Medication administration safety assessment tool: Construction and validation

ABSTRACT Objective: To build and validate the Patient Safety Assessment in Medication Administration (ASPAM - Avaliação da Segurança do Paciente na Administração de Medicamentos) tool. Method: Methodological study in which the construction, Content Validation Index (CVI), construct validation (factorial analysis) and reliability were performed in terms of homogeneity (Cronbach’s Alpha). Results: The ASPAM reached CVI of 0.77 for simplicity, 0.76 for clarity and 0.93 for relevance. The exploratory factorial analysis was adequate for the tool (Kaiser-Meyer-Olkim of 0.66 and Bartlett’s sphericity with p <0.001). The Cronbach’s Alpha end of the scale with 28 items was 0.85. Conclusion: The ASPAM tool was valid and reliable for the identification of risk-generating conditions for the occurrence of Adverse Drug Events.

摘要 研究目的：构建并验证给药患者安全评估工具（Patient Safety Assessment in Medication Administration，简称ASPAM，葡萄牙语原称为Avaliação da Segurança do Paciente na Administração de Medicamentos）。研究方法：本研究为方法学研究，完成了工具构建、内容效度指数（Content Validation Index，CVI）检验、结构效度验证（因子分析）以及同质性信度（克朗巴赫α系数，Cronbach’s Alpha）检验。研究结果：ASPAM的内容效度指数在简洁性维度得分为0.77，清晰性维度得分为0.76，相关性维度得分为0.93；探索性因子分析结果显示该工具适配性良好（凯泽-迈耶-奥尔金检验值为0.66，巴特利特球形检验p<0.001）；含28个条目的量表整体克朗巴赫α系数为0.85。研究结论：ASPAM工具可有效且可靠地识别药物不良事件（Adverse Drug Events，ADE）发生的风险诱因。