Exploring the Depth of Patient Safety and Care: An Investigation into the Knowledge and Attitudes of Healthcare Students Across Undergraduate, Graduate, and Postgraduate Levels

Main Article Content

Sehrish Aijaz
Sanaa Ahmed
Varisha Kabir
Muhammad Ali
Maria Naz Shaheen
Syeda Zarreen Raza


Background: Patient safety is a cornerstone of healthcare education, aiming to minimize harm to patients through the reduction of errors. The global emphasis on enhancing patient safety has led to the development of various tools and curricula designed to foster a culture of safety among healthcare professionals, including dental students. With the World Health Organization's endorsement of the Patient Safety Curriculum Guide, there's a recognized need to integrate patient safety principles comprehensively into healthcare training programs.

Objective: This study aimed to assess the knowledge and attitudes towards patient safety among dental undergraduate, graduate, and postgraduate students across private and public sector institutes in Karachi, utilizing the Attitude to Patient Safety Questionnaire version III (APSQ-III) as a measure.

Methods: A descriptive cross-sectional study was conducted, enrolling 180 participants through convenience sampling from both private and public dental schools in Karachi. The APSQ-III, a validated tool comprising 33 items across nine domains of patient safety, was employed to gather data on students' perceptions. Statistical analysis involved mean score calculations and reliability assessment using Cronbach's alpha.

Results: The majority of participants were female (78.9%), with a significant number of undergraduates (169) compared to postgraduates (11). Public sector institutions accounted for a larger share of participants (98) than private (82). Overall, students demonstrated positive attitudes towards patient safety, with mean scores across all domains exceeding 5 on a 7-point Likert scale. Notably, Safety Training and Error Reporting Confidence were highlighted, with postgraduates showing particularly high scores in these areas. The reliability of the APSQ-III in this context was confirmed with a Cronbach's alpha greater than 0.8.

Conclusion: The study underscores the utility of the APSQ-III in dentistry for evaluating patient safety perceptions, revealing generally positive attitudes and a sound base of knowledge among dental students in Karachi. These findings advocate for the continued emphasis on patient safety education within dental curricula to cultivate a proactive safety culture.

Article Details

How to Cite
Aijaz, S., Ahmed, S., Kabir, V., Ali, M., Shaheen, M. N., & Raza, S. Z. (2024). Exploring the Depth of Patient Safety and Care: An Investigation into the Knowledge and Attitudes of Healthcare Students Across Undergraduate, Graduate, and Postgraduate Levels. Journal of Health and Rehabilitation Research, 4(1), 1312–1317. https://doi.org/10.61919/jhrr.v4i1.592
Author Biographies

Sehrish Aijaz, Jinnah Sindh Medical University Karachi Pakistan.

Research Officer, Jinnah Sindh Medical University, Karachi, Pakistan.

Sanaa Ahmed, Jinnah Sindh Medical University Karachi Pakistan.

Assistant Professor, Department of Oral Medicine & Diagnosis, Jinnah Sindh Medical University, Karachi, Pakistan.

Varisha Kabir, Baqai University Karachi Pakistan.

Senior Lecturer, Physiotherapy, Baqai University, Karachi, Pakistan.

Muhammad Ali, Baqai University Karachi Pakistan.

Assistant Professor, Oral and Maxillofacial Surgery, Baqai University Karachi, Pakistan.

Maria Naz Shaheen, Jinnah Sindh Medical University Karachi Pakistan.

Lecturer, Oral Medicine, Jinnah Sindh Medical University Karachi, Pakistan.

Syeda Zarreen Raza, Jinnah Sindh Medical University Karachi Pakistan.

Assistant Professor, General Surgery, JPMC/Jinnah Sindh Medical University, Karachi, Pakistan.


Bahadur S, Khan S, Jan A. Patient’s Safety as Integrated Part of Medical Curricula: Perceptions of Postgraduate Medical Doctors from Two Selected Teaching Institutes Peshawar Pakistan. Med Forum. 2018;29(8):59-63.

Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. Int Dent J. 2012;62(4):189-96. doi: 10.1111/j.1875-595X.2012.00119.x.

