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Background: The purpose of this study was to examine undergraduate medical students’ perceptions and intentions regarding patient safety during clinical clerkships. Methods: Cross-sectional and self-administered questionnaire survey was conducted on 34 students from one medical school using a modified version of the Medical Student Safety Attitudes and Professionalism Survey (MSSAPS). We assessed 4rd-year medical students’ perceptions of the cultures (‘safety’, ‘teamwork’, and ‘error disclosure’), ‘behavioural intentions’ concerning patient safety issues and ‘overall patient safety’. The overall response rate was 66.4%. Results: Among safety domains, “teamwork culture” was rated highest. “Error disclosure culture” received the lowest ratings. Regarding the error disclosure domain, only 10% of respondents reported that they have received education or training on how to disclose medical error to patients. Independent of survey domains, when students were asked “Overall, do you think your hospital is safe based on your clinical rotation?”, 61.8% reported that the hospital was safe. Conclusions: Assessing students' perceptions of safety culture can provide clerkship directors and educators with information that enhances the educational environment and promotes patient safety. Discussions of medical errors, patient safety, and how best to incorporate an analysis of these issues into the existing curriculum are needed.

Medical Students’ Perceptions and Intentions Regarding Patient Safety