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Nurses' Perceived Skills and Attitudes About Updated Safety Concepts: Impact on Medication Administration Errors and Practices

Armstrong, Gail E. PhD, DNP, RN, ACNS-BC, CNE; Dietrich, Mary PhD; Norman, Linda DSN, RN, FAAN; Barnsteiner, Jane PhD, RN, FAAN; Mion, Lorraine PhD, RN, FAAN

doi: 10.1097/NCQ.0000000000000226

Approximately a quarter of medication errors in the hospital occur at the administration phase, which is solely under the purview of the bedside nurse. The purpose of this study was to assess bedside nurses' perceived skills and attitudes about updated safety concepts and examine their impact on medication administration errors and adherence to safe medication administration practices. Findings support the premise that medication administration errors result from an interplay among system-, unit-, and nurse-level factors.

Supplemental Digital Content is Available in the Text.

College of Nursing, University of Colorado, Aurora (Dr Armstrong); Department of Biostatistics, Schools of Medicine (Dr Dietrich) and Nursing (Drs Dietrich, Norman, and Mion), Vanderbilt University, Nashville, Tennessee; Ohio State University College of Nursing, Columbus, Ohio (Dr Mion); and School of Nursing, University of Pennsylvania, Philadelphia (Dr Barnsteiner).

Correspondence: Gail E. Armstrong, PhD, DNP, RN, ACNS-BC, CNE, College of Nursing, University of Colorado, 13120 E 19th St, Box C288-19, Aurora, CO 80045 (

The authors thank Drs Diane Brown and Carolyn Aydin of Collaborative Alliance for Nursing Outcomes (CALNOC) for their insight, assistance in recruiting nurses, and provision of medication data.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

The authors declare no conflict of interest.

Accepted for publication: July 27, 2016

Published ahead of print: September 8, 2016

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