The Impact of Clinical Experience and Workload on Patient Safety Practices: A Cross-Sectional Analysis of Non-Technical Skills
DOI:
https://doi.org/10.65761/pjcr.2024.1.1.11Keywords:
Clinical experience, workload, patient safety, non-technical skills, cross-sectional studyAbstract
We intend to assess the non-technical skills of patient safety among consultants and residents to improve patient safety culture. In April to June 2024, a cross-sectional study surveyed 350 medical doctors (MBBS), consisting of both residents and consultants from Medicine, Surgery and allied specialties. Patients were collected from three tertiary care hospitals in Karachi, Lahore and Faisalabad. I interviewed the staff in person and they also completed the HSOPSC questionnaire in an online format. The data analysis included descriptive statistics and compares residents with consultants using appropriate statistics. The strongest positive outcomes were achieved in Teamwork (80.3%), System-Based Practices (61%) and Communication amongst units and with other healthcare teams (55.8% and 53.5%). Those who had worked in clinical care for more than five years were almost twice as likely to use patient safety practices as those who had worked for only 1 to 5 years (AOR = 1.98; 95% CI: 1.20–3.63; p = 0.03). There was a significant increase in patient safety adherence among nurses who worked from 20 to 39 hours each week (AOR = 0.048). Medical professionals who have only 1–5 years of experience in their speciality were more than five times likelier to stick to rules on patient safety (AOR = 5.447; 95% CI: 2.052–14.4; p = 0.001). According to the research, hospitals experienced significant challenges with reporting adverse events and administration did not handle matters non-punitive. Differences in how residents and consultants view and use patient safety non-technical skills show that a concerted effort is required to improve patient safety in healthcare settings.
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