Patient Safety Education for Clinical Students: A Systematic Literature Review
Keywords:E-learning, Health facilities, Medical and nursing student, Patient safety
BACKGROUND: Patient safety education has been studied from diverse views, from academic to the professional level, yet research on its effective learning methods remain limited.
AIM: This study investigated the implementation of patient safety in the hospital, the significance of patient safety education for students, and the search for effective practical learning methods.
METHODS: It employs a systematic review of articles from 2011 to 2021.
RESULTS: The research result indicates that patient safety implementation in the hospitals and patient safety education are currently significant trends in search of effective learning methods. Several studies denote that E-Learning and videos on patient safety can effectively increase the students’ knowledge, skill, and attitude.CONCLUSION: With the limitations of scientific writing related to patient safety learning in clinical learners, it is expected that this study can contribute to the development of patient safety teaching in the future. Future research may further examine and analyze the effect of instructional videos in detail.
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James JT. A new, evidence-based estimate of patient harms associated with hospital care. J Patient Saf. 2013;9(3):122-8. https://doi.org/10.1097/PTS.0b013e3182948a69 PMid:23860193
Leotsakos A, Ardolino A, Cheung R, Zheng H, Barraclough B, Walton M. Educating future leaders in patient safety. J Multidiscip Healthc. 2014;7:381-8. https://doi.org/10.2147/JMDH.S53792 PMid:25285012
Nabilou B, Feizi A, Seyedin H. Patient safety in medical education: Students’ perceptions, knowledge and attitudes. PLoS One. 2015;10(8):e0135610 https://doi.org/10.1371/journal.pone.0135610 PMid:26322897
Liao JM, Etchegaray JM, Williams ST, Berger DH, Bell SK, Thomas EJ. Assessing medical students’ perceptions of patient safety: The medical student safety attitudes and professionalism survey. Acad Med. 2014;89:343-51. PMid:24362375
Kim IS, Park M, Park MY, Yoo H, Choi J. Factors affecting the perception of importance and practice of patient safety management among hospital employees in Korea. Asian Nurs Res (Korean Soc Nurs Sci). 2013;7(1):26-32. https://doi.org/10.1016/j.anr.2013.01.001 PMid:25031212
Pelzang R, Hutchinson AM. Patient safety issues and concerns in Bhutan’s healthcare system: A qualitative exploratory descriptive study. BMJ Open. 2018;8(7):e022788 https://doi.org/10.1136/bmjopen-2018-022788 PMid:30061447
Han Y, Kim JS, Seo YJ. Cross-sectional study on patient safety culture, patient safety competency, and adverse events. West J Nurs Res. 2020;42(1):32-40. https://doi.org/10.1177/0193945919838990 PMid:30915918
Kim Y, Lee E. The relationship between the perception of open disclosure of patient safety incidents, perception of patient safety culture, and ethical awareness in nurses. BMC Med Ethics. 2020;21(1):104. https://doi.org/10.1186/s12910-020-00546-7 PMid:33109160
Brasaite I, Kaunonen M, Martinkenas A, Suominen T. Healthcare professionals’ attitudes regarding patient safety: Cross-sectional survey. BMC Res Notes. 2016;9:1-8.
Kitchenham B, Charters S. Guidelines for Performing Systematic Literature Reviews in Software Engineering. South Korea: EBSE Technical Report; 2007.
Teigland CL, Blasiak RC, Wilson LA, Hines RE, Meyerhoff KL, Viera AJ. Patient safety and quality improvement education: A cross-sectional study of medical students’ preferences and attitudes. BMC Med Educ. 2013;13:16. https://doi.org/10.1186/1472-6920-13-16 PMid:23379673
Beekman M, Emani VK, Wolford R, Hanson K, Wickham G, Aiyer M. Patient safety morning report: Innovation in teaching core patient safety principles to third-year medical students. J Med Educ Curric Dev. 2019;6:53.
Liu H, Li Y, Zhao S, Jiao M, Lu Y, Liu J, et al. Perceptions of patient safety culture among medical students: A crosssectional investigation in Heilongjiang Province, China. BMJ Open 2018;8(7):e020200. https://doi.org/10.1136/bmjopen-2017-020200 PMid:30002006
Solomon A, Gudayu T. Students’ assessment on the patient safety education: The case of college of medicine and health sciences, University of Gondar. Iran J Nurs Midwifery Res. 2020;25(2):96-303. https://doi.org/10.4103/ijnmr.IJNMR_90_19 PMid:33014741
de Feijter JM, de Grave WS, Dornan T, Koopmans RP, Scherpbier AJ. Students’ perceptions of patient safety during the transition from undergraduate to postgraduate training: An activity theory analysis. Adv Health Sci Educ. 2011;16(3):347-58. https://doi.org/10.1007/s10459-010-9266-z PMid:21132361
Park KH, Park KH, Kang Y, Kwon OY. The attitudes of Korean medical students toward patient safety. Korean J Med Educ. 2019;31(4):363-9. https://doi.org/10.3946/kjme.2019.146 PMid:31813202
Lee SE, Lee MH, Peters AB, Gwon SH. Assessment of patient safety and cultural competencies among senior baccalaureate nursing students. Int J Environ Res Public Health. 2020;17(12):1-10. https://doi.org/10.3390/ijerph17124225 PMid:32545746
Lim JH, Ahn JW, Son YJ. Association between hospital nurses’ perception of patient safety management and standard precaution adherence: A cross-sectional study. Int J Environ Res Public Health. 2019;16(23):4744. https://doi.org/10.3390/ijerph16234744 PMid:31783559
Abbott AA, Fuji KT, Galt KA, Paschal KA. How baccalaureate nursing students value an interprofessional patient safety course for professional development. ISRN Nurs. 2012;2012:401358. https://doi.org/10.5402/2012/401358 PMid:22523700
Noviyanti LW, Handiyani H, Gayatri D. Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles. BMC Nurs. 2018;17(2):53. https://doi.org/10.1186/s12912-018-0318-7 PMid:30574017
Titlestad I, Haugstvedt A, Igland J, Graue M. Patient safety culture in nursing homes-a cross-sectional study among nurses and nursing aides caring for residents with diabetes. BMC Nurs. 2018;17:1-9. https://doi.org/10.1186/s12912-018-0305-z PMid:30100816
Maeda S, Kamishiraki E, Starkey J, Ehara K. Patient safety education at Japanese nursing schools: Results of a nationwide survey. BMC Res Notes. 2011;4:416. https://doi.org/10.1186/1756-0500-4-416 PMid:22005273
Kirkman MA, Sevdalis N, Arora S, Baker P, Vincent C, Ahmed M. The outcomes of recent patient safety education interventions for trainee physicians and medical students: A systematic review. BMJ Open. 2015;5(5):e007705. https://doi.org/10.1136/bmjopen-2015-007705 PMid:25995240
Levine D, Gadivemula J, Kutaimy R, Kamatam S, Sarvadevabatla N, Lohia P. Analysis of patient safety messages delivered and received during clinical rounds. BMJ Open Qual. 2020;9(3):e000869. https://doi.org/10.1136/bmjoq-2019-000869 PMid:32719084
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;18:1-8.
