Bridging generational gaps in medication safety: insights from nurses, students, and generative AI models

Background: This study investigated medication dose calculation accuracy among nurses, nursing students, and Generative AI (GenAI) models, examining error prevention strategies across generational cohorts. Methods: A cross-sectional study was conducted from June to August 2024, involving 101 pediatric/neonatal nurses, 91 nursing students, and four GenAI models. Participants completed a questionnaire on calculation proficiency and provided recommendations for error prevention. Qualitative responses were analyzed to describe attitudes and perceptions. Results: 70% of nurses reported previous medication errors compared to 19.5% of students. Thematic analysis identified six key areas for error prevention: double-checking, calculation methods, work environment, training, drug configuration, and technology use. Only students recommended GenAI integration, while nurses emphasized double-checking. Conclusions: The study highlights generational differences in medication safety approaches and suggests potential benefits of incorporating GenAI as an additional verification layer. These findings contribute to improving nursing education and practice through technological advancements while addressing persistent medication calculation challenges.