Development of a Medication Administration Management Model for Patient Safety in a Community Hospital in Roi-Et Province

Abstract

This action research aimed to develop a medication administration management model for patient safety and to compare the results of medication administration records, in terms of patient safety, before and after using the model. Participants included 8 executive-level nurses and 11 operational-level nurses. The quantitative research tools consisted of a checklist and observation form for nurses performing medication administration. The qualitative study tools consisted of group discussions to determine the key issues and guidelines for the development of the medication administration management model by applying systems theory in conjunction with Kemmis & McTaggart's PAOR process. Quantitative data were analyzed using percentages, means, standard deviations, and Wilcoxon signed-rank tests. Content analysis approach was used to synthesize the medication administration management model.

The results showed that the medication administration management model for patient safety in a community hospital was comprised of the 10 Rs for medication administration and 3 processes: specifically, pre-administration, during administration, and after administration processes. Based on the implement of the model, after using the model, nurses' practice for patient safety level was statistically significantly higher than before at the .05 level.  The finding suggested that the model was practical to be applied in the community hospital