Stephan Christoph, Kloor Doris, Wurmbach Viktoria Sophie, Mahler Cornelia
Department of Nursing Science, Institute of Health Sciences, University Hospital Tuebingen, Tuebingen, Baden-Wuerttemberg, Germany.
Internal Medicine IX - Department of Clinical Pharmacology and Pharmacoepidemiology (Cooperation Unit Clinical Pharmacy), Medical Faculty Heidelberg/Heidelberg University Hospital (Heidelberg University), Heidelberg, Germany.
J Multidiscip Healthc. 2025 Mar 25;18:1745-1758. doi: 10.2147/JMDH.S508151. eCollection 2025.
Elderly patients with chronic diseases often use several drugs (polypharmacy). The more drugs a patient uses, the greater the risk of medication errors. To ensure a safe medication process, healthcare professionals must have a high level of medication safety competence (MSC). Hence, instruments are needed to measure healthcare professionals' MSC and identify areas where improvement is required. A scoping review was conducted to obtain a comprehensive overview of existing instruments. The scoping review was carried out in accordance with the JBI methodology for scoping reviews and in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). An a priori protocol was registered on Open Science Framework https://osf.io/73dmq. The search, performed in January 2024 in six databases, yielded 3740 results, duplicates were removed and 2499 titles and abstracts were screened. Full text screening of 28 articles resulted in the inclusion and analysis of 15 articles. A total of six instruments were identified, all instruments were designed for nurses or nursing students. However, no instrument to assess, eg physicians' or pharmacists' MSC was identified. Five of the six instruments were used in clinical setting and three in educational setting. The Medication Safety Competence Scale (MSCS) and the Medication Safety Scale cover the multidimensionality of MSC. The MSCS's psychometric properties were considered acceptable. Thus, the MSCS can be used to assess nurses MSC in clinical and educational settings.
患有慢性病的老年患者常常使用多种药物（多重用药）。患者使用的药物越多，发生用药错误的风险就越大。为确保用药过程安全，医疗保健专业人员必须具备高水平的用药安全能力（MSC）。因此，需要有工具来衡量医疗保健专业人员的MSC，并确定需要改进的领域。我们进行了一项范围综述，以全面了解现有工具。该范围综述是按照JBI范围综述方法进行的，并符合系统评价和Meta分析扩展的范围综述首选报告项目（PRISMA-ScR）。一个预先制定的方案已在开放科学框架https://osf.io/73dmq上注册。2024年1月在六个数据库中进行的检索产生了3740条结果，去除重复项后，筛选了2499篇标题和摘要。对28篇文章进行全文筛选后，纳入并分析了15篇文章。总共确定了六种工具，所有工具都是为护士或护理专业学生设计的。然而，未发现用于评估例如医生或药剂师的MSC的工具。六种工具中有五种用于临床环境，三种用于教育环境。用药安全能力量表（MSCS）和用药安全量表涵盖了MSC的多维度性。MSCS的心理测量特性被认为是可接受的。因此，MSCS可用于评估临床和教育环境中护士的MSC。
