[PDF] The nine rights of medication administration: an overview. | Semantic Scholar (2024)

It is standard during nursing education to receive instruction on a guide to clinical medication administration and upholding patient safety known as the ‘ five rights’ or ‘five R’s’ of medication administration.

Factors that contribute to medication errors, and also addresses factors that specifically relate to nurses, such as patient severity classification and nursing workload, deviations and interruptions that may occur while taking medication, the complexity of certain calculations and medications, nurses' failure to comply with policies or guidelines are described.

It is proposed that in order for a truly just culture to exist, the balance must also include nurses' authority and only when a triumvirate of responsibility, accountability, and authority exists can an environment that supports reduced medication errors flourish.

The results show that the main root causes of medication administration errors were the standard operating procedure that has not been standardized and nurses' non-compliance behavior on the seven rights procedure.

Nurses’ vigilance and adoption of precaution measures about medication errors are key factors for preventing medication errors.

The author draws on the notion of informed consent and what that means in the health care setting to highlight the importance of the safe administration of medicines to patients.

The review highlighted families that have a central role in caring for the child and therefore are key to the administration process, but have largely been ignored in research studies relating to medication administration.

The aim of this article is to discuss nursing student medication errors identified at a university school of nursing, looking to categorize the errors into three areas: administration rights, system issues and knowledge and understanding.

A multi-professional, evidence-based approach to medicines management is proposed, which all clinicians can work towards, together, by considering the National Patients Safety Agency’s definition of a medication error and the values set out by the National Prescribing Centre.

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It remains each nurse's responsibility to understand the factors that influence medication management, to attain best practice on the patient's behalf.

Findings reveal that there are differences in the perceptions of nurses about the causes and reporting of medication errors and can be used in programs designed to promote medication error recognition and reduce or eliminate barriers to reporting.

A time-motion study measuring the proportion of time that nurses spend on various patient care activities, focusing on medication administration-related activities, shows promise in improving patient safety at the point of care.

Medication errors were common (nearly 1 of every 5 doses in the typical hospital and skilled nursing facility) and the percentage of errors rated potentially harmful was 7%, or more than 40 per day in a typical 300-patient facility.

A taxonomy of nursing error, designed with prevention in mind, is developed, with the guiding rationale being identification of categories central to the nurse’s role and function in healthcare delivery errors.

Although the majority of respondents considered nurse's personal neglect as the leading factor in medication errors, analysis indicated that additional factors involving the health care system, patients' conditions and doctors' prescriptions all contributed to administration errors.

It is emphasized how essential a culture change, combined with well-designed technologies, will be necessary to achieve the next level of safety called for in the IOM report, Preventing Medication Errors.

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