Medication Safety Self-Assessment for Hospital, Canadian Version IV (2026) Introduction

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The Medication Safety Self-Assessment for Hospital (MSSA-Hospital) has been updated from the 2016 version by the Institute for Safe Medication Practices Canada (ISMP Canada), supported by the Canadian Medication Incident Reporting and Prevention System (CMIRPS).

The MSSA-Hospital is designed to facilitate evaluation of the safety of hospital medication management systems by:

• Heightening awareness of the core characteristics of a safe medication system
• Identifying vulnerabilities and opportunities for improvement related to medication system safety
• Creating a baseline measurement of the current level of implementation of recommended strategies for medication safety
• Monitoring progress over time through periodic repeated measurement to see where improvements have been achieved and where challenges remain

The self-assessment is divided into 7 key elements related to safe medication use in hospital. Each key element is defined by one or more of 17 core characteristics of a safe medication system. There are 216 self-assessment items to help hospital teams evaluate the level of implementation of recommended strategies for medication safety.