Health professions students’ knowledge, attitude, and practice towards patient safety: A cross-sectional study
DOI:
https://doi.org/10.46542/pe.2026.261.2330Keywords:
Health professions student, KAP, Patient safetyAbstract
Background: Patient safety is a cornerstone of effective healthcare systems, aimed at minimising errors and adverse outcomes.
Objectives: To assess knowledge, attitudes, and practices of health profession students at Universiti Sultan Zainal Abidin (UniSZA) regarding patient safety.
Methods: A cross-sectional study was conducted among 337 students from the Faculties of Medicine, Pharmacy, and Health Sciences. The sample size was calculated using RAOSOFT (95% confidence, 5% margin of error), with a minimum of 310 participants. A validated questionnaire assessed demographics, knowledge, attitudes, and practices. Undergraduate students from Years one to three were included. Scores above the domain means were categorised as “good knowledge”, “positive attitude”, or “good practices”. Data were analysed using SPSS v25 with t-tests, ANOVA, and Chi-square, alongside effect sizes.
Results: A total of 337 of 370 invited students participated (response rate = 91.1%). Students showed good knowledge (mean 4.00 ± 0.73), positive attitudes (21.93 ± 2.26), and moderate practices (2.91 ± 0.84). Knowledge gaps included “near-miss” events (21.4%) and device reuse misconceptions (29.7%). Female and Health Sciences students demonstrated significantly better practices (p < 0.001).
Conclusion: Students possessed adequate knowledge and positive attitudes, while practices were moderate. Targeted curriculum integration on near-miss recognition and safe device use is recommended.
References
Aggarwal, R., Mytton, O. T., Derbrew, M., Hananel, D., Heydenburg, M., Issenberg, B., MacAulay, C., Mancini, M. E, Morimoto, T., Soper, N., Ziv, A., & Reznick, R. (2010). Training and simulation for patient safety. BMJ Quality & Safety, 19(Suppl 2), i34‒i43. https://doi.org/10.1136/qshc.2009.038562
Ahmed, F. A., Choudhary, R. A., Khan, H., Ayub, F., ul Hassan, S. S., Munir, T., Asif, F., Ajani, K., Jaffer, M., Tharani, Z., Aboumatar, H. J., & Latif, A. (2023). Incorporating a patient safety and quality course into the nursing curriculum: An assessment of student gains. Journal of Patient Safety, 19(6), 408‒414. https://doi.org/10.1097/pts.0000000000001146
Alwhaibi, M., AlRuthia, Y., Almalag, H., Alkofide, H., Balkhi, B., Almejel, A., & Alshammari, F. (2020). Pharmacy students’ attitudes toward patient safety in Saudi Arabia: A cross-sectional study. BMC Medical Education, 20, 1‒8. https://doi.org/10.1186/s12909-020-02197-z
ElAraby, S., Ra'oof, R. A., & Alkhadragy, R. (2018). Learning of patient safety in health professions education. In Vignettes in Patient Safety-Volume 3. IntechOpen. https://doi.org/10.5772/intechopen.75973
Flott, K., Fontana, G., & Darzi, A. (2019). The global state of patient safety. London: Imperial College London. https://www.imperial.ac.uk/media/imperial-college/institute-of-global-health-innovation/GlobalStateofPS_DIGITAL_16Sep19%5B2%5D.pdf
Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., & Zurayk, H. (2010). Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. The Lancet, 376(9756), 1923‒1958. https://doi.org/10.1016/s0140-6736(10)61854-5
Ginsburg, L., Castel, E., Tregunno, D., & Norton, P. G. (2012). The H-PEPSS: An instrument to measure health professionals' perceptions of patient safety competence at entry into practice. BMJ Quality & Safety, 21(8), 676‒684. https://doi.org/10.1136/bmjqs-2011-000601
Hodkinson, A., Tyler, N., Ashcroft, D. M., Keers, R. N., Khan, K., Phipps, D., Abuzour, A., Bower, P., Avery, A., Campbell, S., & Panagioti, M. (2020). Preventable medication harm across health care settings: A systematic review and meta-analysis. BMC Medicine, 18, 1‒13. https://doi.org/10.1186/s12916-020-01774-9
Holper, S., Barmanray, R., Colman, B., Yates, C. J., Liew, D., & Smallwood, D. (2020). Ambiguous medical abbreviation study: Challenges and opportunities. Internal Medicine Journal, 50(9), 1073‒1078. https://doi.org/10.1111/imj.14442
Ismail, A., & Khalid, S. N. M. (2022). Patient safety culture and its determinants among healthcare professionals at a cluster hospital in Malaysia: A cross-sectional study. BMJ Open, 12(8), e060546. https://doi.org/10.1136/bmjopen-2021-060546
