methods

Survey amongst medical students using a validated questionnaire. Data were analysed using descriptive statistics.

Results

326 individuals completed the questionnaire (response rate 24%). 37% of responders were in their 5th- 6th clinical term, 32% were in their 7th-8th term and 31% were in the 9th-12th term. 69% of students had a specific safety concern in the past four weeks, 48% had observed an error and 68% noticed the violation of a patient safety rule. Though students perceived specific patient safety concerns, 56% did not speak up in a critical situation. All predefined barriers seemed to play an important role in inhibiting students’ voicing concerns. The scores on the psychological safety scale were overall moderately favourable. Students felt little encouraged by colleagues and, in particular, by supervisors to speak up.

Conclusion

Speaking up behaviour of students was assessed for the first time in an Austrian academic teaching hospital. The higher the term the more frequent students reported perceived patient safety concerns or rule violations and withholding voice. These results suggest the need to adapt the curriculum concept of the faculty in order to address patient safety as a relevant topic.

Klíčová slova:

Medicine and health sciences – Health care – Patients – Health care providers – Nurses – Medical humanities – Research and analysis methods – Research design – Survey research – Surveys – Mathematical and statistical techniques – Statistical methods – Analysis of variance – Regression analysis – People and places – Population groupings – Professions – Medical personnel – Supervisors – Biology and life sciences – Psychology – Behavior – Social sciences – Sociology – Education – Medical education – Physical sciences – Mathematics – Statistics


Zdroje

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