Date of Conferral

1-5-2026

Date of Award

January 2026

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Dr. Barbara Gross

Abstract

This staff education project was a quality improvement initiative aimed at reducing medication transcription errors by implementing a standardized verification protocol. The project addressed the critical practice problem of transcription-related medication errors, which contribute to wrong medication administration, adverse drug events, and patient harm. The practice-focused question was: How does implementing a staff education program on standardized medication transcription verification processes in healthcare institutions affect the rate of wrong medication administration compared to traditional transcription methods without education? The project was implemented over 8 weeks in an outpatient clinic with 20 participants (8 prescribers and 12 nurses). The primary data collection tool was a structured pre- and post-intervention Likert-scale survey, developed to assess staff confidence, satisfaction, and knowledge retention. The findings showed significant improvements following the intervention. Transcription errors dropped from 20% to 13% (a 35% reduction), and compliance with verification protocols rose from 62% to 88%. Confidence in using the protocols increased from 45% to 92% among participants, while overall staff satisfaction with the training improved from 50% to 90%. Sustaining the improvement will require continued staff education, periodic competency assessments, and routine audit feedback. Overall, the project demonstrates that nurse-led educational interventions can lead to measurable enhancements in minimizing transcription errors, improving communication between nurses and prescribers, and strengthening a culture of safety, confidence, and professional accountability in clinical practice.

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