Evidence Based Nursing Research : Assignment
Added on 2021-06-15
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Running head: EVIDENCE BASED NURSING RESEARCHMedication ErrorsName of the StudentName of the UniversityAuthor Note
1EVIDENCE BASED NURSING RESEARCHA medication error is an umbrella term that encompasses all kinds preventable events thatmight cause or contribute to administration of wrong or inappropriate medication, therebydirectly resulting in patient harm. This also includes the process of prescription, orderingcommunication, packaging, labeling products, nomenclature, dispensing, distribution,compounding, education, administration, monitoring, and use (Alsulami, Conroy and Choonara2013, p.995). The academic reflection helped in gaining a sound understanding of the fact thatthere is a need of reviewing all medications from senior nurses or the MIMS, beforeadministering it to any patient, with the aim of preventing any medication error. The ‘Five Rights of Medication Administration’ were identified as a major strategy byone article, for eliminating chances of medication errors across healthcare settings. The articlesuggested that most healthcare professionals, especially the nursing practitioners, shoulddemonstrate a sound understanding of the ‘Five Rights’ of medication administration, namely,right patient, right drug, right dose, right time, and right route (Kim and Bates 2013, p.591).Strength of the article is related to its selection of the topic related to medication errors.However, the study was conducted at a single hospital and the researchers did not address theethical issues. Trustworthiness and validity are established by the precision of results regardinglow adherence to the guidelines. Major strength of this strategy lies in the fact that it places afocus on individual performance, rather than human factors and defects in the system (Dolanskyet al. 2013, p.103). Unless the health organisations are capable of formulating a set of proceduralrules, the strategy cannot be appropriately implemented due to issues that exist in the system. Another article identified the role of medical reconciliation procedures in preventing highrates of medication errors, in hospitals. This strategy encompasses the procedure of comparingthe medication orders of a patient, to all medications that he/she has been taking. Such
2EVIDENCE BASED NURSING RESEARCHreconciliation has been found effective in avoiding or reducing chances of several medicationerrors that occur due tomedicine duplications, omissions, drug interactions, or dosing errors(Kwan et al. 2013, p.398). The article’s strength lies in its recognition of the potential benefits ofmedical reconciliation related to clinically significant medication discrepancies and visits to theemergency department. The fact that it also evaluated the cost effectiveness of the strategy wasanother strength of the article. Limitations are related to uncertainity that surroundedassumptions about the reductions in ADEs. Validity and trustworthiness are established bysimilarities with other findings that found medical reconciliation as a potential intervention. Thephase of transition in care often encompasses several changes that occur in the service,practitioner, setting, or levels of care. Therefore, the five stages that are involved in the processof medical reconciliation namely, (1) developing a list of current medications, (2) developing alist of medications that will be prescribed; (3) comparing the medications from the two lists; (4)making clinical decisions, based on comparison, and (5) communicating the new list to theprimary caregivers and patients have been found effective in reducing the rates of medicationerrors across healthcare settings (Lehnbom et al. 2014, p.1301). The authors identified the process as a state where a nursing professional, working onsame or incoming shift has the role of reviewing new orders for ensuring that each order for apatient is duly noted, followed by its correct transcription on the orders given by the physicianand the MAR (medication administration record) or treatment administration records (Alsulamiet al. 2014, p.1405). The article’s strength can be attributed to the fact that it focused onidentifying the major contributing factors involved in medication errors. However, the searchstrategy used for the systematic review did not prove effective as the databases were biased toEnglish published articles. Validity and trustworthiness are established by the precision of the
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