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VOLUME 04 ISSUE 10 OCTOBER 2021

Is Patient Safety Being Effectively Teached In Medical School?
1Lucas Palma Nunes,2 Natassja Boszczowski,3 Ana Carolina Lopacinski Gomes,4 Isabela Castilho Pellis
, 5Joana Trosdolf Aidar,6 Priscilla Dal Prá Campos,7 Elaine Rossi Ribeiro
1,2,3,4,5Medical students at Pequeno Príncipe Faculties, Brazil
6Students of the Master’s Degree Program in Health Sciences Teaching, Brazil
7Faculty researcher at Pequeno Príncipe Faculties, Brazil
DOI : https://doi.org/10.47191/ijmra/v4-i10-07

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ABSTRACT:

Introduction:
Patient Safety (PS) is defined as a set of measures taken to reduce as much as possible the risks of unnecessary damage to patient care. Therefore, the importance of introducing issues related to this theme in the process of training new professionals has been widely studied.
Objective:
To deepen the literature on the insertion of the subject of PS in the curriculum and how it is being taught in medicine courses in Brazil and around the world.
Method:
The study is a systematic literature review and was conducted following the PRISMA recommendations. A search was carried out in the main scientific databases associated with health (CochraneLibrary, Medline via PubMed, Regional Portal of the Virtual Health Library (VHL) and Scielo), using the descriptors “Patient Safety”; “Curriculum” and “Medical Schools”. The inclusion criteria were primary articles from the last five years, in Portuguese, English and Spanish, presented in full text and that answered the guiding question. Those article that didn’t contain primary data were excluded. After selection, articles were double-assessed by independent reviewers for risk of bias and quality of evidence using the QUADAS-2 tool provided by Cochrane.
Result:
173 articles were identified, of which 150 were excluded as per the Prisma protocol, leaving 23 articles that were analyzed in depth and synthesized descriptively. In general, the concern of medical schools in implementing a curriculum that attends to patient safety was demonstrated.
Conclusion:
There are several barriers that hinder the implementation of the PS theme in the medical curriculum, such as the lack of standardization of curricula on the subject, reducing the effectiveness of teaching, to solve this issue, although several models are being developed to facilitate and ensure a standard of quality. However, more assertive teaching-learning methodologies are needed for better effectiveness of teaching Patient Safety in medical schools.

Keywords

Patient Safety; Curriculum; Medical Schools.

REFERENCES

1) World Health Organization. Patient Safety Solutions Preamble – May 2007. Genebra; 2007. Disponível em: http://www.who.int/patientsafety/solutions/patientsafety/Preamble.pdf.

2) Brasil. Ministério da Saúde. Documento de referência para o Programa Nacional de Segurança do Paciente / Ministério da Saúde; Fundação Oswaldo Cruz; Agência Nacional de Vigilância Sanitária. –Brasília : Ministério da Saúde, 2014. 40 p.: il.

3) Harendza S, Soll H, Prediger S, Kadmon M, Berberat PO, Oubaid V. Assessing core competences of medical students with a test for flight school applicants. BMC Med Educ. 2019 Jan 7;19(1):9. doi: 10.1186/s12909-018-1438-1. PMID: 30616684; PMCID: PMC6322305.

4) Ayub A, Khan RA. Learning to cure with care: awareness of faculty and medical students about student's roles related to patient safety. J Pak Med Assoc. 2018 Sep;68(9):1350-1357. PMID: 30317263.

5) Liu H, Li Y, Zhao S, Jiao M, Lu Y, Liu J, Jiang K, Fang H, Sun P, Li P, Wang Y, Jia H, Wu Y, Liu L, Zhao Y, Wu Q. Perceptions of patient safety culture among medical students: a cross-sectional investigation in Heilongjiang Province, China. BMJ Open. 2018 Jul 12;8(7):e020200. doi: 10.1136/bmjopen-2017-020200. PMID: 30002006; PMCID: PMC6082492.

6) Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. AJOB Empir Bioeth. 2018 Jan-Mar;9(1):12-18. doi: 10.1080/23294515.2017.1377780. Epub 2017 Oct 6. PMID: 28985136; PMCID: PMC6436378.

7) Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. BMJ Open. 2017 Jun 15;7(6):e016110. doi: 10.1136/bmjopen-2017-016110. PMID: 28619782; PMCID: PMC5726095.

8) Farnan JM, Gaffney S, Poston JT, Slawinski K, Cappaert M, Kamin B, Arora VM. Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. BMJ Qual Saf. 2016 Mar;25(3):153-8. doi: 10.1136/bmjqs-2015-004621. Epub 2015 Nov 30. PMID: 26621915.

9) Mira JJ, Guilabert M, Vitaller J, Ignacio E. Formación en seguridad del paciente en las escuelas de medicina y enfermería en España [Training in patient safety in medical and nursing schools]. Rev Calid Asist. 2016 May-Jun;31(3):141-5. Spanish. doi: 10.1016/j.cali.2015.08.008. Epub 2015 Nov 21. PMID: 26611250.

