INTRODUCTION: Medical errors commonly occur in medical imaging departments. These errors are frequently influenced by patient safety culture. This study aimed to develop a suitable patient safety culture assessment tool for medical imaging departments. METHODS: Staff members of a teaching hospital medical imaging department were invited to complete the generic short version of the Safety Attitude Questionnaire (SAQ). Internal consistency and reliability were evaluated using Cronbach's α. Confirmatory factor analysis (CFA) was conducted to examine model fit. A cut-off of 60% was used to define the percentage positive responses (PPR). PPR values were compared between occupational groups. RESULTS: A total of 300 complete responses were received and the response rate was 75.4%. In reliability analysis, the Cronbach's α for the original 32-item SAQ was 0.941. Six subscales did not demonstrate good fit with CFA. A modified five-subscale, 22-item model (SAQ-MI) showed better fit (goodness-to-fit index ≥0.9, comparative fit index ≥ 0.9, Tucker-Lewis index ≥0.9 and root mean square error of approximation ≤0.08). The Cronbach's α for the 22 items was 0.921. The final five subscales were safety and teamwork climate, job satisfaction, stress recognition, perception of management and working condition, with PPR of 62%, 68%, 57%, 61% and 60%, respectively. Statistically significant differences in PPR were observed between radiographers, doctors and others occupational groups. CONCLUSION The modified five-factor, 22-item SAQ-MI is a suitable tool for the evaluation of patient safety culture in a medical imaging department. Differences in patient safety culture exist between occupation groups, which will inform future intervention studies.
Humans ; Surveys and Questionnaires ; Patient Safety ; Attitude of Health Personnel ; Diagnostic Imaging ; Reproducibility of Results ; Male ; Female ; Adult ; Job Satisfaction ; Factor Analysis, Statistical ; Middle Aged ; Hospitals, Teaching ; Safety Management ; Organizational Culture ; Medical Errors/prevention & control*

BACKGROUND AND OBJECTIVES

This study at a national tertiary hospital in Manila, Philippines investigated the use of the "Copy and Paste" Function (CPF) within their Electronic Medical Record (EMR). While CPF has benefits and risks, little is known about its usage patterns and impact on patient safety at the institution. This study explores nurses' perceptions and recommendations on CPF use in this hospital’s EMR, assessing its prevalence, impact on patient safety, associations between prevalence and impact, and providing usage recommendations.

A sequential explanatory research design was employed using surveys and semi-structured interviews. Ethical clearance was obtained before data collection. Instruments were adapted from similar studies and have undergone expert validation. Content validity was confirmed, and internal consistency was acceptable (Cronbach’s Alpha = 0.77). Stratified random sampling determined the respondents per area. Data analysis included descriptive statistics, Spearman’s rho, and thematic analysis.

The survey (n = 256) showed CPF use by nurses and doctors, and was confirmed by semi-structured interviews (n = 9). Nurses generally perceived CPF's impact on documentation as neutral (40.17%), leaning towards positive impact. Interviews supported this, revealing both “challenges” and “benefits” of CPF use as themes after thematic analysis. There was no statistically significant association between perceived CPF prevalence and its perceived impact on patient safety (p = 0.164). The theme “considerations for safe CPF use” also emerged from the analysis.

This study found mixed perceptions on CPF’s impact in healthcare. There is a call to continue its use, but safety measures must be implemented first. Recommendations include order verification, caution, practice standardization, selective CPF usage, additional technological features, and alternative documentation methods. A governance structure to manage EMR-related issues, such as unsafe CPF practices, is also recommended to ensure proper monitoring and response.

BACKGROUND AND OBJECTIVE

Medication errors pose substantial risks in hospitals, particularly concerning patient safety. These errors, occurring throughout the medication use process, are one of the most common causes of morbidity and mortality in clinical practice. In the Philippines, there is a lack of evidence on the prevalence and effects of medication errors, emphasizing the need for further investigation. This study evaluated the prescribing, transcribing, and monitoring errors among inpatients under the Pulmonary Medicine Service of the Department of Medicine in the Philippine General Hospital.

This cross-sectional retrospective records review used the total population purposive sampling technique to examine eligible charts of inpatients with asthma and/or COPD from August 1 to December 31, 2022. The frequency, type, and severity of medication errors were determined. Linear regression and Cox proportional hazards models were used to examine the relationship between patient-related factors and medication errors, and length of hospital stay and mortality.

