
3.2. Inclusion criteria and exclusion criteria
3.2.1. Participants
This review was focused on studies involving undergraduate
healthcare students. Only studies in which undergraduates represented
at least half of the participants were included to maintain a clear focus
on undergraduate education. Studies involving predominantly post-
graduate students or professionals were excluded.
3.2.2. Concept
The concept of interest was patient safety education, emphasizing
developing competencies across multiple domains. Studies were
included if they addressed at least 2 competency domains: the CSCF,
5
the ACSQHC,
6
or the WHO patient safety framework.
4
Domains were
interpreted based on conceptual correspondence across frameworks, as
outlined in Table 1. Additionally, studies were required to assess
learning outcomes using empirical evaluation methods to ensure the
reliability and relevance of the ndings. In contrast, studies narrowly
focusing on specic aspects of patient safety (e.g., the use of a single
technique such as Situation, Background, Assessment, Recommendation
[SBAR]) were excluded, as they did not encompass the broader scope of
patient safety education.
3.2.3. Context
The context was centered on interprofessional educational in-
terventions involving participants from at least 2 distinct healthcare
professions. Studies in which the educational intervention was not
interprofessional were excluded because they did not align with the
focus of this review.
3.2.4. Types of sources
The review included experimental and quasi-experimental studies,
such as randomized and nonrandomized controlled trials, before-and-
after studies, interrupted time series, and posttest-only designs. Obser-
vational studies, including cohort, case-control, and cross-sectional
studies, were also eligible, along with mixed-methods studies. Studies
lacking quantitative or empirically assessed learning outcomes relevant
to patient safety educational interventions were excluded, including
those relying solely on qualitative methods, as the review aimed to map
and compare measurable learning outcomes across competency domains
and Kirkpatrick evaluation levels.
3.3. Database search
The search strategy was intended to locate published and unpub-
lished studies without date restrictions. In Step 1, an initial limited
search was conducted in CINAHL (via EBSCO) and MEDLINE (via
PubMed) to identify key articles and terms. Step 2 involved a compre-
hensive search using the identied keywords and index terms, adapted
to databases including CINAHL, Embase (including MEDLINE and
PubMed-not-MEDLINE), Cochrane Library, ERIC (via Ovid), and APA
PsycInfo (via Ovid). Google Scholar was also used to capture grey
literature. Finally, in Step 3, the reference lists of all included papers
were manually reviewed to identify additional eligible studies.
The databases were consulted on September 2, 2024. Studies pub-
lished in any language were included. The full search equations are
available in Appendix A.
3.4. Study selection
All identied citations were uploaded to Covidence (Veritas Health
Innovation, Melbourne, Australia), and duplicates were removed. A
pilot test rened the source selection guidelines. Each article was
independently screened by two reviewers, randomly selected from the
following group: SB, LC, IK, HL, ME, AS, and PL, using the eligibility
criteria. Two reviewers (SB, LC) independently assessed the full text of
selected citations. Articles excluded were documented with reasons for
exclusion. Any disagreements between reviewers were resolved through
discussion or with a third reviewer.
3.5. Assessment of methodological quality
Two reviewers (SB and LC) independently evaluated the methodo-
logical quality of eligible studies using standardized JBI tools,
28
resolving disagreements through discussion. Design-specic JBI critical
appraisal checklists were applied according to study type. Appraisal
results were used descriptively to contextualize the ndings and were
not employed as exclusion criteria.
3.6. Data extraction
Two reviewers (SB, LC) independently extracted data on study
characteristics, intervention details, and outcomes using a standardized
approach based on the Guideline for Reporting Evidence-Based Practice
Educational Interventions and Teaching and Meinema et al.’s check-
list,
29,30
which emphasizes comprehensive descriptions of interventions.
When patient safety competency domains were not explicitly stated by
the study authors, reported learning objectives, outcome measures, and
assessment instruments were examined and mapped deductively to the
CSCF, WHO, or ACSQHC competency domains. Discrepancies were
resolved through discussion.
3.7. Data synthesis
A structured narrative synthesis was conducted in accordance with
JBI guidance for scoping reviews.
26
Extracted data were rst organized
descriptively according to study and intervention characteristics
(Table 2). Conceptually overlapping domains across the three frame-
works were aligned based on their correspondence (Table 1) to enable
consistent categorization. Teaching methods were then cross-tabulated
with patient safety competency domains to enable structured compari-
son across heterogeneous study designs (Table 3). Reported learning
outcomes and key ndings were summarized (Table 4), and subse-
quently mapped deductively to patient safety competency domains and
categorized according to Kirkpatrick model levels
31
(Level 1: reaction;
Level 2: learning; Level 3: behavior; Level 4: results) (Table 5).
4. Results
4.1. Characteristics of included studies
Twenty studies met the inclusion criteria, spanning publication years
from 2009 to 2024 (Fig. 1). Although studies published in any language
were eligible, all studies meeting the inclusion criteria after screening
were published in English. Most participant groups consisted of medical
and nursing students (n =16). Some studies also included learners from
pharmacy, respiratory therapy, physical therapy, physician assistant,
nutrition and dietetics, occupational therapy, social work, and other
health professions (Table 2). Sample sizes varied widely, ranging from
30 participants
32
to 700.
33
Geographically, most studies were conducted in North America (n =
10), followed by Asia (n =6), Europe (n =2), and Australia (n =2).
Regarding study designs, 19 studies employed quasi-experimental ap-
proaches, 10 adopted mixed-methods designs, and only 1 was an RCT.
34
The included studies’ methodological quality revealed variability
across key criteria such as randomization, participant retention, and the
reliability of measurement tools (Figs. 2 and 3).
4.2. Characteristics of interprofessional educational interventions
Most interventions were intended to enhance interprofessional
competencies, particularly teamwork and communication, while
S. Bolor´
e et al.
Journal of Interprofessional Education & Practice 44 (2026) 100818
3