Open Access Open Access  Restricted Access Subscription Access

Knowledge of and Attitude Towards Medical Errors among Medical Students, Jeddah, KSA


Affiliations
1 Family and Community Medicine Department, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
2 Community Medicine Department, Faculty of Medicine, Alexandria University, Egypt ., India
3 Intern at Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia., India
4 Medical Student at Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
5 Department of Medical Education, Faculty of Medicine, Suez Canal University, Egypt ., India
6 Health Professions Education Center, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
7 Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt ., India
8 Department of General Surgery, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
 

Background: Failure to complete the intended plan of action or implementing the incorrect plan to achieve an aim or intended outcome is an example of medical errors. It is a deviation from the care process that may or may not result in harm. Objectives: To determine the knowledge and attitude of medical students towards medical errors and predictors for their perception among medical students, Jeddah, KSA 2022. Methods: A cross-sectional study was conducted including convenient sample of 306 Saudi medical students using specially designed pre-coded, closed ended online format. Data was presented as frequencies, means and standard deviations and analyzed using Chi-square and independent t-test. Scores for knowledge of general concepts, preventive aspects and attitude and perception scores were calculated. Multivariate analyses were conducted with forward stepwise (Wald) method to determine independent predictors for medical errors. P < 0.05 was considered significant. Results: There were significant difference between studied students’ groups regarding knowledge of general concepts (p = 0.025) and preventive methods (p = 0.000), attitude towards some aspects of medical errors (p = 0.000) and total perception of medical errors (p = 0.031). College type (OR = -3.8, p = 0.000), curriculum-based patient safety course (OR = 4.2, p = 0.000) and history of previous exposure to medical errors (OR = 2.9, p = 0.035) were predictors for the level of student perception. Conclusion: Medical errors reporting and patient safety are among the main pillars of quality in healthcare system. Its achievement necessitates individual and team commitment. Medical students who had patient safety course before showed significant different perspectives regarding incidence and management of medical errors between private and governmental hospitals.

Keywords

Malpractice, Medical Errors, Medical Negligence, Patient Safety Based Medical Education, Perception
User
Notifications
Font Size