Jansma JD, Wagner C, Ten Kate RW, Bijnen AB. Effects on incident reporting after educating residents in patient safety: A controlled study. BMC Health Serv Res. 2011;11:335. https://doi.org/10.1186/1472-6963-11-335 PMid:22151773
Spraker MB, Nyflot MJ, Hendrickson KR, Terezakis S, Fogh SE, Kane GM, et al. Radiation oncology resident training in patient safety and quality improvement: A national survey of residency program directors 11 medical and health sciences 1117 public health and health services. Radiat Oncol. 2018;13(1):1-9. https://doi.org/10.1186/s13014-018-1128-5 PMid:30249302
Razzani B, Atashzadeh-Shoorideh F, Jamshidi T, Barkhordari-Sharifabad M, Lotfi Z, Skerrett V. The effect of education around ethical principles on nurses’ perception to patient safety culture in an Iranian mental health inpatient unit: A pilot study. BMC Nurs. 2020;19:1-8. https://doi.org/10.1186/s12912-020-0402-7 PMid:32042265
Gleason KT, VanGraafeiland B, Commodore-Mensah Y, Walrath J, Immelt S, Ray E, et al. The impact of an innovative curriculum to introduce patient safety and quality improvement content. BMC Med Educ. 2019;19:1-9.
Lee J, Park KH. The effect of the COVID-19 pandemic on the patient safety attitude of medical students. Korean J Med Educ. 2021;33(3):227-32. https://doi.org/10.3946/KJME.2021.202 PMid:34474529
Hayden CL. Online learning of safe patient transfers in occupational therapy education. Open J Occup Ther. 2013;1(2):1021. https://doi.org/10.15453/2168-6408.1021
Roland D, Coats T, Matheson D. Towards a conceptual framework demonstrating the effectiveness of audiovisual patient descriptions (patient video cases): A review of the current literature. BMC Med Educ. 2012;12:1.
Al Jamil N, Shaikh S, Munir S, Malek S, Khan A. Development of e-learning in medical education: A student’s perspective. Korean J Med Educ. 2019;31(4):371-3. https://doi.org/10.3946/kjme.2019.147 PMid:31813203
Gaupp R, Dinius J, Drazic I, Körner M. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students. PLoS One. 2019;14(1):e0210947. https://doi.org/10.1371/journal.pone.0210947 PMid:30657782
Gaupp R, Körner M, Fabry G. Effects of a case-based interactive e-learning course on knowledge and attitudes about patient safety: A quasi-experimental study with third-year medical students. BMC Med Educ. 2016;16:1-8. https://doi.org/10.1186/s12909-016-0691-4 PMid:27400872
Dašić P, Dašić J, Crvenković B. Improving patient safety in hospitals through usage of cloud supported video surveillance. Open Access Maced J Med Sci. 2017;5(2):101-6. https://doi.org/10.3889/oamjms.2017.042 PMid:28507610
de Oliveira Salvador PT, da Costa TD, de Lima Gomes AT, de Assis YM, Santos VE. Patient safety: Characterization of YouTube videos. Rev Gauch Enferm. 2017;38(1):e61713. https://doi.org/10.1590/1983-1447.2017.01.61713 PMid:28403278
Gross B, Rusin L, Kiesewetter J, Zottmann JM, Fischer MR, Prückner S, et al. Microlearning for patient safety: Crew resource management training in 15-minutes. PLoS One. 2019;14(3):e0213178. https://doi.org/10.1371/journal.pone.0213178 PMid:30845165
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;36(2):1-12. https://doi.org/10.3205/zma001224 PMid:30993174
Kandler L, Tscholl DW, Kolbe M, Seifert B, Spahn DR, Noethiger CB. Using educational video to enhance protocol adherence for medical procedures. Br J Anaesth. 2016;116(5):662-9. https://doi.org/10.1093/bja/aew030 PMid:27106970
Pinto A, Vincent C, Darzi A, Davis R. A qualitative exploration of patients’ attitudes towards the “participate inform notice know” (pink) patient safety video. Int J Qual Heal Care 2013;25(1):29-34. https://doi.org/10.1093/intqhc/mzs073 PMid:23175533
Dankbaar ME, Richters O, Kalkman CJ, Prins G, Ten Cate OT, Van Merrienboer JJ, et al. Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. BMC Med Educ. 2017;17:1-10.
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