Jayatilake, D. C., & Oyibo, S. O. (2023). Interpretation and misinterpretation of medical abbreviations found in patient medical records: A cross-sectional survey. Cureus, 15(9). https://doi.org/10.7759/cureus.44735
Khalid, K. H., Yamamoto, E., Hamajima, N., & Kariya, T. (2022). Rates and factors associated with serious outcomes of patient safety incidents in Malaysia: An observational study. Global Journal on Quality and Safety in Healthcare, 5(2), 31‒38. https://doi.org/10.36401/jqsh-21-19
Kiersma, M. E., Plake, K. S., & Darbishire, P. L. (2011). Patient safety instruction in US health professions education. American journal of pharmaceutical education, 75(8), 162. https://doi.org/10.5688/ajpe758162
Kirkman, M. A., Sevdalis, N., Arora, S., Baker, P., Vincent, C., & Ahmed, M. (2015). The outcomes of recent patient safety education interventions for trainee physicians and medical students: A systematic review. BMJ Open, 5(5), e007705. https://doi.org/10.1136/bmjopen-2015-007705
Leotsakos, A., Ardolino, A., Cheung, R., Zheng, H., Barraclough, B., & Walton, M. (2014). Educating future leaders in patient safety. Journal of Multidisciplinary Healthcare, 381‒388. https://doi.org/10.2147/jmdh.s53792
Mistri, I. U., Badge, A., & Shahu, S. (2023). Enhancing patient safety culture in hospitals. Cureus, 15(12). https://doi.org/10.7759/cureus.51159
Mohammed, T., Woldearegay, E., Kedir, S., Ahmed, K., Getnet, M., & Gudina, E. K. (2023). Patient safety knowledge, attitude and practice among undergraduate health science students in South West Ethiopia. Frontiers in Public Health, 10, 1064896. https://doi.org/10.3389/fpubh.2022.1064896
Nadarajan, S. P., Karuthan, S. R., Rajasingam, J., & Chinna, K. (2020). Attitudes toward patient safety among medical students in Malaysia. International Journal of Environmental Research and Public Health, 17(21), 7721. https://doi.org/10.3390/ijerph17217721
Naser, A. Y., Alsairafi, Z. K., Awaisu, A., Alwafi, H., Awwad, O., Dahmash, E. Z., Hussain, S., Alyami, H. S., Alsharif, A., Singh, A. K., Jeragh-Alhaddad, F. B., & AbuAlhommos, A. K. (2020). Attitudes of pharmacy students towards patient safety: A cross-sectional study from six developing countries. BMJ Open, 10(12), e039459. https://doi.org/10.1136/bmjopen-2020-039459
Nie, Y., Li, L., Duan, Y., Chen, P., Barraclough, B. H., Zhang, M., & Li, J. (2011). Patient safety education for undergraduate medical students: A systematic review. BMC Medical Education, 11, 1‒8. https://doi.org/10.1186/1472-6920-11-33
Panagioti, M., Khan, K., Keers, R. N., Abuzour, A., Phipps, D., Kontopantelis, E., Bower, P., Campbell, S., Haneef. R., Avery, A. J., & Ashcroft, D. M. (2019). Prevalence, severity, and nature of preventable patient harm across medical care settings: Systematic review and meta-analysis. BMJ, 366. https://doi.org/10.1136/bmj.l4185
Scalese, M. J., Kristeller, J., Hoot, E., & Kong, F. (2015). A case-based approach for teaching medication safety to pharmacy students. Currents in Pharmacy Teaching and Learning, 7(4), 458‒464. https://doi.org/10.1016/J.CPTL.2015.04.011
Tegegn, H. G., Abebe, T. B., Ayalew, M. B., & Bhagavathula, A. S. (2017). Patient safety attitudes of pharmacy students in an Ethiopian university: A cross-sectional study. Drug, Healthcare and Patient Safety, 19‒24. https://doi.org/10.2147/dhps.s128137
Walpola, R. L., Fois, R. A., McLachlan, A. J., & Chen, T. F. (2017). Evaluating the effectiveness of an educational intervention to improve the patient safety attitudes of intern pharmacists. American Journal of Pharmaceutical Education, 81(1), 5. https://doi.org/10.5688/ajpe8115
World Health Organisation. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. World Health Organisation. https://pesquisa.bvsalud.org/portal/resource/pt/who-343477
World Health Organisation. (2022). Consensus statement: role of policy-makers and health care leaders in implementation of the Global Patient Safety Action Plan 2021–2030. https://www.who.int/publications/i/item/WHO-UHL-IHS-PSF-2022.3
World Health Organisation. (2023). WHO health workforce support and safeguards list 2023. World Health Organisation. https://www.who.int/publications/i/item/9789240069787
Wu, A. W., & Busch, I. M. (2019). Patient safety: A new basic science for professional education. GMS Journal for Medical Education, 36(2). https://doi.org/10.3205/zma001229