NHS FPX4000 Assessment 2 Applying Library Research Skills Applying Library Research Skills
Kimberly Rice
Capella University
NHS4000: Developing a Health Care Perspective
Dr. Kimberly Ondo
February 2023
Applying Library Research Skills
Library research skills enable nurses to utilize evidence-based practices in the practical field that eventually helps improve patient safety and treatment. One of the serious issues is Medication errors that increase treatment costs, resulting in serious harm, even mortality for patients, and grief for their families. Nurses must have a precise idea about the type and dose of medication required for a patient. Likewise, it is the responsibility of healthcare providers to discuss the care plan with patients and their families to avoid any possible medical error. Talking about and bringing awareness to this issue is very important to encourage a safe environment for everyone.
Identifying Academic Peer-Reviewed Journal Articles
Using the A-Z database search engine in the Capella University Library database. I pulled articles from the CINAHL Complete database and narrowed my search from there by clicking on peer-reviewed journals and full-text articles using keywords such as “medication errors and negligence,” “medication administration,” and “best nursing practices” to find my information. I used the advanced search options to look at articles from 2018 to the present publication range. The article mentioned above is relevant to medication error as it helps understand medication administration. The information in this article is credible and discusses our point of concern because it provides insight into drug administration and the chances of Medication Errors that are likely to occur while dealing with multiple patients with the same or different health issues. Furthermore, the source is valid, and the article is published recently within the timeframe of 5 years.
Assessing Credibility and Relevance of Information Sources
The database used in this paper is peer-reviewed journal articles that appropriately focused on my topic and were published within the last five years. To assess the credibility and relevance of each article, it is ensured that they contain acknowledged facts and undoubted expert opinions regarding medication errors. It is confirmed that all these articles had the requisite information related to medication errors. To analyze the credibility of the sources used in this paper, the CRAAP model is applied. CRAAP is a tool that provides information about the source’s currency, relevancy, authority, accuracy, and purpose. The sources used in this paper are credible and relevant and provide accurate information regarding our point of concern. Also, the sources help understand the concept of medication administration adequately, highlighting the ways to reduce medication errors by providing health professionals with the required training and knowledge using evidence-based practices.
Annotated Bibliography
This article discusses the importance of reducing medication errors in nursing practice to improve patient safety. The authors provided an overview of the prevalence and causes of medication errors. They described various strategies and interventions that can be implemented to reduce these errors, for instance, limited reliance on CPOE (Computerized Provider Order Entry). Another strategy highlighted by the article is using a barcode system by the pharmacist that can help reduce the extent of medication error. The article is based on a review of relevant literature and includes numerous examples of successful interventions implemented in healthcare settings. The authors also highlight the role of nursing leadership in implementing and sustaining these interventions. Overall, this article provides a comprehensive overview of medication errors in nursing practice and emphasizes the importance of reducing these errors to improve patient safety. The authors offered practical recommendations for implementing effective interventions and highlighted the need for ongoing monitoring and evaluation of these interventions to ensure their success. Also, it helps in understanding how to avoid system-level failures that lead to poor management and medication administration. The article is well-researched and provides useful insights for nurses, nursing leaders, and other healthcare professionals. This article aims to create awareness regarding the problem of medication errors in the healthcare system. The article explained how medication errors arise from negligence and miscommunication among healthcare providers. This article was included in the annotated bibliography because it focuses on the topic of medication errors. Findings from the research revealed that in addition to being a widespread issue that cannot be fully solved, drug errors can also be decreased and prevented by taking proper measures, such as using advanced technologies to record the dosage and medicine given to each patient. The authors concluded that there are significant factors that contribute to medication errors, and there are methods that can be applied as a quality check to prevent a recurrence.
According to the article, medication errors occur in almost all hospital departments, resulting in serious consequences. Registered nurses are more likely to be involved in medication errors as they are on the frontlines of every healthcare system and responsible for administering drugs in routine patient surveillance. Prevention of drug errors depends mainly on the nurses, behavior and their concern about taking safety measures during drug administration. Additionally, the author described that many medication errors are likely due to miscommunication among physicians, pharmacists, and nurses.Medicationerrors cannot be eradicated but can be reduced by practicing evidence-based strategies in healthcare. The research demonstrates how medication errors are becoming increasingly common in hospital settings and the causes of these errors that result in trouble for both the patient and the healthcare practitioner. The article concludes that medication mistakes are prevalent in healthcare settings.
