USING THE TOPIC MEDICATION ERROR IN A LONG TERM CARE FACILITY
Create an 8- to 9-slide PowerPoint presentation in which you do the following:
- Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)MY FACILITY IS A LONG TERM CARE FACILITY FOR OLDER PATIENTS ABOVE 65YEARS OLD.ISSUE INCLUDE POLY-PHARMACY AND LONGTERM USE OF MEDICATIONS.
- Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
- Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
- Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
- Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
- Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
- Add a lessons learned section that includes the following:
- A summary of the critical appraisal of the peer-reviewed articles you previously submitted
- An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)
Evaluation Table
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Order Paper NowUse this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 4A: Critical Appraisal of Research
Full APA formatted citation of selected article.
Article #1 Article #2 Article #3 Article #4 Article 1: Liao, T. V., Rabinovich, M., Abraham, P., Perez, S., DiPlotti, C., Han, J. E., &Honig, E. (2017). Evaluation of medication errors with implementation of electronichealth record technology in the medical intensive care unit. Open Access Journal ofClinical Trials, 9, 31-40.
Melnyk, B. M., Orsolini, L., Tan, A., ArslanianEngoren, C., Melkus, G. D. E., DunbarJacob, J., & Wilbur, J. (2018). A national study links nurses’ physical and mental health to medical errors and perceived worksite wellness. Journal of Occupational and Environmental Medicine, 60(2), 126- 131.
Tawfik, D. S., Profit, J., Morgenthaler, T. I., Satele, D. V., Sinsky, C. A., Dyrbye, L. N., … & Shanafelt, T. D. (2018, November). Physician burnout, well-being, and work unit safety grades in relationship to reported medical errors. In Mayo Clinic Proceedings (Vol. 93, No. 11, pp. 1571- 1580). Elsevier.
Poorolajal, J., Rezaie, S., & Aghighi, N. (2015). Barriers to medical error reporting. International journal of preventive medicine, 6.
Evidence Level * (I, II, or III)
IV II II IV
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Critical Appraisal Tool Worksheet Template
Conceptual Framework
Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**
Medication related harm and classification created a lot of differences in the methods used. Inconsistencies and the reported methods used for this classifications led to the formulation of a tool called Harm Associated with Medication Error Classification.(HAMEC) This new tool helps to reduce the risk of misclassifications of methods used, as well as providing results that can be compared from one study to another.
The study’s primary purpose is to describe nurses’ physical and mental health and examine the association between health and medical errors and nurses’ perceptions of wellness. It provides a wholly different insight into the potential cause of medical errors: professionals’ mental health problems. In particular, the study calls for the need to determine the causality between medical errors and health care workers’ mental health issues. Informed consent was sought from participants to comply with ethical standards
To explore physician burnout, well-being, and work unit safety grades concerning perceived significant medical errors.It touches on the causes of medical errors. The report, for instance, identifies physician burnout as one of the primary reasons for medical errors. The information also protects the confidentiality of participants The purpose of the study is to unravel the unknown number of medical errors. The purpose of the study is to investigate the p
One reason for selecting this article is that it sheds light on the factors that deter health professionals from reporting errors. Informed consent and anonymity have been used because gathering such data is a sensitive endeavor due to the health problem’s seriousness. The purpose of the study is to investigate the prevalence of medical error underreporting and associated barriers.
Design/Method
Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).
Identification of about 50 different tools used in the classification of potential or actual harm associated with medication errors. These tools were then
The study utilized a cross- sectional descriptive survey. This method was applied on 1790 nurses across the United States. The study was quantitative in nature.
A quantitative populationbased survey was used to complete the study. This method entailed selecting 6695 participants and requiring them to
This is a cross- sectional quantitative study, which was administered on Hamadan Unive5rsity of Medical Sciences staff members. Self-
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classified into 5 levels from level 0 quitch is low ham to level 4 which is severe harm both for potential and actual harmful stop monitoring of the harm that was caused by medications was done using observations of urine output , general level of consciousness and vital signs.
provide information on the areas of interest.
administered questionnaires have been utilized to support data gathering.
