Final-year medical students’ reflections on types of significant events in primary care
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Final-year medical students’ reflections on types of significant events in primary care | |
| Creator | Dube, Samantha Mlambo, Motlatso Mapukata, Nontsikelelo O. | |
| Description | Background: Adverse events are considered a universal challenge and a burden in the provision of healthcare. For that reason, significant event analysis (SEA) is a critical undertaking in primary health care (PHC), particularly in South Africa where 84% of the population relies on the public health system for their care.Aim: The study aimed to describe the types of perceived significant events medical students experienced during an integrated primary care block placement.Setting: Eighteen PHC settings included clinics, community health centres and district hospitals across three provinces in Gauteng, Mpumalanga and the North West.Methods: Using a qualitative descriptive design with purposeful sampling and maximum variation, structured reflection reports were retrieved from logbooks of final-year medical students studying at a South African university in 2014. Conventional content analysis was used to record the relevant facets of secondary data from 124 logbooks that contained a recording of a significant event using MAXQDA software version 2020.4.Results: An iterative process revealed three major themes of significant events that were prevalent in PHC settings. These comprised medication and prescription errors, diagnostic errors and suboptimal patient management.Conclusion: Significant event analysis became a critical quality improvement reflective learning tool. Logbooks offered an opportunity for medical students to explore significant events as a strategic way towards addressing quality and safe practices in PHC settings.Contribution: This study demonstrated medical students’ ability to identify incidents in the care of patients using the SEA approach and their role in assessing patient safety issues in PHC settings. | |
| Publisher | AOSIS | |
| Date | 2023-11-01 | |
| Identifier | 10.4102/phcfm.v15i1.4099 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 15, No 1 (2023); 6 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/4099/6588
https://phcfm.org/index.php/phcfm/article/view/4099/6589
https://phcfm.org/index.php/phcfm/article/view/4099/6590
https://phcfm.org/index.php/phcfm/article/view/4099/6591
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