Date of Award


Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Jessica S. Coviello

Second Advisor

Judith Kunisch


Medication errors, now thought to be four times greater than previous estimates, pose a serious threat to nurses, patients, and health care institutions. Current nursing education lacks any coherent medication safety framework other than the classic “Five Rights” construct. This project piloted an educational intervention with senior nursing students based on systems-thinking safety principles. Students evaluated the learning experience positively and improved pre- to post-testing scores by 74%. This study demonstrates students’ ready acceptance and comprehension of systems thinking medication safety theory, an alternative to the “Five Rights” construct.

Open Access

This Article is Open Access