medication errors
medication administration
nursing student
clinical instructor
patient safety

How to Cite

Apsay, K. L. G., Alvarado, G. G., Paguntalan, M. C., & Tumog, S. H. (2018). CONTRIBUTING FACTORS TO MEDICATION ERRORS AS PERCEIVED BY NURSING STUDENTS IN ILIGAN CITY, PHILIPPINES. Belitung Nursing Journal, 4(6), 537–544.
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Background: Nursing students are allowed to give medication with clinical supervision to enhance skills in medication administration. However, studies suggest that some students commit medication errors due to knowledge, personal, administrative and environmental factors.

Objective: This study will identify factors that cause student nurses to commit medication errors and correlate it to the number of perceived medication errors committed.

Methods: A correlational design was used to correlate the factors contributing to medication administration and the number of medication errors committed by the students. 388 randomly selected nursing students were asked to answer Modified Medication Error Questionnaire which measures the knowledge, administrative, personal and environmental factors which may contribute to medication administration errors. Medication administration errors are measured according to the number of times a student commits as perceived by them.

Results: Lack of knowledge of the drug and equipment to be used for administration, decrease in confidence, poor clinical assessment of patients’ conditions, and poor follow ups from clinical instructor are identified concerns under knowledge factor. Poor positive feedback, inadequate supervision and belittling ways of clinical instructors are identified under the administrative factor. Fear of administering an injection or giving medications is a common problem under personal factor. Inappropriate labelling of medications, unfavorable room temperature, lack of space, inadequate lighting, disorganized medication administration schedule and noise are problems found under environmental factor. A minority of 17.3% claimed that they have encountered a medication error in any of their clinical duties.

Conclusion: Knowledge, administrative, personal and environmental factors have no effect towards medication errors. However, the relationship between age and the number of perceived medications errors is established. More in-depth investigation is recommended to determine the type of medication errors committed and its detrimental effects towards patient safety.

Supporting Agencies

College of Nursing, Mindanao State University -Iligan Institute of Technology, Philippines


Copyright (c) 2018 Khandy Lorraine Guerrero Apsay, Gianille Geselle Alvarado, Marlon Charles Paguntalan, Sittie Hannah Tumog

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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Alanko, K., & Nyholm, L. (2007). Oops! Another medication error: a literature review of contributing factors and methods to prevent medication errors. Retrieved from 10024/29617/stadia-1194960145-7.pdf?sequence = 1

Berman, A., & Snyder, S. (2012). Fundamentals of nursing (9th ed.). New Jersey: Pearson Education, Inc.

Burrows, E. A. (1997). Stress in qualified nursing staff and its effect on student nurses. Poole: Bournemouth University.

Charkhat-GorgichEnaam-Al-Hagh, Maryam, Y., H., S., Ali, N., & Masoud, T. (2014). The types and causes of medication errors in nursing students. Science Road Journal, 2(8), 48-54.

Clark, C. M. (2008). Faculty and student assessment of and experience with incivility in nursing education. Journal of Nursing Education, 47(10), 458-465.

Corbett, K., & Bent, S. (2005). Developing clinical placements for nursing students in general practice: a survey of the views of practice nurses. Education for Primary Care, 16(2).

Deglin, J. H., & Vallerand, A. H. (2006). Davis' drug guide for nurses: F a Davis Co.

Donaldson, M. S., Corrigan, J. M., & Kohn, L. T. (2000). To err is human: Building a safer health system (Vol. 6). Washington DC: National Academies Press.

Dumo, A. M. B. (2012). Factors affecting medication errors among staff nurses: basis in the formulation of medication information guide. IAMURE International Journal of Health Education, 1(1), 88-149.

Durham, C. F., & Alden, K. R. (2008). Enhancing patient safety in nursing education through patient simulation. In R. G. Hughes (Ed.), Patient safety and quality: An evidence-based handbook for nurses (pp. 1364-1403). Rockville, MD: Agency for Healthcare Research and Quality.

Emmanuelson, J. (1997). The needle phobia page. Retrieved from

Green, M. (2004). Nursing error and human nature. Journal of Nursing Law, 9(4), 37-44.

Greenberg, L. A. (2000). Planning a nurse station for clinical function. Michigan: Herman Miller, Inc.

Hartigan-Go, K. (2007). Finding ways to prevent medication errors. Pasig City: Philippine College of Physicians.

Hutchinson, M., & Jackson, D. (2013). Hostile clinician behaviours in the nursing work environment and implications for patient care: a mixed-methods systematic review. BMC Nursing, 12(1), 25.

Koohestani, H. R., & Baghcheghi, N. (2009). Barriers to the reporting of medication administration errors among nursing students. Australian Journal of Advanced Nursing, The, 27(1), 66.

LaFauci, F. F. (2009). Second year associate degree nursing students and nursing faculty attitudes towards clinical educational experiences. New York: Dowling College.

Mazer, S. (2005). Stop the noise: reduce errors by creating a quieter hospital environment. Patient Safety & Quality Healthcare, 1-4.

National Coordinating Council for Medication Error Reporting and Prevention. (2006). Consumer Information for Safe Medication. Retrieved from

Wolf, Z. R., Hicks, R., & Serembus, J. F. (2006). Characteristics of medication errors made by students during the administration phase: A descriptive study. Journal of Professional Nursing, 22(1), 39-51.