Date of Graduation

Fall 12-17-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Dr. Susan Mortell, DNP, RN, CNL

Second Advisor

Robin Jackson, MSN, CNL


Problem: According to the World Health Organization (2020), medication errors are one of the leading causes of injury and avoidable harm in health care globally.

Context: The county jail houses approximately 700 inmates/patients on a daily basis, and the potential for error when administering medications is high as medications are prepared manually using a paper medication administration record.

Interventions: The jail began using an electronic health record/barcode administration system on October 19, 2020.

Measures: Unusual occurrence reports related to medication errors were reviewed. The time frame included 6 months before electronic implementation, and 6 months after implementation.

Results: Unusual occurrence reports due to medication error were reduced 88.9% after the implementation of the electronic health record/barcode medication administration system.

Conclusion: Medication administration safety has improved dramatically at the jail as a result of implementing updated and current electronic technology. Administering medications in a locked correctional facility takes place in coordination with other scheduled inmate activities, as well as the security issues associated with the inmates, nonetheless medication safety improvement needs to continue to be a focus for nurses (Knox, 2015).