10) Jasim WM. A Comparative Study between Traditional and Innovative Medical School Students Perceptions and attitude Regarding the Effectiveness of Patient Safety in Medical Education. Indian Journal Of Forensic Medicine & Toxicology. 2019; 13(4): 1281. http://dx.doi.org/10.5958/0973-9130.2019.00478.x.

11) Park KH, Park KH, Kang Y, Kwon OY. The attitudes of Korean medical students toward patient safety. Korean J Med Educ. 2019 Dec, 31(4): 363-369. DOI: https://doi.org/10.3946/kjme.2019.146

12) Fish J, Burton M, Chung T, Bhat D, Mayo M. A comparison of IHI open school to a faculty-led quality improvement and patient safety curriculum for undergraduate medical education. Journal of general internal medicine, 2015 Nov, 30(S49).

13) Bäwert A, Holzinger A. Practice makes perfect! Patient safety starts in medical school: Do instructional videos improve clinical skills and hygiene procedures in undergraduate medical students? GMS J Med Educ. 2019 Mar 15;36(2):Doc16. doi: 10.3205/zma001224. PMID: 30993174; PMCID: PMC6446472.

14) Kutaimy R, Zhang L, Blok D, Kelly R, Kovacevic N, Levoska M, Gadivemula R, Levine D. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. BMC Med Educ. 2018 Sep 18;18(1):215. doi: 10.1186/s12909-018-1325-9. PMID: 30227853; PMCID: PMC6145344.

15) Raty SR, Teal CR, Nelson EA, Gill AC. Near-peers improve patient safety training in the preclinical curriculum. Med Educ Online. 2017;22(1):1289315. doi: 10.1080/10872981.2017.1289315. PMID: 28219315; PMCID: PMC5328309.

16) Escher C, Creutzfeldt J, Meurling L, Hedman L, Kjellin A, Felländer-Tsai L. Medical students' situational motivation to participate in simulation based team training is predicted by attitudes to patient safety. BMC Med Educ. 2017 Feb 10;17(1):37. doi: 10.1186/s12909-017-0876-5. PMID: 28183316; PMCID: PMC5301395.

17) Horsley TL, Reed T, Muccino K, Quinones D, Siddall VJ, McCarthy J. Developing a Foundation for Interprofessional Education Within Nursing and Medical Curricula. Nurse Educ. 2016 Sep-Oct;41(5):234-8. doi: 10.1097/NNE.0000000000000255. PMID: 26963036.

18) Bartlett CS, Huerta SA. Creating Change: An Experiential Quality Improvement and Patient Safety Curriculum for Medical Students. MedEdPORTAL. 2018 Jan 8;14:10660. doi: 10.15766/mep_2374-8265.10660. PMID: 30800865; PMCID: PMC6342400.

19) Maweni RM, Foley RW, Lupi M, Woods A, Shirazi S, Holm V, Vig S. Improving safety for medical students and patients during medical electives-a novel simulation-based course. Ir J Med Sci. 2019 Aug;188(3):1033-1045. doi: 10.1007/s11845- 018-1919-6. Epub 2018 Oct 29. PMID: 30374800.

20) Oates K, Wilson I, Hu W, Walker B, Nagle A, Wiley J. Changing medical student attitudes to patient safety: a multicentre study. BMC Med Educ. 2018 Aug 28;18(1):205. doi: 10.1186/s12909-018-1313-0. PMID: 30153841; PMCID: PMC6114839.

21) Tully V, Murphy D, Fioratou E, Chaudhuri A, Shaw J, Davey P. Learning from errors: assessing final year medical students' reflection on safety improvement, five year cohort study. BMC Med Educ. 2018 Apr 2;18(1):57. doi: 10.1186/s12909-018- 1173-7. PMID: 29606098; PMCID: PMC5879916.

22) Kilduff CLS, Leith TO, Drake TM, Fitzgerald JEF. Surgical safety checklist training: a national study of undergraduate medical and nursing student teaching, understanding and influencing factors. Postgrad Med J. 2018 Mar;94(1109):143- 150. doi: 10.1136/postgradmedj-2016-134559. Epub 2017 Nov 9. PMID: 29122928.

23) Farley D, Zheng H, Rousi E, Leotsakos A. Field Test of the World Health Organization Multi-Professional Patient Safety Curriculum Guide. PLoS One. 2015 Sep 25;10(9):e0138510. doi: 10.1371/journal.pone.0138510. PMID: 26406893; PMCID: PMC4583458.

24) Ferguson CC, Lamb G. A Scholarly Pathway in Quality Improvement and Patient Safety. Acad Med. 2015 Oct;90(10):1358- 62. doi: 10.1097/ACM.0000000000000772. PMID: 26039137.

25) Bohomol E, Cunha IC. Teaching patient safety in the medical undergraduate program at the Universidade Federal de São Paulo. einstein (São Paulo). 2015;13(1):7–13.

VOLUME 04 ISSUE 10 OCTOBER 2021

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