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The Impact of Interruptions on Medication Errors in Hospitals

   

Added on  2021-05-31

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Research Critique 1Research CritiqueBy Student’s NameCourse + CodeClassInstitutionDate

Research Critique 2Johnson, M.Sanchez, P, Langdon, R, Levett-Jones, T, Weidemann, G, Aguilar, V & Everett, B (2017) ‘The impact of interruptions on medication errors in hospitals: an observational study of nurses’, Journal of Nursing Management, 25(7), pp. 498–507. doi: 10.1111/jonm.12486.Specific critique areaAnswerPurpose of the study and PICO question Interruptions have been defined as a break in the performance of individual’s activities brought by both internal and external sources(Huckels-Baumgart et al., 2016). Medication preparation and administration interruptions are normal in nursing care of which they can provide significant information that helps daily nursing care. However, interruptions that occurs during medication preparation and administrationcan lead patient harm due to medical errors(Özkan, Kocaman and Öztürk, 2016). Several studies have found that about 49% of all medication errors are due to drug administration interruptions(Smeulers et al., 2013). The aim of the study was to demonstrate the impacts of interruptions during medication administration and preparation. The study sought to examine the sources of such interruptions, the time consumed during the interruptions, the secondary task undertook, procedural failures and frequency of clinical errors. In addition, the purpose of the study was to demonstrate various behavioral strategies that can be used to manage medication administration interruption.Research QuestionWhat are the effects of interruptions on medical errors in hospitals?PICO StrategyPopulation- Nurses providing care in hospital.

Research Critique 3Interventions-Nursing strategies used to manage medical interruptions like a reduced nurse to nurse socialization.Comparison- Other causes of medication errors like failure to follow medication administration policies. Outcome- Reduced interruption during drug preparation and administrationResearch Design used A research design is an overall strategy used in conducting a research.A research design normally forms a basic guide the researcher use in planning a particular study(Polit and Beck, 2013). The study has used non-participant prospective observational design in conducting the research. This study design involves a researcher observing participants without actively participating(Pan and Bai, 2016). This study design is used to undertake qualitative research where a researcher analyze a phenomenon by entering where the activities are being involved but staying separate from the activities being observed(Sereika et al., 2017). In the study, the nurse researcher observed the process of medical preparation and administration while taking notes on any interruptions observed. Sampling and recruitment procedures Sampling is a process of selecting participants in a research(Sandelowski, 2014). A sample is a number of participants who represent a population in a research process(Shin, 2017). In the study, a sample of two critical care units the Emergency Department and NeonatalIntensive Care Units and five medical-surgical wards from the metropolitan teaching hospital in Sydney were selected. 25 nurses were selected from both departments who agreed to be observed while administering medication where 56 medication events from 47 different

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