Sample/Setting
The number and characteristics of patients, attrition rate, etc.
This was a review of studies done on the topic.
1790 nurses across the United States
6695 Doctors Of 2183 study population, 348 participants were enrolled voluntarily in this study
Major Variables Studied
List and define dependent and independent variables
Variables were not used Conditions of employment
Area of practice and hours worked per day
. Verbal rather than written informed consent was taken from the participants because no intervention was done in this observational study. questionnaire.
Measurement The inconsistencies in Nurses own experiences Verbal input Participants were
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Identify primary statistics used to answer clinical questions (You need to list the actual tests done).
the nomenclature used when describing harm:Error severity, classification of potential harm , classification of actual harm.
only asked to fill out a self-administered
Data Analysis Statistical or Qualitative findings
(You need to enter the actual numbers determined by the statistical tests or qualitative data).
None Of 6695 responding physicians in active practice, 6586 provided information on the areas of interest: 3574 (54.3%) reported symptoms of burnout, 2163 (32.8%) reported excessive fatigue, and 427 (6.5%) reported recent suicidal ideation, with 255 of 6563 (3.9%) reporting a poor or failing patient safety grade in their primary work area and 691 of 6586 (10.5%) reporting a major medical error in the prior 3 months. Physicians reporting errors were more likely to have symptoms of burnout (77.6% vs 51.5%; P<.001), fatigue
Rate of medical errors was higher in men (71.4%) than in women (50.4%), in the age group of 50–40 years (67.6%), among subjects with 0– 9-year working experience (58.7%), in subjects with the educational level of MSc (87.5%), and among staffs of radiology (88.9%)
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(46.6% vs 31.2%; P<.001), and recent suicidal ideation (12.7% vs 5.8%; P<.001).
Findings and Recommendations
General findings and recommendations of the research
Assessment of real examples of medication errors to patients using the HAMEC tool will better serve the studies into medication error. The classification of errors will be more accurate if there a standard in the identification of how the error were performed. To produce better results in this assessment, the potential error that could have been done is totally different to the actual error down by the said medication. If the error could have been avoided, then what level of harm can be stated to have been done to the patient. All these levels of errors are considered based on the patient’s
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age, comorbidities, and overall condition.
Appraisal and Study Quality
Describe the general worth of this research to practice.
What are the strengths and limitations of study?
What are the risks associated with implementation of the suggested practices or processes detailed in the research?
What is the feasibility of use in your practice?
This study is worth looking into with the actual numbers of patients used and what drugs were tried. Questions for the timeline remains and what other invasive methods were used. The limitation of this study is mainly the lack of an actual method, and numbers of variables used. This can not be used in my practice.
One strength of the paper is that it utilized nurses from different parts of the country. Therefore, its results can be generalized across the entire United States. The use of many participants also increases its validity and reliabilit
One strength of the study is that it is reliable. It utilized many participants, thereby increasing its level of reliability.
One strength of the study is that it can be generalized to other populations. However, a significant limitation is that it has recall bias, which means that people may have committed a medical error, but they may not remember it.
Key findings
HAMEC tool assessment is useful for the general studies of the topic.
that it stresses the importance of wellness as a high priority for health care systems and the need to optimize health in clinicians to emphasize high-quality care.
. It helps to identify viable interventions to minimize costs and address the problem.
Outcomes
The impacts of medication errors on patient safety requires modern measuring the frequency of errors but also the assessment of
This article outlines the main barriers to reporting medical errors and associated factors that may help healthcare firms
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the severity of the harm associated with the error will be useful.
improve medical error reporting as an essential part of patient safety enhancement.
General Notes/Comments
The HAMEC tool offers a more structural framework for classification of harm caused by medication errors across clinical and structural framework.
This study is relevant to my research topic in that it stresses the importance of wellness as a high priority for health care systems and the need to optimize health in clinicians to emphasize high-quality care.
The study is instrumental in examining the relationship between physician burnout and medical errors. It helps to identify viable interventions to minimize costs and address the problem.
