Reducing Medication Errors at Transitions of Care: A Nurse Professional Assessment

NURS20160 Assessment 1
The Nurse Professional Assessment 1
Evidence-Based Patient Centred Practice Worksheet
Student Name: Student Number:
Research Topic: Reducing medication errors at transitions of care.
Approximately more than 50% of the medication errors that are made in the hospital are
made around admission or discharge. These mistakes have the potential to lead to serious
adverse consequences for the person. How can the healthcare team (including the nurse)
reduce medication errors at transitions of care?
Creating the question
Brief explanation of the nursing intervention (no more than 1 paragraph):
The study works on analysing the common reasons of medication related errors upon
transition of care, while reviewing the possible key intervention that can be executed in
order to minimise the potential impact of the wrong medication during transition of care.
Based on the study, it can be clearly stated that medication error is often engendered due to
inaccurate completion of medication reconciliation and absence of the effective
communication between the health care providers (including nurse) during the transitions
of care.
What do you want to know?
Reducing medication errors in the hospital by medication reconciliation and effective
communication by the nurses (including healthcare team) during transitions of care.
Is this a quantitative (PICO) or qualitative question (PEO)?
It’s a quantitative question
Please complete the appropriate search tool
P: nurse, health care team
I: effective communication, medication
reconciliation
C: no comparison
O: reduce the medication errors at the
P:
E:
O:
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NURS20160 Assessment 1
transitions of care
What is your PICO/PEO question?
During the transitions of care, how medicine reconciliation and effective communication
can reduce medication errors by nurse (including healthcare team) in the hospital?
What synonyms could you use for your
PICO/PEO search terms?
P: nurse, doctor, pharmacist,
interprofessional healthcare team
P:
I: medication reconciliation, handoff E:
C: no comparison O:
O: preventing medication discrepancies
during admission and discharge
Which databases will you use for your search?
CQU library, Google scholar
What filters will you use for your search and why?
The filters are Transitions of care, admission, discharge, medication errors, medication
reconciliation, medication discrepancies, heath care team, nurses, pharmacist, doctor,
communication, handoff, medication safety.
The reason I used these filters are because these key words help me to refine my search.
Database Search
Please write out your first search here:
Medication error AND Transitions of care
AND Health care team
Filters- 2014-2019, English, prereview,
article, ProQuest central, MEDLINE, Science
Direct
Number of results from each Database
(please list separately):
CQU Library: 1100
Total results:1100
Do you need to refine your search? Yes/No
Yes
Please justify your answer:
The number of articles were more than 1100
and was difficult to find the appropriate
article related to topic.
How have you refined your search?
By changing the key words and filters.
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NURS20160 Assessment 1
Write out your next search here (if
necessary):
Medication error AND Transitions of care
And Role of nurse.
Filters used: Year: 2014-2019, Article, Peer-
reviewed journals, communication, Science
Direct journals, Nursing, Medication error,
English, Hospital, Nurse
Number of results from each database:
CQU library: 17
Total Results:17
Do you need to refine your search? Yes/No
No
Please justify your answer:
I could find appropriate journal that are
related to the effectiveness of communication
and medicine reconciliation in the prevention
of medication errors at the time transitions of
care by the heath care team including nurses.
How have you refined your search?
I went through the abstracts and carefully
read each of the articles. checked whether
the articles are contemporary, pear
reviewed, is that relevant to the topic, can
be used in Australian health system and
selected 5 articles that I found related to
my research topic and PICO question.
.
Write out your next search here (if
necessary):
Number of results from each Database:
5 Articles and Analysis
APA reference Article 1:
Young. L, Barnason.S, Hays.k, &Do.V. (2015). Nurse practitioner–led medication
reconciliation in critical access hospitals. The Journal for Nurse
Practitioners, 11(5), 511-518.DOI: 10.1016/j.nurpra.2015.03.005
Does this article directly relate to your
PICO/PEO question? Yes/No
Yes
If no – is there a good reason for including
it?
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NURS20160 Assessment 1
Where does the article fall on the Evidence
Pyramid?
Case control study
Who are the authors and what are their
credentials?
1) Lufei Young, PhD, APRN-NP. She
earned her doctoral degree in Medicine.
She completed her BSN and Fast Track
BSN-to-PhD at the University of Nebraska
Medical Center, College of Nursing in
2010.
2) Susan Barnason, PhD, APRN-CNS, is
professor at the College of Nursing. Dr.
Barnason received a PhD at the University
of Nebraska--Lincoln
3) Krystal Hays, MSN, RN, Assistant
Professor of Social Work.
4)Van Do, MD
Study Aim:
The main goal of the investigation is to find the implication of advanced practice nurse in
reducing common causes associated with medication related errors during transitions of
care of cardiac patients who is discharged from the rural hospital.
Study Population:
Elderly cardiac patients of 65 years or above
who are admitted to the critical access
hospital between February 2012 and May
2012 (pre intervention group) or between
2012 and November 2012 (post intervention
group).
Briefly describe the study method (20
words max):
Study was conducted on two phases. In
pre intervention phase medication
reconciliation process followed the
existing hospital protocol and intervention
phase advanced practice nurse followed
standardised protocol and forms.
Results:
The study results reveal that the advanced practice of medication reconciliation managed
by the nurses has reduced all the medication errors and improved the accuracy of
medication documentation in the elderly cardiac patients during the transition from the
rural hospital to home and it was cost effective than reconciliation done by pharmacist.
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