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Development and psychometric validation of the hospital medication system safety assessment questionnaire

2026-01-12Artigo de investigação Acesso aberto
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dc.contributor.authorSales, Leila
dc.contributor.authorCardoso, Ana Filipa
dc.contributor.authorAraújo, Beatriz
dc.contributor.authorJesus, Élvio
dc.date.accessioned2026-02-06T10:36:18Z
dc.date.available2026-02-06T10:36:18Z
dc.date.issued2026-01-12
dc.description.abstractBackground/Objectives: Medication incidents remain a significant concern in hospital settings. Integrated medication systems, regarding organized processes, policies, technologies and professional practices are designed to enhance patient safety; however, their safety performance is still suboptimal. The use of valid and reliable instruments to assess hospital medication system safety can be a valuable resource for health care management. The aim of this study was to describe the development and psychometric validation of the Hospital Medication System Safety Assessment Questionnaire (HMSSA-Q) for assessing the safety of hospital medication systems and its processes in Portugal. Methods: The HMSSA-Q was developed through a literature review and two rounds of expert panel consultation. Following consensus, a pilot methodological study was conducted in 95 Portuguese hospitals. Construct validity was assessed using principal component factor analysis, and reliability was evaluated through internal consistency (Cronbach’s alpha). Results: The instrument is theoretically structured into five predefined domains/subscales: Organizational Environment, Safe Medication Prescribing, Safe Medication in Hospital Pharmacy, Safe Medication Preparation and Administration, and Information and Patient Education. Principal component analyses performed separately for each domain supported their internal structure. The overall scale showed excellent internal consistency (Cronbach’s ? = 0.97), with Cronbach’s alpha values for the domains ranging from 0.86 to 0.94. Conclusions: The HMSSA-Q is a valid and reliable instrument for assessing the safety of hospital medication systems and has the potential to serve as an innovative management tool for improving patient safety.eng
dc.identifier.citationSales, L., Cardoso, A. F., Araújo, B., & Jesus, É. (2026). Development and psychometric validation of the hospital medication system safety assessment questionnaire. Nursing Reports, 16(1), Article 22. https://doi.org/10.3390/nursrep16010022
dc.identifier.doi10.3390/nursrep16010022
dc.identifier.eid105028716578
dc.identifier.issn2039-439X
dc.identifier.otherbf710ec7-46d2-4176-87bd-f702a888af4e
dc.identifier.pmcPMC12844372
dc.identifier.pmid41591119
dc.identifier.urihttp://hdl.handle.net/10400.14/56950
dc.identifier.wos001671065000001
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHealth care management
dc.subjectNursing
dc.subjectPatient safety
dc.subjectPsychometrics
dc.subjectRisk management
dc.subjectSurveys and questionnaires
dc.titleDevelopment and psychometric validation of the hospital medication system safety assessment questionnaireeng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.issue1
oaire.citation.titleNursing Reports
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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