The effect of web-based double-eye control program on the prevention of pediatric medication errors of nursing students: A quasi-experimental study

Abstract

Background: – Medication errors in the pediatric population are a major patient safety problem, leading to death, disability, or prolonged hospitalization. This study investigated the effect of medication skills training provided to senior pediatric nursing students through simulation and a web-based Double-Eye Control Program (DECP) on students’ pediatric medication error rates. Methods: – This quasi-experimental one-group pretest–posttest study was conducted using structured, non-participant observation. The outcomes were overall medication error rate and subcategories (preparation, administration, follow-up, and recording). In the pre-intervention stage, students administered medication to a pediatric mannequin according to a scenario. The intervention consisted of simulation training supported by a web-based DECP. No randomization was performed. Post-intervention, students repeated the same scenario using the DECP. Data were analyzed with the Wilcoxon Signed Rank Test, and interrater reliability among 4 observers was assessed using Fleiss’ Kappa. Results: – The mean overall error rate decreased from 55.37% before the intervention to 13.52% after the intervention. Preparation, administration, follow-up, and recording error rates all significantly decreased (P < .001). Conclusion: – The web-based DECP integrated with simulation significantly reduced pediatric medication administration errors among student nurses.