The Outcomes of Implementing the Transforming Care at the Bedside (TCAB) Model on Medication Administration Errors: A Case Study

Abstract

Background: A good patient care model is an important factor enabling nurses to provide quality nursing care while minimizing clinical errors. Objective: This study aimed to evaluate and compare the percentage of medication administration errors and nurses' satisfaction before and after implementing the Transforming Care at the Bedside (TCAB) model. Method: The sample consisted of 15 registered nurses in a pediatric surgery ward working in the morning, afternoon, and night shifts. The research instruments included: 1) the TCAB care model; 2) guidelines for medication administration in the ward; 3) a nurse job satisfaction questionnaire; 4) a nursing practice record based on the TCAB model; and 5) a medication error report form. The instruments were tested for reliability, with a Cronbach's alpha coefficient of 0.95. Data were collected before and after the model's implementation and analyzed using a paired t-test to assess differences in mean scores. Results: 1. The medication administration error rate decreased from 0.10% to 0.05% following the implementation of the TCAB model. 2. The average satisfaction score of nurses, overall and by each aspect, increased significantly at the .05 level after the model was applied. Conclusion: Implementing the TCAB model significantly reduced medication administration errors. Additionally, nurses' job satisfaction increased significantly after implementing the TCAB model. These findings indicate that the TCAB model is an effective approach to improving care quality and reducing medication errors.