  • Alshaikh M, Mayet A and Aljadhey H. Medication error reporting in a university teaching hospital in Saudi Arabia. Journal of Patient Safety. 2013; 9(3):145–9. PMid: 23370218. https://doi.org/10.1097/PTS.0b013e3182845044
  • Ali S, Aboheimed NI, Al-Zaagi IA and Al-Dossari DS. Analysis of medication errors at a large tertiary care hospital in Saudi Arabia: A retrospective analysis. International Journal of Clinical Pharmacy. 2017; 39(5):1004–7. PMid: 28748359. https://doi.org/10.1007/s11096-017-0514-7
  • Aljadhey H, Mahmoud MA, Ahmed Y, Sultana R, Zouein S, Alshanawani S, Mayet A, Alshaikh MK, Kalagi, Al Tawil E, El Kinge AR, Arwadi A, Alyahya M, Murray MD and Bates D.Incidence of adverse drug events in public and private hospitals in Riyadh, Saudi Arabia: The (ADESA) prospective cohort study. BMJ Open. 2016; 6:e010831. PMid: 27406640 PMCid: PMC4947792. https://doi.org/10.1136/bmjopen-2015-010831
  • Manias E, Kusljic S and Wu A. Interventions to reduce medication errors in adult medical and surgical settings: A systematic review. Therapeutic Advances in Drug Safety. 2020; 11:2042098620968309. PMid: 33240478 PMCid: PMC7672746.https://doi.org/10.1177/2042098620968309
  • Qureshi NA, Neyaz Y, Khoja T, Magzoub MA, Haycox A and Walley T. Physicians’ medication prescribing in primary care in Riyadh City, Saudi Arabia. Literature review, part 3: Prescribing errors. East Mediterr Health J. 2011; 17(2):140–8. PMid: 21735949. https://pubmed.ncbi.nlm.nih.gov/21735949/ https:// doi.org/10.26719/2011.17.2.140
  • Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, Laffel G, Sweitzer BJ, Shea BF, Hallisey R and Vander Vliet M.Incidence of adverse drug events and potential adverse drug events: Implications for prevention. Jama. 1995; 274(1):29–34. PMid: 7791255. https://doi.org/10.1001/jama.1995.03530010043033
  • Tariq RA, Vashisht R, Sinha A, et al. Medication dispensing errors and prevention. [Updated 2022 Jul 3]. StatPearls [Internet].Treasure Island (FL): Stat Pearls Publishing; 2022. https://www.ncbi.nlm.nih.gov/books/NBK519065/
  • Wheeler AJ, Scahill S, Hopcroft D and Stapleton H. Reducing medication errors at transitions of care is everyone’s business.Australian Prescriber. 2018; 41(3):73. PMid: 29922001 PMCid: PMC6003014 https://doi.org/10.18773/austprescr.2018.021
  • Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, Howard KM, Weiler PC and Brennan TA. Incidence and types of adverse events and negligent care in Utah and Colorado.
  • Medical Care. 2000; pp. 261-71. PMid: 10718351. https://www.jstor.org/stable/3767190 https://doi.org/10.1097/00005650200003000-00003
  • De Vries EN, Ramrattan MA, Smorenburg SM, Gouma DJ and Boermeester MA. The incidence and nature of in-hospital adverse events: A systematic review. BMJ Quality and Safety.2008; 17(3):216–23. PMid: 18519629 PMCid: PMC2569153.https://qualitysafety.bmj.com/content/17/3/216 https://doi.
  • org/10.1136/qshc.2007.023622
  • Pham JC, Aswani MS, Rosen M, Lee H, Huddle M, Weeks K and Pronovost PJ. Reducing medical errors and adverse events. Annual Review of Medicine. 2012; 63(1):447–63. PMid: 22053736. https://doi.org/10.1146/annurev-med-061410-121352
  • Marshall S, Harrison J and Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. BMJ Quality and Safety.2009; 18(2):137–40. PMid: 19342529. https://doi.org/10.1136/ qshc.2007.025247
  • Daniel WW and Cross CL. Biostatistics: A foundation for analysis in the health sciences. John Wiley and Sons. 2018. https://books.google.com.sa/books?hl=ar&lr=&id=PON1DwAAQBAJ&oi=fn d&pg=PA3&dq=Da-niel,+W.W.,+Cross,+C.L.,+2018.+Biostatist ics:+A+Foundation+for+Analysis+in+the+Health+Sciences.+Jo hn+Wiley+%26+Sons.&ots=a70xdUsrLr&sig=TDAbmBvzgoigu PaOQConmvKFcW8&redir_esc=y#v=onepage&q&f=false
  • WMA - The World Medical Association -WMA Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Subjects. 2016. https://www.wma.net/policies-post/ wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
  • Anikwe CC, Osuagwu PC, Ikeoha CC, Ikechukwu Dimejesi OB and Okorochukwu BC. Cervical cancer: Assessment of its knowledge, utilization of services and its determinant among female undergraduate students in a low resource setting. International Quarterly of Community Health Education.2021: 0272684X211006608. PMid: 33888014. https://doi.org/10.1177/0272684X211006608
  • Albaraki SM, Aldakheel SI, Alnasser AA, Alomran GI and Alamri SM. Healthcare practi-tioners malpractices and medication errors of narcotics dispensing and handling in multiregional hospitals in Saudi Arabia. J Pharm Sci. 2018; 3. https://scholar.google.com/scholar_lookup?journal=J+Pharm+Sci&title=Hea lthcare+practitioners+malpractices+and+medication+errors+ of+narcotics+dispensing+and+handling+in+multiregional+h ospitals+in+Saudi+Arabia&author=SM+Albaraki&author=SI +Aldakheel&author=AA+Alnasser&volume=3&publication_ year=2018& https://doi.org/10.33140/JPR.03.01.01
  • Patient safety curriculum guide: multi-professional edition. 2017. https://www.who.int/publications-detail-redirect/9789241501958
  • Alhawsawi A, Wazzan A and Alwahabi S. Essentials of patient safety; the first step for proper health care. Saudi Commission for Health Specialties, 2017 King Fahd National Library Cataloging-in-Publication Data. https://www.coursehero.com/ file/66821308/Patient-Safety-Bookpdf/
  • Pueyo-Garrigues M, Whitehead D, Pardavila-Belio MI, CangaArmayor A, Pueyo-Garrigues S and Canga-Armayor N. Health education: A Rogerian concept analysis. International Journal of Nursing Studies. 2019; 94:131-8. PMid: 30951988. https://doi. org/10.1016/j.ijnurstu.2019.03.005
  • Almalki ZS, Alqahtani N, Salway NT, Alharbi MM, Alqahtani A, Alotaibi N, Alotaibi TM and Alshammari T. Evaluation of medication error rates in Saudi Arabia: A protocol for systematic review and meta-analysis. Medicine. 2021; 100(9). PMid:33655962 PMCid: PMC7939210. https://doi.org/10.1097/
  • MD.0000000000024956 .
  • Taghizadeh A, Moosazadeh M, Nesami MB and Esmaeili R. Determination of the prevalence of medication errors in iranian hospital: a systematic review and meta-analysis. ActaMedica Mediterranea. 2016; 32:1525-33. https://www.actamedicamediterranea.com/archive/2016/special-issue-4/ determination-of-the-prevalence-of-medication-errors-in-iranian-hospital-a-systematic-review-and-meta-analysis
  • Patient Safety 2022 Saudi Central Board for Accreditation of Healthcare Institutions. https://portal.cbahi.gov.sa/english/
  • Sarwar R, Hashmi HB, Mehmood H and Anwar F. Effect of health education in improving knowledge, attitudes and practices of preventable cancers amongst reproductive age women. A Randomized Field Trial. Pakistan Journal of Medical and Health Sciences. 2022; 16(02):1204–8.https://doi.org/10.53350/
  • pjmhs221621204 .

