Application of Research Skills Paper

Application of Research Skills Paper

Application of Research Skills Paper

Medication errors is a prevalent patient safety issue that impacts healthcare outcomes and patient care experience with increased cost burden. The Food and Drug Administration (FDA) defines a medication error as any preventable event that leads to inappropriate use of medications by healthcare professionals which in some instances leads to patient harm. In their article, MacDowell et al. (2021) assert that medication errors entail a failure in one of the five “rights” of the medication administration process. These include right patient, right medication, right time, right dose, and right route. The purpose of this paper is to offer an annotated bibliography and summary based on research associated with best practices in addressing medication errors faced by health care organizations.

Medication Errors

Healthcare providers need to address the issue of medication errors because of the negative effects that these events have on patient care safety, patient care experience and overall outcomes from health care interventions. Despite efforts to reduce medication errors, many facilities, departments, and units in hospitals continue to face increased prevalence of these adverse events. Close to 25% of medication administration situations lead to medication errors. Close to seven million patients get affected by medication errors each year which leads to increased cost of care due to longer hospital stay and poor patient care experience> Medication errors cause more deaths than traffic accidents, auto-immunodeficiency syndrome and cancer of the breast.  I have witnessed medication errors in my organization when nurses give the wrong medications due to limited use of barcode spanning to ensure that the right patient gets the right amount of medication using the right route and the right time with requisite dosage. As a nurse involved directly in patient care, I have a responsibility to ensure that I go through the medication administration process to mitigate medication errors.

ORDER A PLAGIARISM FREE-PAPER HERE

Accessing Peer- Reviewed Articles

Getting peer reviewed journal article needs one to have a clear such strategy as taught in the research skills section. In this case, I accessed healthcare associated databases like CINAHL complete, PubMed, and ProQuest as well as Summons. By applying the right terminologies and keywords like medication administration errors, medication, patient safety and safe administration of medicines assisted to get the relevant research article for my annotated bibliography. Apart from the key words, I used the advance search option to narrow my research to peer reviewed journal articles with the last four years. I selected the journal articles based on the type of publication and nursing as the topic or subject. The final step was ensuring that publication dates for the article were in the last four years.

Credibility and Relevance of Information Sources

The most appropriate way in confirming relevance and the credibility of the sources is to ensure that the date of publication is recent and captures the issue under study. Imperatively, the selected articles for this annotated bibliography were those within the last four years. I also reviewed each article for possible intervention approaches to decrease medication errors and promote safe administration of medicines by healthcare professionals.

Annotated Bibliography

Afaya, A., Konlan, K. D. & Do, K. H. (2021). Improving patient safety through identifying

barriers to reporting medication administration errors among nurses: an integrative review. BMC Health Services Research, 21(1156). DOI: https://doi.org/10.1186/s12913-021-07187-5

In this article, the authors conduct a systematic review to identify and examine barriers that hinder nurses from reporting medication administration errors in hospital situations. The article bases its objectives on the need by the World Health Organization (WHO) to reduce medication-associated harm by 50% over a five-year period beginning in 2017. Using an integrative review of articles from different databases that include Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed and Web of Science among others, the authors identify barriers that hamper efforts to report medication errors by nurses in their facilities. These include organizational barriers like insufficient reporting systems, management behavior and individual and professional barriers like personal reasons, lack of knowledge about errors and fear of colleagues’ reprisal. The authors recommend the need for an enabling environment to prevent punitive measures and a culture of blame that are imperious for nurses to report these events. The article is relevant to medication errors since it evaluates issues that hinder effective reporting of these adverse events to have corrective measures to prevent their occurrence.

