Detecting Medication Order Discrepancies in Nursing Homes: How RNs and LPNs Differ


Medication order discrepancies pose safety risks when nursing home residents transition between health care settings. In nursing homes, both registered nurses (RNs) and licensed practical nurses (LPNs) frequently are assigned to detect medication order discrepancies, using the process of medication reconciliation. This study was undertaken to examine the extent to which licensure (RN, LPN), years of experience performing medication reconciliation, and the perceived Need for Closure were related to differences in the detection of medication order discrepancies. The Multiple Segment Factorial Vignette design was used to explore and compare nursing home nurses’ detection of such discrepancies.

Amy Vogelsmeier, PhD, RN, Allison Anbari, PhD(c), RN, Larry Ganong, PhD, Ruth A. Anderson, PhD, RN, FAAN, Lynda Oderda, PharmD, Amany Farag, PhD, RN, and Richard Madsen, PhD
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Licensed Practical/Vocational Nurses (LPN/VNs), Medication Errors, Patient Safety, Practice, Regulation, Research
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