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ORIGINAL ARTICLE
Year : 2020  |  Volume : 64  |  Issue : 3  |  Page : 277-284

Patient safety in graduate curricula and training needs of health workforce in India: A mixed-methods study


1 National Professional Officer, Department of Health Systems, World Health Organization Country Office for India, New Delhi, India
2 Professor & Head, Department of Medical Care & Hospital Administration, National Institute of Health and Family Welfare, Munirka, New Delhi, India
3 MD Student, Community Health Administration, National Institute of Health and Family Welfare, New Delhi, India
4 Team Leader, Department of Health Systems, World Health Organization Country Office for India, New Delhi, India
5 Advisor (Public Health), Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India, New Delhi, India
6 Professor & Head, Department of Epidemiology; (Formerly) Director, National Institute of Health and Family Welfare, New Delhi, India

Correspondence Address:
Chandrakant Lahariya
National Professional Officer- Health Care, Access & Protection, World Health Organization (WHO) Country Office for India, Room No. 536, A-Wing, 5th Floor, Nirman Bhawan, Maulana Azad Road, New Delhi - 110 011
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.IJPH_482_19

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Background: Improving quality of health services and providing safe care require well-trained and skilled workforce. The inclusion of components of patient safety in graduate training curricula, followed by adherence to curricula in teaching programs, can improve the quality of health-care services. Objectives: To review the existing training curricula for five subgroups of health workforce (Allopathic doctors, nurses, laboratory technicians, pharmacists, and nurse midwives) and to document the components and identified variables of patient safety covered. Methods: A mixed-methods study was conducted during July 2017–March 2018. Data were collected through desk review, field visits, in-depth interviews, self-administered questionnaires, and focused group discussions (FGDs). A total of 24 variables were identified by the experts to review the training curricula. Results: Seven states, 28 institutes, and 42 health-care facilities were visited. A total of 516 staff from different health cadres participated in the study through 54 interviews, 156 self-administered questionnaires, and 24 FGDs. Of 24 patient safety variables considered, 16 were covered in the medical and nursing, 9 in laboratory technician and pharmacist, and 5 in midwives' curricula. The teaching material on the patient safety, for most categories of staff, was not available in consolidated form, and there was no standardization. Conclusion: There is a need for the development of comprehensive training material cum operational modules on patient safety, suitably adopted as per the learning needs of different subgroups of health staff. The need for strengthening patient safety has been further underscored as the health workforce is fighting the coronavirus disease 19 (COVID-19) pandemic. The initiatives on patient safety will contribute to improved overall quality of health services, which in turn would advance universal health coverage.


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