Aldhafeeri, N., & Alamatrouk, R. (2019). Shaping the Future of Nursing Practice by

Reducing Medication Error. Pennsylvania Nurse, 1(74), 14-18. http://web.a.ebscohost.com.library.capella.edu/ehost/pdfviewer/pdfviewer?

vid=25&sid=78a7ee77-45d7-4b7d-a458-42bd9575064e%40sessionmgr4006

The article introduces medication errors as one of leading global healthcare issue. The authors assert that medication errors occur in all phases of treatment that include copying, prescribing, preparation, checking the medication, administration and observation. The authors advance that close to 38% of the errors come from administration of medications. The hypothesis is that medication administration consist of the highest percentage of medication errors. Therefore, registered nurses (RNs) who are the last people involved should have an active role in addressing this global healthcare challenge in different care settings. The authors attribute medication errors to systematic and professional failure by both providers and healthcare systems. The article emphasizes the need for better communication, staff education, modification of policies and protocols, and use of inter-professional and multidisciplinary collaborations to reduce medication errors and promote patient safety. The article is essential to my topic of interest since it provides an account on the existence of medication errors and offers approaches to help maintain quality of care and safety.

ORDER A PLAGIARISM FREE-PAPER HERE

Cohen, M. R. (2019). Medication Errors. Nursing, 49(9), 72.

DOI:10.1097/01.NURSE.0000577764.46515.d1

In this article, the author provides examples of medication errors and the possible solutions to reduce them in healthcare settings. The article discusses near-miss errors and events that involve use of antibiotics, vancomycin, and vecuronium as neuromuscular blocking agent. The article provides a case study of patient with medication errors emanating from the use of vecuronium instead of the prescribed vancomycin.  Due to effective processes, the providers identified the error before administration. An inquiry into the event showed that the storage of these two medications was the problem. The article suggests that effective storage in appropriate and well labeled shelf or area can mitigate this error in the future. This article is relevant to the topic of interest because it offers a real life situation of a medication error happening. However, through effective quality and process controls and protocols, the organization was able to detect the error. It also took the necessary steps to reduce and prevent the possibility of another event like this one.

Strudwick, G., Reisdorfer, E., Warnock, C., Kalia, K., Sulkers, H., Clark, C. & Booth, R.

(2018). Factors Associated with Barcode Medication Administration Technology That Contribute to Patient Safety. Journal of Nursing Care Quality, 33(1), 79–85. DOI: 10.1097/NCQ.0000000000000270.

At the core of this article is the correlation between barcode medication administration and reduction of medication errors. The researchers assert that barcode scanning of medications prevent wrong patient, medication, dose, time and route errors through checking an administered medication to align with the medication administration records. The authors emphasize the need for monitoring nurse scale rates to ascertain if they are actually scanning all medications as required. The authors also assert that the use of on wheels’ workstation, medication dispensing system and barcode scanning assists in reduction of medication errors. The article is appropriate for the topic of medication errors because it show that leveraging technology can reduce these events and ensure that patients get the best care. barcode scanning is a protocol that nurses should use to enhance patient safety by reducing occurrence of adverse events. It is imperative that nurses use set systems correctly to mitigate and prevent medication errors while promoting safety and efficiency.

Learning from the Research

Researching articles on medication errors provides a lot of insights and learning for me as a nurse practitioner focused on developing effective interventions for better care delivery. One critical lesson is that peer-reviewed journal articles are a fundamental aspect of effective research evidence as offer credibility and relevance to the topic under study. I have learned that while medication errors persist in healthcare provision, healthcare professionals can take a host of interventions to reduce them, prevent their occurrence and severity to patient outcomes, safety, and care experience. The research demonstrates the critical role nurses play in quality care delivery and patient safety. The annotated bibliography has shaped my knowledge perspective about research and gives a clear understanding of the need to avoid medication errors as the best way to guarantee patient care quality.

Conclusion

Medication errors are a leading cause of poor health outcomes for patients in different situations. As illustrated by the articles in this paper, nurses should take an active role to attain quality and safety standards for patients through effective mitigation of medication errors. The implication is that healthcare organizations should work and leverage technology to improve medication administration errors.