Fifty (50) out of 226 medical records were processed and analyzed. Included patients were predominantly older male adults. More than two-thirds of the patients were diagnosed with COPD while approximately one-fourth suffered from asthma. All patients were practicing polypharmacy and the vast majority presented with comorbidities. A total of 6,517 medication errors, predominantly prescribing errors (99.1%), were identified. Despite the high prevalence of medication errors, the majority were classified as “error, no harm” (98.8%), while only 1.17% were deemed as “error, harm.” As the frequency of prescribing errors increases in the power of three (rough approximation of e), from 1 to 3 to 9 to 27, etc., the expected hospital stay increases by 2.078 days (pCONCLUSION

All eligible patient charts had at least one medication error, with the majority being prescribing errors. Among the variables, prescribing errors significantly affected the length of stay, while severity of transcribing errors had a marginally significant effect. It is essential to develop comprehensive education and training initiatives and adopt a systematic approach to mitigate medication errors and promote patient safety.

BACKGROUND AND OBJECTIVE

Proper documentation of patient safety events is important to be able to provide changes that can prevent events from occurring again. The Philippine General Hospital launched an online platform for reporting patient safety events in 2017. This paper aimed to describe the patient safety events, initial response to the event, and preventive actions done in the institution.

This is a retrospective descriptive study of patient safety event records from August 2017 to April 2022. General data of the patients, details surrounding the events, response to the event, and preventive measures done after the event were documented. Descriptive analysis was performed.

There was a total of 625 events reported with 525 total unique reports. There was an increased rate of patient safety event reports from 2021 to 2022. The average rate was 23.8 and 25.7 reports per month, respectively. Most reports were for in-patient cases and were type 3 preventable adverse events. The general initial response of healthcare personnel to the adverse events is to provide the appropriate clinical care. Preventive measures include re-orientation and event specific actions.

Documentation is crucial for patient safety events to provide solutions and prevent reoccurrence of these events that can cause harm to patients.

BACKGROUND AND OBJECTIVE

Proper documentation of patient safety events is important to be able to provide changes that can prevent events from occurring again. The Philippine General Hospital launched an online platform for reporting patient safety events in 2017. This paper aimed to describe the patient safety events, initial response to the event, and preventive actions done in the institution.

This is a retrospective descriptive study of patient safety event records from August 2017 to April 2022. General data of the patients, details surrounding the events, response to the event, and preventive measures done after the event were documented. Descriptive analysis was performed.

There was a total of 625 events reported with 525 total unique reports. There was an increased rate of patient safety event reports from 2021 to 2022. The average rate was 23.8 and 25.7 reports per month, respectively. Most reports were for in-patient cases and were type 3 preventable adverse events. The general initial response of healthcare personnel to the adverse events is to provide the appropriate clinical care. Preventive measures include re-orientation and event specific actions.

Documentation is crucial for patient safety events to provide solutions and prevent reoccurrence of these events that can cause harm to patients.

Patient Safety ; Patients ; Safety

BACKGROUND

Medication safety is a global priority, yet in the Philippines, particularly in rural hospitals, it remains underexplored. Nurses are at the frontline of safeguarding patients, often working under resource constraints.

This study explored nurses' perspectives on medication safety in rural Philippine hospitals, while focusing on systemic barriers, emotional and ethical challenges, and strategies employed to sustain safe practice.

Aqualitative design was used that employed focus group discussions (FGDs) and key informant interviews (KIIs) with staff nurses in rural hospitals. Thematic analysis was conducted to identify themes and subthemes emerging from participants' experiences.

Three themes emerged: (1) Building Responsibility and Skills (accountability, verification, documentation, and mentorship); (2) Keeping Patients Safe and Reducing Mistakes (protecting patient care, overcoming systemic barriers); and (3) Handling Emotions and Challenges in Giving Medicine (coping with guilt, moral distress, and reliance on teamwork). Findings revealed that nurses sustain safety through vigilance and accountability but are constrained by chronic understaffing, interruptions, moral distress, and limited training access.

Medication safety in rural Philippine hospitals is shaped by nurses' competence, emotional resilience, and teamwork, but remained fragile without systemic supports. Implications included equitable workforce policies, supportive errorreporting cultures, and strengthened continuing professional development opportunities. Strengthening safety also required shifting from individual responsibility to organizational and system-level accountability.

