Advanced Levels Of Clinical Inquiry And Systematic Reviews
NURS-6C
April 1, 2022
The Identified Issue: “Errors Arising from Administration of Medication”
Medication administration errors are one of the five major causes of mortality in the United States.
Over 251 000 people are killed each year in the United States due to these mistakes (Mohanna, Kusljic & Jarden, 2021).
More than $35 billion is spent each year dealing with medical error-related issues in the United States alone.
As a result of these issues, many people lose faith in the country's healthcare system (Westbrook et al., 2018).
nurses have a more hands-on role in the delivery of drugs than any other healthcare professional (Gretchen Lefever Watson & Binder, 2019).
PICO(T) Question Development
The PICOT question is as follows:
“For men aged 30-40 and 65-75 years, does effect of failure to record allergy (I) as compared to recording allergy (C) result in severe drug interaction (O) within the first hour of taking a dose(T)?”
Developing the PICOT
The PICOT Question-development process involves the following:
Step 1 is determining the clinical issue that is most relevant to the condition at hand.
Locating alternative solutions or current programs to help those in need is a second step.
Step three is finding an alternate treatment or a control method.
Finding out how the treatment or control measure affects the specified demographic is step four.
Defining the time range for consideration is the last step in this process.
Database and Articles Generated
Using Walden Library and Keywords (drug mistakes and administration), I found four research databases:
“Gleeson Library | Geschke Center”
“Journal of education and health promotion”
“Western journal of nursing research” and
“International journal for quality in health care.”
The levels of evidence in the four peer-reviewed articles
Mohanna, Z., Kusljic, S., & Jarden, R. (2021). Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: A systematic review. Australian Critical Care.
Meta-analyses and systematic reviews were used to guide the writing of this article.
Westbrook, J. I., Woods, A., Rob, M. I., Dunsmuir, W. T., & Day, R. O. (2019). Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal medicine, 170(8), 683-690.
As a result of the article's use of evidence-based methods, it qualifies as outcome research.
The levels of evidence in the four peer-reviewed articles
Gretchen Lefever Watson, & Binder, L. (2019). Your patient safety survival guide : how to protect yourself and others from medical errors. Rowman & Littlefield.
The paper relies on empirical data to determine the impact of processes on patient safety during drug administration, so outcome research is used.
Tariq, R. A., Vashisht, R., Sinha, A., & Scherbak, Y. (2020, November 17). Medication Dispensing Errors And Prevention – StatPearls – NCBI Bookshelf. Retrieved from
The article is based on actual data and a causal link between the two variables.
References
Mohanna, Z., Kusljic, S., & Jarden, R. (2021). Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: A systematic review. Australian Critical Care. https://doi.org/10.1016/j.aucc.2021.05.012
Gretchen Lefever Watson, & Binder, L. (2019). Your patient safety survival guide : how to protect yourself and others from medical errors. Rowman & Littlefield.
Tariq, R. A., Vashisht, R., Sinha, A., & Scherbak, Y. (2020, November 17). Medication Dispensing Errors And Prevention – StatPearls – NCBI Bookshelf. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK519065/
Westbrook, J. I., Woods, A., Rob, M. I., Dunsmuir, W. T., & Day, R. O. (2018). Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal medicine, 170(8), 683-690.