References

Afaya, A., Konlan, K. D. & Do, K. H. (2021). Improving patient safety through identifying

barriers to reporting medication administration errors among nurses: an integrative review. BMC Health Services Research, 21(1156). DOI: https://doi.org/10.1186/s12913-021-07187-5

Aldhafeeri, N., & Alamatrouk, R. (2019). Shaping the Future of Nursing Practice by

Reducing Medication Error. Pennsylvania Nurse, 1(74), 14-18. http://web.a.ebscohost.com.library.capella.edu/ehost/pdfviewer/pdfviewer?

vid=25&sid=78a7ee77-45d7-4b7d-a458-42bd9575064e%40sessionmgr4006

Cohen, M. R. (2019). Medication Errors. Nursing, 49(9), 72.

DOI: 10.1097/01.NURSE.0000577764. 46515.d1

Food and Drug Administration (FDA). Working to Reduce Medication Errors.

https://www.fda.gov/drugs/information-consumers-and-patients-drugs/working-reduce-medication-errors

MacDowell, P., Cabri, A. & Davis, M. (2021 March 12). Medication Administration Errors.

https://psnet.ahrq.gov/primer/medication-administration-errors

Strudwick, G., Reisdorfer, E., Warnock, C., Kalia, K., Sulkers, H., Clark, C. & Booth, R.

(2018). Factors Associated with Barcode Medication Administration Technology That Contribute to Patient Safety. Journal of Nursing Care Quality, 33(1), 79–85. DOI: 10.1097/NCQ.0000000000000270.

ORDER A PLAGIARISM FREE-PAPER HERE

Create a 3-5 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research, which will be a current health care problem or issue faced by a health care organization that is of interest to you.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
Summarize the health care problem or issue.
Describe your interest in the topic.
Describe any professional experience you have with this topic.
Identify peer-reviewed articles relevant to health care issue or problem.
Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.
Use keywords related to the health care problem or issue you are researching to select relevant articles.
Assess the credibility and explain relevance of the information sources you find.
Determine if the source is from an academic peer-reviewed journal.
Determine if the publication is current.
Determine if information in the academic peer-reviewed journal article is still relevant.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
Identify the purpose of the article.
Summarize the information.
Provide rationale for inclusion of each article.
Include the conclusions and findings of the article.
Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
Summarize what you have learned from developing an annotated bibliography.
Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
List the main points you learned from your research.
Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Assessment 2 Example [PDF].
Additional Requirements

Your assessment should also meet the following requirements:

Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Content: Provide a title page and reference page following APA style.
References: Use at least four scholarly or academic peer-reviewed journal articles.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.
Competencies Measured

ORDER A PLAGIARISM FREE-PAPER HERE

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
Assess the credibility and relevance of information sources.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
Summarize what was learned from developing an annotated bibliography.
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
Summarize a health care problem or issue and describe a personal interest in it and experience with it.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes, and references.
Short Description:
In 2010, the Federal Department of Human and Health Service (DHHS) launched the Healthy People 2020 goals to include a goal to eliminate health inequality/disparity. Healthy People 2020 defines a health disparity as “a particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage. Health disparities adversely affect groups of people who have systematically experienced greater obstacles to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory, or physical disability; sexual orientation or gender identity; geographic location; or other characteristics historically linked to discrimination or exclusion” (Office of Disease Prevention and Health Promotion, 2017, p.1).

Potential Intervention Approaches:
– Federal goals
– Community health improvement plans
– Patient advocacy efforts
– “Triple Aim” for populations
Keywords for Articles:
health disparities, community health assessment, community health improvement plan, strategic planning, local health departments, health inequities

References:
Office of Disease Prevention and Health Promotion. (2017). Disparities. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/disparities

Shah G.H., & Sheahan J.P. (2016). Local health departments’ activities to address health disparities and inequities: Are we moving in the right direction? International Journal of Environmental Research and Public Health. 2016; 13(1):44. http://www.mdpi.com/1660-4601/13/1/44

Institute for Healthcare Improvement. (2017). Triple Aim for Populations. http://www.ihi.org/Topics/TripleAim/Pages/Overview.aspx