关键词: 用药接近失误；报告障碍；量表修订；信度；效度

Abstract: Objective: To revise the Chinese version of the Barriers to Medication Administration Error Reporting Scale to form the Barriers to Near-Miss Reporting Scale, and to evaluate the reliability and validity of the revised version. Methods: The scale was revised based on the literature review, preliminary experiment and expert consultation. Totally 540 nurses in a tertiary hospital in Tangshan City was investigated by convenient sampling to test the reliability and validity of the scale. Results: There were 24 items in the Barriers to Near-Miss Reporting Scale. The I-CVI was 0.833~1.000, and the S-CVI/Ave was 0.960. The extracted 6 factors by exploratory factor analysis explained 76.389% of the total variation. The overall Cronbach's α coefficient of the scale was 0.951, the Cronbach's?α coefficient of six dimensions ranged from 0.832 to 0.918. The test-retest reliability of the scale was 0.802, and the test-retest reliability of six dimensions ranged from 0.608 to 0.944. Conclusion: The Barriers to Near-Miss Reporting Scale is a valid and reliable questionnaire to evaluate the barriers of reporting medication near-miss.

Key words: medication near-miss; reporting barriers; scale revise; reliability; validity