Patient Safety in the Surgical Field: A Cross-Sectional Study Among Al-Baha University Medical Students

Khalid A Alzahrani; Yasser Kofiah; Wafaa S Taishan; Sarah S Taishan; Hind A Alghamdi; Ramy Samargandi

doi:10.7759/cureus.47923

Patient Safety in the Surgical Field: A Cross-Sectional Study Among Al-Baha University Medical Students

Cureus. 2023 Oct 29;15(10):e47923. doi: 10.7759/cureus.47923. eCollection 2023 Oct.

Authors

Khalid A Alzahrani¹, Yasser Kofiah¹, Wafaa S Taishan², Sarah S Taishan², Hind A Alghamdi², Ramy Samargandi^{3

4}

Affiliations

¹ Department of Surgery, Faculty of Medicine, Al-Baha University, Al-Baha, SAU.
² Faculty of Medicine, Al-Baha University, Al-Baha, SAU.
³ Department of Orthopedic Surgery, Centre Hospitalier Régional Universitaire (CHRU) de Tours, Tours, FRA.
⁴ Department of Orthopedic Surgery, Faculty of Medicine, University of Jeddah, Jeddah, SAU.

Abstract

Background Patient safety and quality of surgical care are crucial in healthcare. Adequate knowledge and attitudes among healthcare providers regarding differentiating malpractice from surgical complications are essential for preventing adverse events. We aimed to assess medical students' knowledge and attitudes toward patient safety in surgical procedures. Methodology A cross-sectional study was conducted among clinical years of medical students and interns at Al-Baha University, Saudi Arabia, from June 15, 2023, to August 1, 2023. Exclusion criteria were students from basic years, pharmacology students, applied medical science, dental students, and students from other universities. A self-administered questionnaire collected data on participants' demographics, knowledge, attitudes, and practices related to patient safety in surgical procedures. Results A total of 271 medical students participated, exceeding the target sample size of 181. Participants' ages ranged from 20 to 28 years, with the majority between 23 and 25 (60.5%). Males accounted for 63.8% of participants. The largest group was fourth-year students (31.7%), followed by interns (23.6%), those in sixth year (23.2%), and those in fifth year (21.4%). Moreover, 82.7% of participants demonstrated good knowledge of patient safety concepts. The highest level of knowledge was noted among fourth-year students (89.5%), and the lowest was among fifth-year medical students (75.9%), but was not statistically significant (p=0.701). Most participants demonstrated appropriate attitudes and practices (83.6%); however, 9.2% refused to perform surgery on a patient with active hepatitis B due to concerns for their own safety. Conclusion The majority of participants exhibited suitable knowledge and attitudes toward patient safety in surgical scenarios, but there was deficient knowledge among fifth- and sixth-year students. Moreover, a negative attitude regarding patient safety was noticed, exemplified by refusing surgeries on patients with active hepatitis B.

Keywords: malpractice; medical students; patients safety; surgery; surgical complications.