NHS FPX 4000 Assessment 2 Applying Research Skills
Medication errors are significant healthcare problems that severely affect patients and healthcare organizations. Medication errors are preventable events impacting patient safety due to the healthcare workforce’s wrong or inappropriate medication administration (Tariq & Scherbak, 2023). Medication errors can be due to wrong medication, wrong administration, or wrong patient, ultimately causing patient health complications and reduced patient safety. In America, medication errors account for 50,000 to 100,000 mortalities every year, making it the third major cause of death, showing its grave relevance to professional practice (Dehvan et al., 2021). In my nursing practices, I encountered several medication errors personally and watched my colleagues experience them. One particular medication error that I experienced was due to the wrong administration of a drug. The physician prescribed metoprolol on a paper-based prescription to treat a patient with high blood pressure. However, I administered metoclopramide due to juggling multiple tasks and needing a better understanding of hand-written prescriptions. This led to the onset of muscle stiffness and involuntary movements of the face and tongue in patients depicting tardive dyskinesia, a potential side effect of metoclopramide. I quickly called the physician and told them about the patient’s condition and the medication I administered, revealing that I made a medication error and appropriate measures were taken immediately to improve the patient’s health condition. Delving into research-based studies and applying research skills to healthcare practices to prevent such medication errors is vital. This assessment will discuss evidence-based review articles highlighting patient safety by minimizing medication errors through effective interventions. Identifying Academic Peer-Reviewed Journal Articles To conduct thorough research on medication errors and ways to prevent them, I used several databases such as Capella University Library, Google Scholar, CINAHL, PubMed, and ScienceDirect. Using filters and advanced search options, I used multiple keywords to gather a pool of evidence-based and peer-reviewed journal articles. The keywords mainly used were “medication errors,” “adverse drug events,” “medication reconciliation,” “safe medication administration,” and “patient safety.” From a plethora of research, I identified four academic peer-reviewed journal articles specifically relevant to medication errors and their prevention. Assessing Credibility and Relevance of Information Sources To evaluate the authenticity and relevance of research-based resources, I applied the CRAAP criteria. The CRAAP criteria is an evidence-based tool to evaluate the credibility and relevancy of research articles. It stands for Currency, Relevance, Accuracy, Authority, and Purpose. It allows researchers to apply authentic studies on a problem under study (Muis et al., 2022). The selected articles are up to date and published within the last five years. Moreover, the peer-reviewed journal articles are relevant as they contain information and research on medication errors, particularly prevention methods. Furthermore, the research-based resources provide accurate conclusions. Additionally, the authors provide valuable knowledge on medication errors with medical background and expertise. Lastly, these articles aim to decrease medication errors while enhancing patient safety (Muis et al., 2022). Annotated Bibliography Roumeliotis, N., Sniderman, J., Adams-Webber, T., Addo, N., Anand, V., Rochon, P., Taddio, A., & Parshuram, C. (2019). Effect of electronic prescribing strategies on medication error and harm in hospital: A systematic review and meta-analysis. Journal of General Internal Medicine, 34(10), 2210–2223. https://doi.org/10.1007/s11606-019-05236-8 This review article analyzes the impact of electronic prescribing strategies such as Clinical Decision Support Systems (CDDS) and Computerized Physician Order Entry (CPOE). The authors reviewed e-prescribing interventions systematically and evaluated their impact on medication errors and patient health outcomes. Various databases, including MEDLINE, CENTRAL, CINAHL, and EMBASE, were searched, and data were extracted using CPOE and CDDS. The results showed that e-prescribing strategies diminished medication errors and dosing errors. The rationale for including this article is based on the results that align with our goals of reducing medication errors in healthcare systems. Considering the results, healthcare organizations can implement the e-prescribing strategy to prevent drug errors due to dos