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Updated: May 12, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Nursing student medication errors: a case study using root cause analysis.

Mary A Dolansky¹, Kalina Druschel, Maura Helba

¹Frances Payne Bolton School of Nursing, Case Western Reserve University, OH 44106, USA. Mary.Dolansky@case.edu

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing

|April 10, 2013

Summary

This summary is machine-generated.

Root cause analysis (RCA) helps identify system factors in nursing student medication errors, moving beyond individual blame. Applying RCA in nursing education promotes a fair culture and identifies strategies to prevent future errors.

Related Experiment Videos

Last Updated: May 12, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Area of Science:

Nursing Education
Patient Safety
Healthcare Quality Improvement

Background:

Medication errors are a significant concern in nursing education.
Traditional responses to student errors often focus on individual blame rather than systemic issues.
Quality and Safety Education for Nurses (QSEN) competencies advocate for a systems-based approach.

Purpose of the Study:

To present a case study of an undergraduate nursing student medication error.
To demonstrate the application of Root Cause Analysis (RCA) to a student medication error.
To highlight how RCA can inform system improvements in nursing education.

Main Methods:

A case study approach was used to examine a specific undergraduate nursing student medication error.
Root Cause Analysis (RCA) methodology was applied to the incident.
A literature review was conducted to support the RCA findings.

Main Results:

The RCA identified contributing factors across multiple domains: environmental, personal, unit communication and culture, and education.
The analysis moved beyond individual accountability to uncover systemic issues.
Improvement strategies were identified based on the RCA findings.

Conclusions:

RCA is a valuable tool for analyzing nursing student medication errors.
Implementing RCA promotes a fair and just culture within nursing education programs.
RCA facilitates the identification of actionable solutions for both individual performance and systemic weaknesses.