Abstract Views: 101

PDF Views: 71




  • Knowledge of and Attitude Towards Medical Errors among Medical Students, Jeddah, KSA

Abstract Views: 101  |  PDF Views: 71

Authors

Manal Ibrahim Hanafi Mahmoud
Family and Community Medicine Department, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
Manal Ibrahim Hanafi Mahmoud
Community Medicine Department, Faculty of Medicine, Alexandria University, Egypt ., India
Hala Mohammed M. Aljahdali
Intern at Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia., India
Abdulrahman Ali A. Bukhari
Medical Student at Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
Ahmad Mohammad A. Bayazeed
Medical Student at Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
Sultan Mohammed D. Algarni
Medical Student at Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
Asmaa Abdel Nasser
Department of Medical Education, Faculty of Medicine, Suez Canal University, Egypt ., India
Asmaa Abdel Nasser
Health Professions Education Center, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India
Mohamed Elsayed Saifalyazal
Department of General Surgery, Faculty of Medicine, Ain Shams University, Egypt ., India
Mohamed Elsayed Saifalyazal
Department of General Surgery, Ibn Sina National College for Medical Studies, Jeddah, Saudi Arabia ., India

Abstract


Background: Failure to complete the intended plan of action or implementing the incorrect plan to achieve an aim or intended outcome is an example of medical errors. It is a deviation from the care process that may or may not result in harm. Objectives: To determine the knowledge and attitude of medical students towards medical errors and predictors for their perception among medical students, Jeddah, KSA 2022. Methods: A cross-sectional study was conducted including convenient sample of 306 Saudi medical students using specially designed pre-coded, closed ended online format. Data was presented as frequencies, means and standard deviations and analyzed using Chi-square and independent t-test. Scores for knowledge of general concepts, preventive aspects and attitude and perception scores were calculated. Multivariate analyses were conducted with forward stepwise (Wald) method to determine independent predictors for medical errors. P < 0.05 was considered significant. Results: There were significant difference between studied students’ groups regarding knowledge of general concepts (p = 0.025) and preventive methods (p = 0.000), attitude towards some aspects of medical errors (p = 0.000) and total perception of medical errors (p = 0.031). College type (OR = -3.8, p = 0.000), curriculum-based patient safety course (OR = 4.2, p = 0.000) and history of previous exposure to medical errors (OR = 2.9, p = 0.035) were predictors for the level of student perception. Conclusion: Medical errors reporting and patient safety are among the main pillars of quality in healthcare system. Its achievement necessitates individual and team commitment. Medical students who had patient safety course before showed significant different perspectives regarding incidence and management of medical errors between private and governmental hospitals.

Keywords


Malpractice, Medical Errors, Medical Negligence, Patient Safety Based Medical Education, Perception

References





DOI: https://doi.org/10.18311/jeoh%2F2022%2Farticle