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Assessing the attitudes and perception of risk management among medical secretaries and their effect on patients' safety in actual patient care, in a semi-private medical network and in a public hospital, to evaluate changes in these attitudes over time. A hospital is a complex, complicated and a high-risk environment in which, along with other procedures, administrative processes, which are usually performed by the medical secretarial staff, may also have an impact on clinical activities and are prone to errors as well as other hospi