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Abstract
Background: Medication administration errors by novice nurses are common worldwide. An understanding of the error types during the medication administration process is the first step in their prevention.
Objective: To assess and compare types of medication administration errors by graduating nursing students in Indonesia, Taiwan, and Thailand through a problem-based simulation.
Design: This was a cross-sectional observational study.
Methods: Nursing students in their last semester before graduation from a 4-year baccalaureate nursing program in each of Indonesia, Taiwan, and Thailand were recruited. Their behaviors when administering medications were observed in a problem-based simulation for any errors that occurred. Descriptive statistics and Chi-squared tests were used to show the number, rates, and differences in medication administration errors among the three countries.
Results: In total, 145 graduating nursing students were assessed. Overall, each student had 4.4 ± 1.8 errors. Giving medications without an indication (n=129, 89.0%) and giving a medication with the potential for an allergic reaction (n=111, 76.6%) were the two most common errors, followed by the wrong insulin dosage (n=63, 43.4%). Numbers of medication administration error types statistically significantly differed among the three countries.
Conclusions: Medication administration errors by graduating nursing students in Asian countries are common. Collaboration is encouraged to share international strengths and resources with local institutions. Leaders in educational and clinical settings should provide problem-based simulations to assess and improve medication safety competency of nurses and students.
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