Student and novice nurses are susceptible to committing medication errors related to lack of experience. To address medication safety, a quasi-experimental design (N = 120) was used to test the effect of adding simulation to an undergraduate nursing pharmacology course on students' confidence and competence, medication adverse events, and observed medication administration practices. Students who received simulation-enhanced pharmacology demonstrated important improvements in medication administration safety. Implementing simulation in nursing pharmacology curriculum is consistent with recommendations to implement Quality and Safety Education for Nurses competencies into nursing education.
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