Development and validation of a medication safety self-assessment tool for primary healthcare settings in China
BackgroundMedication safety remains a global public health challenge, particularly in resource-constrained primary care settings. This study aimed to develop and validate a specific, proactive, medication safety self-assessment tool tailored for primary healthcare settings in China.MethodsA mixed-me...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-08-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1584286/full |
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| author | Shang Yong-guang Qin Wang-jun Guo Dong-jie Li Peng-mei Zhang Lei |
| author_facet | Shang Yong-guang Qin Wang-jun Guo Dong-jie Li Peng-mei Zhang Lei |
| author_sort | Shang Yong-guang |
| collection | DOAJ |
| description | BackgroundMedication safety remains a global public health challenge, particularly in resource-constrained primary care settings. This study aimed to develop and validate a specific, proactive, medication safety self-assessment tool tailored for primary healthcare settings in China.MethodsA mixed-methods approach combining literature review, field investigations, a Delphi expert consultation (3 rounds), and Analytic Hierarchy Process (AHP) was implemented. Forty-three voluntarily participating settings completed the self-assessment, with effectiveness validated through correlation analysis between assessment scores and adverse drug events (ADEs) indicators (medication errors, dispensing/prescribing errors).ResultsWe constructed a medication safety self-assessment tool for primary care settings comprising 5 domains, 18 core characteristics, and 84 self-assessment items. The mean percent score for 43 participating primary care settings was 81.5% ± 11.7%, and Spearman’s rank correlations were used to examine the relationship between the overall assessment scores to the incidence of ADEs (Correlation Coefficient is −0.448, p = 0.003).ConclusionAs the first medication safety assessment tool for Chinese primary healthcare settings, based on current medication practices and validated through ADE, implementation demonstrates potential to enhance medication safety practices. |
| format | Article |
| id | doaj-art-8dc8401734ef4e33986f1713fd9726a6 |
| institution | DOAJ |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-8dc8401734ef4e33986f1713fd9726a62025-08-20T03:02:30ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.15842861584286Development and validation of a medication safety self-assessment tool for primary healthcare settings in ChinaShang Yong-guangQin Wang-junGuo Dong-jieLi Peng-meiZhang LeiBackgroundMedication safety remains a global public health challenge, particularly in resource-constrained primary care settings. This study aimed to develop and validate a specific, proactive, medication safety self-assessment tool tailored for primary healthcare settings in China.MethodsA mixed-methods approach combining literature review, field investigations, a Delphi expert consultation (3 rounds), and Analytic Hierarchy Process (AHP) was implemented. Forty-three voluntarily participating settings completed the self-assessment, with effectiveness validated through correlation analysis between assessment scores and adverse drug events (ADEs) indicators (medication errors, dispensing/prescribing errors).ResultsWe constructed a medication safety self-assessment tool for primary care settings comprising 5 domains, 18 core characteristics, and 84 self-assessment items. The mean percent score for 43 participating primary care settings was 81.5% ± 11.7%, and Spearman’s rank correlations were used to examine the relationship between the overall assessment scores to the incidence of ADEs (Correlation Coefficient is −0.448, p = 0.003).ConclusionAs the first medication safety assessment tool for Chinese primary healthcare settings, based on current medication practices and validated through ADE, implementation demonstrates potential to enhance medication safety practices.https://www.frontiersin.org/articles/10.3389/fmed.2025.1584286/fullprimary healthcare settingmedication safetyrisk managementself-assessmentDelphi methodanalytic hierarchy process |
| spellingShingle | Shang Yong-guang Qin Wang-jun Guo Dong-jie Li Peng-mei Zhang Lei Development and validation of a medication safety self-assessment tool for primary healthcare settings in China Frontiers in Medicine primary healthcare setting medication safety risk management self-assessment Delphi method analytic hierarchy process |
| title | Development and validation of a medication safety self-assessment tool for primary healthcare settings in China |
| title_full | Development and validation of a medication safety self-assessment tool for primary healthcare settings in China |
| title_fullStr | Development and validation of a medication safety self-assessment tool for primary healthcare settings in China |
| title_full_unstemmed | Development and validation of a medication safety self-assessment tool for primary healthcare settings in China |
| title_short | Development and validation of a medication safety self-assessment tool for primary healthcare settings in China |
| title_sort | development and validation of a medication safety self assessment tool for primary healthcare settings in china |
| topic | primary healthcare setting medication safety risk management self-assessment Delphi method analytic hierarchy process |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1584286/full |
| work_keys_str_mv | AT shangyongguang developmentandvalidationofamedicationsafetyselfassessmenttoolforprimaryhealthcaresettingsinchina AT qinwangjun developmentandvalidationofamedicationsafetyselfassessmenttoolforprimaryhealthcaresettingsinchina AT guodongjie developmentandvalidationofamedicationsafetyselfassessmenttoolforprimaryhealthcaresettingsinchina AT lipengmei developmentandvalidationofamedicationsafetyselfassessmenttoolforprimaryhealthcaresettingsinchina AT zhanglei developmentandvalidationofamedicationsafetyselfassessmenttoolforprimaryhealthcaresettingsinchina |