Mahardhika ZP, Pusparini M. ATTITUDE OF UNDERGRADUATE MEDICAL STUDENTS TO PATIENT SAFETY. JMJ. 2012;6(2):152-158. doi: 10.22437/jmj.v6i2.5945.

Cantero-López N, González-Chordá VM, Valero-Chillerón MJ, Mena-Tudela D, Andreu-Pejó L, Vila-Candel R, et al. Attitudes of undergraduate nursing students towards patient safety: A quasi-experimental study. Int J Environ Res Public Health. 2021;18(4):1429. doi: 10.3390/ijerph18041429.

Leung GKK, Ang SBL, Lau TC, Neo HJ, Patil NG, Ti LK. Patient safety culture among medical students in Singapore and Hong Kong. Singapore Med J. 2013;54(9):501–5. doi: 10.12669/pjms.342.14563.

Alwhaibi M, AlRuthia Y, Almalag H, Alkofide H, Balkhi B, Almejel A, et al. Pharmacy students’ attitudes toward patient safety in Saudi Arabia: a cross-sectional study. BMC Med Educ. 2020;20(1):275. doi: 10.1186/s12909-020-02197-z.

Nadarajan SP, Karuthan SR, Rajasingam J, Chinna K. Attitudes toward patient safety among medical students in Malaysia. Int J Environ Res Public Health. 2020;17(21):7721. doi: 10.3390/ijerph17217721.

Alshahrani S, Alswaidan A, Alkharaan A, Alfawzan A, Alshahrani A, Masuadi E, et al. Medical students’ insights towards patient safety. Sultan Qaboos Univ Med J. doi: 10.18295/squmj.2021.21.02.014.

Shah N, Jawaid M, Shah N, Ali SM. Patient safety: Perceptions of Medical Students of Dow Medical College, Karachi. J Pak Med Assoc. 2015;65(12):1261–5.

Mayer D, Klamen DL, Gunderson A, Barach P. Designing a patient safety undergraduate medical curriculum: the Telluride Interdisciplinary Roundtable experience. Teach Learn Med. 2009;21(1):52–8. doi: 10.1080/10401330802574090.

Bailey E. Views of dental practitioners on patient safety. Br Dent J. 2015 Dec;219(11):535-9; discussion 540. doi: 10.1038/sj.bdj.2015.920.

Palmer JC, Blanchard JR, Jones J, Bailey E. Attitudes of dental undergraduate students towards patient safety in a UK dental school. Eur J Dent Educ. 2019;23(2):127–34. doi: 10.1111/eje.12411.

Yamalik N, Van Dijk W. Analysis of the attitudes and needs/demands of dental practitioners in the field of patient safety and risk management. Int Dent J. 2013;63(6):291–7. doi: 10.1111/idj.12081.

World Health Organization. Patient safety curriculum guide: multi-professional edition. Available from: https://www.who.int/publications/i/item/9789241501958. Accessed 4.6.23.

Escher C, Creutzfeldt J, Meurling L, Hedman L, Kjellin A, Felländer-Tsai L. Medical students' situational motivation to participate in simulation based team training is predicted by attitudes to patient safety. BMC Med Educ. 2017;17(1):37. doi: 10.1186/s12909-017-0876-5.

Al-Surimi K, AlAyadi H, Salam M. Female dental students' perceptions of patient safety culture: a cross-sectional study at a middle eastern setting. BMC Med Educ. 2018 Dec 10;18(1):301. doi: 10.1186/s12909-018-1415-8.

Al Sweleh FS, Al Saedan AM, Al Dayel OA. Patient safety culture perceptions in the college of dentistry. Medicine. 2018;97(2):e9570. doi: 10.1097/MD.0000000000009570.

Barakat NG. Interpersonal skills. Libyan J Med. 2007;2(3):152. doi: 10.4176/070615.

Reinders JJ, Krijnen WP, Onclin P, Schans CP, Stegenga B. Attitudes among dentists and dental hygienists towards extended scope and independent practice of dental hygienists. Int Dent J. 2017;67(1):46–58. doi: 10.1111/idj.12261.

Raja S, Rajagopalan CF, Patel J, Van Kanegan K. Teaching dental students about patient communication following an adverse event: a pilot educational module. J Dent Educ. 2014;78(5):757–62.

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