BACKGROUND

Nontechnical skills (NTS) such as communication, teamwork, leadership, situation awareness, and decision-making are crucial for patient safety in anesthesia practice. Despite growing recognition of their importance, implementation of structured NTS training in anesthesia education remains variable.

This scoping review aims to map the current landscape of NTS training approaches in anesthesia residency programs globally over the past decade (2015–2025) to identify implementation patterns, assessment methodologies, and gaps in existing programs.

Following Arksey and O’Malley’s framework and PRISMA guidelines, a systematic search was conducted across PubMed, Scopus, and Google Scholar. Studies focusing on NTS training in anesthesia education published between January 2015 and February 2025 were included. Two-phase study selection involved title/abstract screening followed by full-text review with standardized criteria. Data regarding training approaches, assessment methods, and outcomes were extracted and analyzed.

Ten studies from eight countries met the inclusion criteria. Simulation-based training was the predominant educational approach (7/10 studies), with the anesthetists’ NTS framework being the most commonly utilized assessment tool. Teamwork, situation awareness, and decision-making were the most frequently targeted skill domains. Significant variability was observed in implementation approaches, ranging from isolated workshops to longitudinally integrated curricula.

While progress has been made in incorporating NTS into anesthesia training, notable gaps persist in longitudinal integration, cultural adaptation, and standardized assessment. Future research should focus on developing structured, evidence-based curricula to enhance patient safety outcomes.

BACKGROUND

Nontechnical skills (NTS) such as communication, teamwork, leadership, situation awareness, and decision-making are crucial for patient safety in anesthesia practice. Despite growing recognition of their importance, implementation of structured NTS training in anesthesia education remains variable.

This scoping review aims to map the current landscape of NTS training approaches in anesthesia residency programs globally over the past decade (2015–2025) to identify implementation patterns, assessment methodologies, and gaps in existing programs.

Following Arksey and O’Malley’s framework and PRISMA guidelines, a systematic search was conducted across PubMed, Scopus, and Google Scholar. Studies focusing on NTS training in anesthesia education published between January 2015 and February 2025 were included. Two-phase study selection involved title/abstract screening followed by full-text review with standardized criteria. Data regarding training approaches, assessment methods, and outcomes were extracted and analyzed.

Ten studies from eight countries met the inclusion criteria. Simulation-based training was the predominant educational approach (7/10 studies), with the anesthetists’ NTS framework being the most commonly utilized assessment tool. Teamwork, situation awareness, and decision-making were the most frequently targeted skill domains. Significant variability was observed in implementation approaches, ranging from isolated workshops to longitudinally integrated curricula.

While progress has been made in incorporating NTS into anesthesia training, notable gaps persist in longitudinal integration, cultural adaptation, and standardized assessment. Future research should focus on developing structured, evidence-based curricula to enhance patient safety outcomes.

BACKGROUND

Nontechnical skills (NTS) such as communication, teamwork, leadership, situation awareness, and decision-making are crucial for patient safety in anesthesia practice. Despite growing recognition of their importance, implementation of structured NTS training in anesthesia education remains variable.

This scoping review aims to map the current landscape of NTS training approaches in anesthesia residency programs globally over the past decade (2015–2025) to identify implementation patterns, assessment methodologies, and gaps in existing programs.

Following Arksey and O’Malley’s framework and PRISMA guidelines, a systematic search was conducted across PubMed, Scopus, and Google Scholar. Studies focusing on NTS training in anesthesia education published between January 2015 and February 2025 were included. Two-phase study selection involved title/abstract screening followed by full-text review with standardized criteria. Data regarding training approaches, assessment methods, and outcomes were extracted and analyzed.

Ten studies from eight countries met the inclusion criteria. Simulation-based training was the predominant educational approach (7/10 studies), with the anesthetists’ NTS framework being the most commonly utilized assessment tool. Teamwork, situation awareness, and decision-making were the most frequently targeted skill domains. Significant variability was observed in implementation approaches, ranging from isolated workshops to longitudinally integrated curricula.

While progress has been made in incorporating NTS into anesthesia training, notable gaps persist in longitudinal integration, cultural adaptation, and standardized assessment. Future research should focus on developing structured, evidence-based curricula to enhance patient safety outcomes.