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unsafe medication practices medication errors major cause harm healthcare systems around world study aimed explore factors influence risk medication provide medication risk evaluation model adults shanxi province china data obtained provincial questionnaire may december 2022 relying random distribution questionnaires online questionnaires four hospitals shanxi province multiple linear regression analysis used explore factors affecting kap score residents univariate multivariate logistic regression used determine independent risk factors nomogram verified receiver operating characteristic curve calibration decision curve analysis total 3388 questionnaires collected including 3272 valid questionnaires average scores drugs kap 632 2304 3305 960 2367 675 3316 1087 respectively evaluation criteria questionnaire knowledge scored fair attitude practice scored good sex monthly income place residence insurance status education level employment regarded independent risk factors medication nomogram established males lowincome loweducated people important factors affecting risk medication application model help residents understand risk medication behavior reduce harm medication