Athankasakis, E. (2021). Medication safety practices in clinical nursing: nurses’ characteristics, skills, competencies, clinical processes, and environment. International Journal Of Caring Sciences, 14(3), 2019-2028. https://web-p-ebscohost-com.library.capella.edu/ehost/detail/detail?vid=3&sid=242d4b43-e8e8-40a3-b4fb-1acbe9285516%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=154936119&db=ccm
This article aims to reduce the risk of medication errors to enhance patient safety and care. The article examined nurses’ characteristics and how they affect medication safety practices, such as experience, age, and education level. The author also explores the role of clinical processes in medication safety practices, such as medication administration protocols, medication reconciliation, and documentation. This article was included in the annotated bibliography because it provides information on medication safety practices, including definitions of medication safety, the importance of medication safety in nursing, and the factors contributing to medication errors. Findings from the research revealed the importance of the clinical environment in medication safety practices. This includes factors such as staffing levels, workload, and workplace culture. The author emphasizes the importance of creating a safety culture and leadership’s role in promoting medication safety practices.
Additionally, the study concluded the summary of the findings and recommendations for future research and practice. The author highlighted the need for ongoing education and training for nurses and the importance of technology and automation in medication safety practices. Overall, this article provides a comprehensive review of medication safety practices in clinical nursing, highlighting the importance of various factors that influence medication safety practices and providing recommendations for improving medication safety in the clinical setting to reduce the chances of medication errors. This article brings attention to the realization of medication errors. It explains many medical errors that occur during the treatment procedure and their extent of severity. According to the article, multiple reports highlighted the errors occurring in healthcare systems, where the most common error is medication error leading to serious consequences. The author explained how nurses play an essential role in patient safety and preventing medication errors through proper medication administration and management. Many reasons behind medication errors are related to nurse-patient ratios, understaffing, lack of education, and nurse burnout. The author described that medication administration requires a nurse’s attention due to the involvement of various cognitive processes in treatment procedures.
Nurse conviction for medical errors roils patient safety, nursing groups: A “dangerous precedent” that will make patients less safe. (2022). Hospital employee health, 41(6), 1-3. https://web-p-ebscohost-com.library.capella.edu/ehost/detail/detail?vid=3&sid=eb2b2fe4-d9ba-4a6a-9871-2da2076252a4%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=156760478&db=ccm
The purpose of this article is to give us an example of how human error is not the only one to blame; sometimes, it is more systematic. Furthermore, the article emphasized system flaws that can fail its employees. This article was included in the annotated bibliography because it showed the consequences that can follow behind medication errors. Findings from the research revealed that this case should be a wake-up call in educating and trying to prevent the incidence of such nature. The authors concluded that healthcare administrators and facilities should proactively look for system faults and malfunctions that could cause medical errors.
This journal article highlights the case of a nurse named RaDonda Vaught, convicted of administering the wrong medication to a 77-year-old patient at Vanderbilt University Medical Center, and the opinions of other nursing groups on her condemnation. The article states that the American Nurses Association and the Tennessee Nurses Association were distressed due to the negligence of the healthcare organization. Err is Human, the IOM (Institute of Medicine) report initiated the safe, highlighting that numerous fatalities are caused due to medication errors along with other factors. “Considering the two-year pandemic that healthcare personnel had been fighting and many were quitting the sector, the verdict disturbed the medical community on several levels. The prospect of facing criminal charges for a medical blunder makes working in this sector less tempting. However, the case of RaDonda should allow healthcare professionals to adopt responsive behavior towards their profession by focusing on the health and safety of the patients.
The case of nurse RaDonda Vaught – How administering the wrong medication resulted in a criminal conviction. (2022). Colorado nurse, 122(4), 18–20. https://web-p-ebscohost-com.library.capella.edu/ehost/detail/detail?vid=3&sid=0bcfdd78-5b52-49b2-a5c6-4734ffe9f2d3%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=160669800&db=ccm
This article aims to shed light on a nurse who administered the wrong medication to a patient by mistake. As a result, the nurse had to face the patient’s fatality and its ramifications. The article aimed to show the seriousness of what can happen when a healthcare provider fails to follow treatment protocol. This article was included in the annotated bibliography because it portrayed a real-life example of what happens when a medication error occurs. Findings from the research revealed that nurses can face strict punishments for accidentally or carelessly giving the wrong medication to a patient. The authors concluded that nurse RaDonda Vaught was to blame and shared much of the responsibility for the mistakes and death of the patient.
This article focuses on a nurse who administered the wrong medication to a patient, which ended in fatality, the facts of what led up to the point she administered the dose, and the consequences of her actions. In October 2015, RaDonda Vaught, a nurse, started working at Vanderbilt. She was employed as a help-all nurse for the neuro ICU, step-down, and sixth-floor nursing units on December 26, 2017. Claustrophobic Charlene Murphey, 75, a patient in the neuro ICU with subdural hematoma, was scheduled to get a PET scan. Before the procedure, the patient asked for medication to help her feel less anxious.
