Track: Education: quality improvement; best practice; curricular changes; student outcomes; and/or innovative projects educators use with any type of learners
“Is barcode scanning the fourth check?”: Coaching and guiding safe medication administration practices with integrated technology in the simulation learning environment
Purpose: The purpose of this presentation is to discuss use of a literature review to inform and support clinical faculty to implement best practices for teaching medication safety practices with the integration of technology.
Background: Despite advances in technology, medication errors continue to make-up a large portion of adverse medical events. Prelicensure nursing students and new graduates may contribute to adverse drug events due to limited experience and lack of clinical judgement necessary to the process of medication administration.
Methods: Nursing literature in medication administration in nursing education from May 2019 to August 2019 was reviewed by utilizing ‘MEDLINE’, ‘CINHAL’, and ‘Google Scholar’ databases. The key words used included: three checks, rights of safe medication administration, medication safety in nursing education, barcode scanning technology, and electronic medication administration record (MAR).
Results: Review of the literature demonstrates limited publications that include a standardized process to train and prepare students for the integration of information technology and medication administration. Implications from this literature review led to the development of a standardized training module intended to educate faculty using simulation.
Conclusions: Innovations in electronic health records (EHRs) do not replace the rights and checks of medication administration. Indeed, integrated technology adds an additional layer of safety checks to enhance quality and safety in complex care delivery systems. Therefore, prelicensure nursing students need opportunities to integrate the rights and checks with EHRs in simulation. Further research is needed to established a standard critical element checklist for safe medication administration that integrates all technology components.
Discuss findings from the literature related to teaching the checks and rights of safe medication administration with integrated technology
Identify the importance of creating simulation environments where faculty and students may receive standardized instruction on safe medication administration using integrated technology.
Examine the need for further research in order to develop a standardized critical element checklist integrating informatics and the traditional rights and checks of medication administration