This article outlines the main barriers to reporting medical errors and associated factors that may help healthcare firms improve medical error reporting as an essential part of patient safety enhancement.
* These levels are from the Johns Hopkins Nursing Evidence-Based Practice: Evidence Level and Quality Guide
Level I Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis
Level II Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasi-experimental studies only, with or without meta- analysis
Level III Nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, qualitative, qualitative systematic review with/without meta-synthesis
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Level IV Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence
Level V Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized expert(s) opinion based on experiential evidence
**Note on Conceptual Framework
The following information is from Walden academic guides which helps explain conceptual frameworks and the reasons they are used in research. Here is the link https://academicguides.waldenu.edu/library/conceptualframework
Researchers create theoretical and conceptual frameworks that include a philosophical and methodological model to help design their work. A formal theory provides context for the outcome of the events conducted in the research. The data collection and analysis are also based on the theoretical and conceptual framework.
As stated by Grant and Osanloo (2014), “Without a theoretical framework, the structure and vision for a study is unclear, much like a house that cannot be constructed without a blueprint. By contrast, a research plan that contains a theoretical framework allows the dissertation study to be strong and structured with an organized flow from one chapter to the next.”
Theoretical and conceptual frameworks provide evidence of academic standards and procedure. They also offer an explanation of why the study is pertinent and how the researcher expects to fill the gap in the literature.
Literature does not always clearly delineate between a theoretical or conceptual framework. With that being said, there are slight differences between the two.
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References
The Johns Hopkins Hospital/Johns Hopkins University (n.d.). Johns Hopkins nursing dvidence-based practice: appendix C: evidence level and quality guide. Retrieved October 23, 2019 from https://www.hopkinsmedicine.org/evidence-based-practice/_docs/appendix_c_evidence_level_quality_guide.pdf
Grant, C., & Osanloo, A. (2014). Understanding, Selecting, and Integrating a Theoretical Framework in Dissertation Research: Creating the
Blueprint for Your” House”. Administrative Issues Journal: Education, Practice, and Research, 4(2), 12-26.
Walden University Academic Guides (n.d.). Conceptual & theoretical frameworks overview. Retrieved October 23, 2019 from https://academicguides.waldenu.edu/library/conceptualframework
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Barriers to Medication Error Reporting
Charity Ilodigwe
Walden University
Essentials of Evidence-Based Practice
NURS – 6052C
10/19/20
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Barriers to Medication Error Reporting
Barriers to medication error reporting increases the incidence of medication errors. Identifying a problem is the first step two solving the
problem. Healthcare leaders are responsible for creating an atmosphere where mistakes are reported without fear of dire consequences.
services (Crabtree et al., 2016). The article that I have chosen to use as best practices is Poorolajal et al., 2015
The purpose of this paper is to describe the best practices used in the above study for the exploration of the prevalence of medication errors
under-reporting and the barriers associated with it. And then justify the proposal for the paper.
Reduction of medication errors is a strategic opportunity to identify the causes, creates an awareness to these issues and then offer solutions to
reduce its occurrence and overall consequences to the health care quality and patient safety. (Poorolajal et al., 2015)
An effective reporting system is based on the presence of data on the incidence of rates of medication error, and then the reduction of the
barriers to the reporting of this errors. Establishing errors that are inevitable due to complexities of systems will help to remove the barriers to
reporting errors. The best practices outlined in this article are the prevention of errors by removing the human factor and replacing it with
system analysis that prompt the detection of errors. This is easily captured using the electronic health record system,this system detects various
errors and prompts the user of the system that an error is about to be committed. This creates an atmosphere where errors are checked and
converted to opportunities to create a cornerstone to eliminate the causes of errors. Anonymous non punitive reporting system is another good
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way of reducing medication errors. The study mentiones was able to share ways of assisting healthcare providers and organizations on how to
improve medication error reporting and how to eliminate barriers.
References
Poorolajal, J., Rezaie, S.,& Aghighi, N. (2015).Barriers to medical errorreporting. Internationaljournal of preventivemedicine, 2015;6:97.
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-
based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
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