In conclusion, Nurse RaDonda administered the incorrect medication to the patient, and neither the pharmacy nor Nurse Vaught provided proof that she had done so. The medical examiner was informed of the patient’s death. The revised report included contradictory information regarding the death’s cause. According to the report, the doctor will attest to the patient’s passing due to natural causes associated with intracerebral hemorrhage, and the manner of death was thought unintentional because of the prescription she had been proposed. An anonymous consultant claimed in October 2018 that the nurse had given the patient the wrong medication and had failed to read the label. She was found guilty of carelessness and homicide, resulting in losing her license.
Summary of the Learning
The annotated bibliography helped discover crucial information and scholarly viewpoints on medication errors. The selected resources helped in increasing the understanding of patient safety and risks associated with medication errors. The annotated bibliography provides valuable insights into the significance of medication administration and highlights the importance of nurses being diligent in this aspect of their work. It is clear from the sources included in the bibliography that medication errors occur frequently and can have serious consequences for patients. Therefore, it is essential for healthcare professionals, especially nurses, to take all necessary precautions when administering medications to their patients. It will make it easy to choose relevant resources for writing a paper concerning this topic in the future. It provides learning about how to use the Capella library and the tools that come with it to find peer-reviewed journals for composing an annotated bibliography. This paper provides a better perspective on what is important about the topic and helps to develop one’s own point of view. Developing annotated bibliography is also beneficial in providing an overview of different medication errors likely to occur in the healthcare setting. The article “Shaping the future of nursing practice by reducing medication error” provided insight into the prevalence and cause of medication errors and suggested some strategies, such as a barcode system, to minimize the risk of these errors. Likewise, the annotated bibliography of another article, “Medication safety practices in clinical nursing: nurses’ characteristics, skills, competencies, clinical processes, and environment provided learning about the safety measures used to reduce medication error chances. It helps to realize the importance of obeying the proper treatment plan for better patient outcomes.
Additionally, the article named “Nurse conviction for medical errors roils patient safety, nursing groups: A “dangerous precedent” that will make patients less safe “and “The case of nurse RaDonda Vaught – How administering the wrong medication resulted in a criminal conviction” helped in understanding the medication error consequences by providing an example of a nurse RaDona Vaught. This source contributed to creating awareness of the use of accurate dosage and the right medicine to improve patient safety standards. Most of the time, medication errors are likely to occur during the use of antithrombotic drugs because failure to administer the calculated rate of these drugs leads to stroke, and its overdose may cause excessive bleeding. Likewise, administering a hypotonic solution will likely cause medication error, leading to severe consequences like edema, metabolic acidosis, or kidney failure. Another concern regarding medication error is the use of narcotics and opioids. The high dose of these medicines results in respiratory issues, spasms, or even death. Based on the selected evidence, it can be said that medication errors can be avoided by properly training the nurses through the inclusion of evidence-based practice that will help enhance nurses’ knowledge.
Conclusion
In every healthcare setting, medication errors pose a risk to patient’s health and safety. Evidence-based sources are used to find information regarding medication errors and the role of nurses in reducing the chances of these errors. Various strategies can be used in this regard. Most commonly, educating the patient and the nurse and adopting proper safety measures by healthcare practitioners are likely used to minimize the risk of medication errors and improve the patient’s well-being.
References
Aldhafeeri, N.A., & Alamatrouk, R. (2019). Shaping the future of nursing practice by reducing medication error. Pennsylvania nurse, 74(1), 14-19. https://webpebscohostcom.library.capella.edu/ehost/detail/detail?vid=3&sid=d9f42f405c0e40cea3b8fd6f893acc40%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT117298586&db=ccm
Athankasakis, E. (2021). Medication safety practices in clinical nursing: nurses’ characteristics, skills, competencies, clinical processes, and environment. International Journal of Caring Sciences, 14(3), 2019-2028.
Nurse conviction for medical errors roils patient safety, nursing groups: A “dangerous precedent” that will make patients less safe. (2022). Hospital employee health, 41(6), 1-3.
The case of nurse RaDonda Vaught – how administering the wrong medication resulted in a criminal conviction. (2022). Colorado nurse, 122(4), 18–20. https://webpebscohostcom.library.capella.edu/ehost/detail/detail?vid=3&sid=0bcfdd785249b2a5c64734ffe9f2d3%40redis&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZT1zaXRl#AN=160669800&db=ccm
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