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NHS_FPX Applying Library Research Skills Capella University NHS4000: Developing a Health Care Perspective Summarize a Health Care Problem The health care problem that I decided to pursue was that of medication errors. Although all four topics of health care problems appeal to me, topic 3 of medication errors resonates with me the most. As a new graduate RN, I feel comfortable with giving medications. However, I always have a lingering feeling of fear of causing a med error. With that being said, I take my time when drawing up medications or signing meds for others during dual med signoff. I often keep my computer open while taking meds from the electronic bin in order to make sure I have taken the correct medications at the correct times as well as the correct dose. Medication errors can be quite easy to make, if there are distractions, or if someone is rushing. I have not had a med error, nor do I want one, but I do tend to get a little nervous or feeling as if I am in the way when there are several seasoned nurses waiting to get their meds because I am moving slowly and cautiously. Academic Peer-Reviewed Journal Articles In order to get a more depth review of this issue, I found 4 journals to help me, including, A Multi-hospital Before–After Observational Study Using a Point-Prevalence Approach with an Infusion Safety Intervention Bundle to Reduce Intravenous Medication Administration Errors; Nurses’ decision-making, practices and perceptions of patient involvement in medication administration in an acute hospital setting; Differences Between Methods of Detecting Medication Errors : A Secondary Analysis of Medication Administration Errors Using Incident Reports, the Global Trigger Tool Method, and Observations; and Effectiveness of double checking to reduce medication administration errors: a systematic review. I found these articles by using Capella’s online research tool, Summon. Then I
searched for my articles using 3 key phrases, “medication administration, medication errors, and medication safety”. These articles are relevant to my research about medication errors. They each differently describe how medication errors occur, what type of medication errors can occur, and how nursing judgement and patient outcomes are affected. Credibility and Relevance of Information Sources The credibility of these sources is clear, I ensured that the articles were peer-reviewed. They are within 3-5 years, thereby ensuring the relevance of the articles. These articles also were not chosen at random but were evaluated for its applicability to the topic of medication errors. I am certain that these articles can help me to get a deeper understanding of how medication errors happen and what possible solutions there are to prevent these errors. Annotated Bibliography Schnock, Kumiko O; Dykes, Patricia C; Albert, Jennifer; Ariosto, Deborah; Cameron, Caitlin; et al. (Jun 2018). A Multi-hospital Before–After Observational Study Using a Point- Prevalence Approach with an Infusion Safety Intervention Bundle to Reduce Intravenous Medication Administration Errors. Drug Safety: An International Journal of Medical Toxicology and Drug Experience; Auckland Vol. 41, Iss. 6, 591-602. https://search-proquest- com.library.capella.edu/docview/2190329877?pq-origsite=summon. The authors in this article focus their attention on the medication errors regarding the intravenous method. Their study was conducted over a 3-year period at 9 hospitals across the US. They were heavily interested in the safety usage of automated IV pumps, PCA pumps, infusions, etc. During their study they identified hospital policies being broken and incorrect settings on infusions/IVs. The study was focused on getting a glimpse of current practice and achieving prompt development of a quality improvement policy to enhance the practice within a short period of time. This
Method, and Observations. Journals of Patient Safety. Volume 16 (2), p 168–176. https://oce- ovid- com.library.capella.edu/article/01209203-202006000-00009/HTML. The objective of this article is to “compare medication administration errors detected by 3 different methods in terms of severity, type, and contributing factors.” The methods used included an observational method, reviewing of incident reports, and Global Trigger Tool Method. Interestingly, the observational method resulted in fewer medication administration errors. “Each method produced different information regarding the factors contributing to medication administration errors.” I will enjoy using this article in my approach to finding a resolution for medication errors. They have tackled the problem in 3 different ways, and this will give me a clearer view of what is involved with med errors. Koyama, Alain K; Claire-Sophie Sheridan Maddox; Li, Ling; Bucknall, Tracey; Westbrook, Johanna I. (July 2020) Effectiveness of double checking to reduce medication administration errors: a systematic review. Vol. 29, Iss. 7, p 595-603. https://search-proquest- com.library.capella.edu/docview/2433245873?pq-origsite=summon. Finding a useful double- checking system is the area of focus for this article. The authors noted that different hospitals do different things. Some hospitals only have nurses confirm med dosages for high-risk drugs like opioids, intravenous meds, and chemotherapeutic agents. Other hospitals have nurses double check all medications. They performed a systematic review to investigate contemporary evidence of the effectiveness of double checking to reduce medication administration errors (MAEs) and associated harm to identify the strength of that evidence, also where future research needs to focus. This will be interesting because they have a realistic view of how workflow can affect the administration of medications.
Conclusio n Medication errors unfortunately have a high possibility of occurring. Simply the process of prescribing a medication for the doctor, filling the medication for the pharmacist, and administering the medication for the nurses presents several different challenges. I have had a few experiences while working as an LPN while pursing my RN. While working at internal medicine, my doctor would sometimes send a patient a medication that she did not mean to send to them. Of course, this happened very far and few in between, but thankfully the pharmacy would call to confirm. This saved the patient from getting an unnecessary medication. During that time I would have the responsibility of filling regular medications, no opioids or high risk drugs. Even when a patient would call and ask for a refill, there were steps that personally went through before even giving the patient a refill. If something were sketchy, I would send the provider a detailed message about the issue to seek further guidance. I have enjoyed these articles; they have taught me a lot about medication errors and how they occur. Not only that, but they address the fact that we do not live in a perfect world, the sensory overload of healthcare providers shows that distractions and other tasks which are cognitively juggled can really get in the way of proper patient care. But the articles also emphasize how important it is to involve the patient, have check-back systems, and technology that can aid us in our care of the patient. I learned that even in one study, several methods can be used in order to evaluate a problem area. Then at the end, to compare findings that resulted from each method. Clearly, different methods will bring different results, even with the same problem area. But the key is that now we know how to handle a situation because it was observed several ways. This annotated bibliography gave me insight and scholarly resources that I can look to while conducting further research about medication errors. Referenc es
