Author:
Agoglia Mary,Kelly Kathleen,Kelman Glenda,VanPatten Rosemarie
Abstract
Background:
Accuracy is needed with medication administration, a skill that involves rule-based habits and clinical reasoning. This pilot study investigated the use of an evidence-based checklist for accuracy with oral medication administration and error reporting among prelicensure nursing students. Checklist items were anchored in the mnemonic C-MATCH-REASON
©
(Client, Medication, ADRs, Time, Client History, Route, Expiration date, Amount, Site, Outcomes, Notation).
Method:
Nineteen participants randomly assigned to crossover sequence AB or BA (A: checklist; B: no checklist) practiced simulation scenarios with embedded errors. Nursing faculty used an observation form to track error data.
Results:
Using the C-MATCH-REASON
©
checklist compared with not using the checklist supported rule adherence (
p
= .005), knowledge-based error reduction (
p
= .011), and total error reduction (
p
= .010). The null hypothesis was not rejected for errors found (
p
= .061) nor reported (
p
= .144), possibly due to sample size.
Conclusion:
C-MATCH-REASON© was effective for error reduction. Study replication with a larger sample is warranted.
[
J Nurs Educ
. 2024;63(5):320–327.]
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