|Year : 2019 | Volume
| Issue : 3 | Page : 187-188
RB Nerli1, Shridhar C Ghagane2
1 Department of Urology, JN Medical College, KLE Academy of Higher Education and Research, JN Medical College Campus; KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and M.R.C, Belagavi, Karnataka, India
2 Department of Urology, KLES Kidney Foundation, KLES Dr. Prabhakar Kore Hospital and M.R.C, Belagavi, Karnataka, India
|Date of Web Publication||15-Oct-2019|
Dr. R B Nerli
Department of Urology, JN Medical College, KLE Academy of Higher Education and Research (Deemed-to-be-University), JN Medical College Campus, Belagavi - 590 010, Karnataka
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Nerli R B, Ghagane SC. Patient safety. Indian J Health Sci Biomed Res 2019;12:187-8
The World Health Organization (WHO) has declared September 17, 2019, as the first World Patient Safety Day. It is well known that, globally, over 134 million adverse events are reported every year and that they contribute to 2.6 million deaths each year due to unsafe care. In Canada alone, 28,000 deaths occur every year and patient harm ranks third in mortality after cancer and heart disease. The slogan for the day is “Speak Up for Patient Safety.” This campaign is to mobilize patients and their families, health workers, policymakers, academicians, researchers, professional networks, and the healthcare industry to speak up!
Stefan Lindgren, President of the World Federation for Medical Education, stated that ”Patient safety is a core attitude and thus needs to be introduced early in medical education and then reinforced throughout postgraduate education and continuing professional development.” Several studies related to hospital safety and quality from around the world have consistently found problems with patient safety and quality. There has been an increase in awareness of patient safety, with major efforts carried out to improve the safety of medical care. The WHO-conducted study found that millions of adverse events could be prevented so as to reduce overall morbidity and mortality. A chilling statistic from the WHO showed that in high-income countries, on average, one out of every ten patients hospitalized suffered a serious, preventable adverse event.
Information and knowledge regarding patient safety, provided in medical institutions, including medicine, nursing, pharmacy, and dentistry, is very limited. The traditional curriculum focuses more on basic science and medical knowledge. Other health professions, including nursing, pharmacy, and health technology, maintain the primary focus on acquiring facts and knowledge. None pay sufficient attention to the key concepts, attitudes, and skills necessary for practicing safely and spurring improvements in care. The lack of basic knowledge and skills works against many of the prerequisites for safe practice. In many institutions, there is a pernicious culture of shame, blame, and punishment surrounding medical errors and a deny-and-defend stance in response to patients and families. This culture sabotages attempts at classroom education. All these conditions prevent awareness, taking action, and learning from errors.
Education can definitely help to improve patient safety and healthcare quality. Curriculum related to patient safety is generally popular among trainees and has resulted in increased knowledge regarding safety and quality improvement, and this has further led to improvement in patient care processes. In recent times, medical schools have begun to introduce patient safety training into the undergraduate curriculum., Johns Hopkins University in the U.S. instituted a 10-h curriculum for 1st-year medical students and showed improvements in knowledge and attitudes, including future commitment to patient safety. This is followed by a 3-day curriculum for 2nd-year medical students, shortly before they transit from classroom to clinical wards, including lectures and hands-on experiences, which showed advances in knowledge, self-efficacy, and systems thinking.
It is important to prepare the healthcare workforce to deliver safer patient care. Patient safety should be regarded as a new basic science for health professions' education. The translation of patient safety science into safe practice is also a highly applied activity. Major reforms will be needed to incorporate patient safety into the curricula of professional schools and training programs.
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