OSASUYI LOUISA OSAGUONA

Background: Patient safety is a fundamental component of quality healthcare and an essential aspect of healthcare training. Medical errors and preventable adverse events remain major causes of morbidity and mortality globally, particularly in low- and middle-income countries such as Nigeria. Adequate knowledge and positive perceptions of patient safety are important for promoting safe clinical practice and reducing preventable harm. However, gaps in patient safety education and training continue to exist among medical and nursing students. Objective: This study assessed the knowledge, perception and determinants of patient safety among medical and nursing students in the University of Benin (UNIBEN), Benin City, Edo State. Methods: A descriptive cross-sectional study was conducted among 420 consenting medical and nursing students in the University of Benin selected through a stratified sampling technique. Data was collected using a structured, self-administered questionnaire adapted from the WHO Patient Safety Curriculum Guide and the Attitudes to Patient Safety Questionnaire III (APSQ-III). The questionnaire assessed respondents’socio-demographic characteristics, knowledge of patient safety, perception toward patient safety, and determinants influencing patient safety knowledge and perception. Data collected was analyzed using IBM SPSS version 27.0. Descriptive statistics such as frequencies, percentages, means and standard deviations were used to summarize the data. Chi-square test and multivariable analysis were used to determine associations and predictors of patient safety knowledge and perception. Statistical significance was set at p < 0.05. Results were presented in tables, charts and prose. Results: A total of 420 respondents participated in the study, with a mean age of 22.2 ± 2.6 years. Most respondents, 383 (91.2%) had heard of patient safety with lectures 298 (71.0%) and clinical postings 273 (65.0%) being the major sources of information. Three hundred and eighty-nine (92.6%) of respondents had good knowledge of patient safety. Respondents residing off-campus were significantly less likely to have good knowledge of patient safety compared to those living in school hostels (OR = 0.376, 95% CI: 0.145-0.974, p = 0.044), while respondents who had not heard of patient safety were about 92% less likely to have good knowledge compared to those who were aware (OR = 0.081, 95% CI: 0.029-0.227, p < 0.001). Overall, 273 (65%) had positive perception of patient safety. Majority agreed that patient safety is a global issue (92.4%), most clinical errors are preventable (92.6%), patient involvement improves safety (93.3%) and teamwork reduces errors (88.8%). Respondents sponsored by parents were about three times more likely to have positive perception compared to those who sponsored themselves (OR = 3.296, 95% CI: 1.325-8.194, p = 0.010). Determinants influencing patient safety included supervisory emphasis on patient safety (96.7%), integration of safety concepts into lectures and training (87.1%), adequate clinical training (71.7%), practical teaching methods (97.9%), and personal motivation (86.7%). Conclusion: Medical and nursing students in the University of Benin demonstrated generally good knowledge and positive perceptions of patient safety. Despite this, gaps still exist in system-based understanding of patient safety. Strengthening patient safety education through improved curriculum integration and simulation-based learning is recommended to further promote patient safety culture among future healthcare professionals.