Date of Graduation

Fall 12-13-2014

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Enna Trevathan

Second Advisor

Elena Capella

Third Advisor

Melissa Vandeveer


Patient Safety Initiative -Improving Medication Administration (Outpatient Care)

SPECIFIC AIM: We aim to Improve the medication administration process and involve all staff within 6 months

In the microsystem consisting of 14 family practice and urgent care clinics, there is not a standard process based on evidence based practices for medication administration. With and estimated of 400-600 medications (immunizations included) being administered per day, without a standard of care protocol, the risk for medication errors is evident.

Objectives and changes anticipated based on implementation of the project is to engage staff in support for improving medication administration standard of care based on national initiatives. Engaging participation and input from staff fosters team collaboration and promotes buy-in. Ideas from staff, along with the education on medication administration practices and process map posters will provide additional knowledge and opportunity for questions. Collaboration facilitates a common goal of improving patient care.

Plan implementation will occur over six months. The timeline begins with an initial medication documentation audit and staff education via email. During month’s two through six, additional email education on medication best practices will be sent to staff once a month and the medication process poster will be posted at each medication preparation area. In addition, during month two, a staff survey will be completed asking for ideas to improve the medication administration process. The initial chart audit is to be compared to a secondary audit in six months to evaluate the effectiveness of staff education over the six months.

The project has not been completed; timeline is to begin after the first of the year. Data show failures in the mediation administration process and how patient safety is at risk. Nurses have the potential to prevent errors and improve practices.