Preventing Medication Errors in-Home Treatment Essay
Preventing Medication Errors in-Home Treatment Essay
NURS 6052 RESPONSE TO MODULE 3 DISCUSSION
MY POST
Searching Databases
PICOT Question
In hospital settings, among healthcare professionals, does the implementation of barcode scanning technology (compared to manual medication administration) reduce medication errors in terms of frequency and severity? Preventing Medication Errors in-Home Treatment Essay
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Clinical Issue of Interest
Medication errors in healthcare settings have become common place and warrant for intervention to curb them. This selected healthcare issue poses significant risks to patient safety and in some cases leads to outcomes such as prolonged hospital stays and increased healthcare costs. With this in mind, the implementation of effective strategies is required so as to guarantee and uphold medication safety on the one hand and optimize patient care quality on the other (Smith-Love, 2022). Approaches have over the years been developed such as the use of technology like barcode scanning systems and electronic medication administration records. The purpose of these has been aimed are aimed at curbing medication errors. While this is promising, there still needs further investigation to help evaluate the effectiveness of these strategies. Ciampi et al. (2022) have insisted on the need for rigorous and focused research to understand the impact that these interventions have. Arguably, identifying and implementing successful strategies would enable providers to safeguard the interests of patients specifically providing them with quality care and alleviating their health. Preventing Medication Errors in-Home Treatment Essay
Search Results
My search for resources relevant for this study started with the use of specified keywords “medication errors in hospital settings” which produced a total of 286 articles on original research. I then refined this search by incorporating Boolean operators to search for “medication errors AND strategies,” leading to a decline in the search count to 193 articles. I went further ahead to refine the search even further to the search phrase “medication errors AND strategies AND implementation,” which resulted in 91 articles. Notably, the choice of including “medication errors AND strategies AND implementation AND effectiveness” narrowed the search down to 68 articles. Finally, refining this further to “medication errors AND strategies AND implementation AND effectiveness AND hospital settings,” only 43 articles on original research. Reflecting on this, the use of Boolean operators facilitated the search refinement process, ultimately reducing the number of articles and ensuring enhanced relevance to the subject of interest. Remarkably, the progressive addition of the various search terms created a more focused and specific search outcome which gradually streamlined the retrieval of research articles directly pertaining to the research question. Preventing Medication Errors in-Home Treatment Essay
Increasing the Effectiveness of a Database Search
The rigor and effectiveness of a database search on the PICOT question could be improved by employing several strategies. One, pertinent keywords and controlled vocabulary terms could be combined to help develop a comprehensive search (Mulac et al., 2021). The use of terms such as “barcode scanning,” “medication errors,” and “hospital settings,” for example and adding related synonyms like “medication administration” or “patient safety” would go a long way in increasing the effectiveness of the search (Svensk & McIntyre, 2021). Two, using Boolean operators as demonstrated in the section above aided in refining the search. Combining “barcode scanning” AND “medication errors” for examples would yield precise results. Three, truncation and wildcard symbols would leverage the search by accounting for variations in search terms. Last, search filters such as publication date, study design, or language would further narrow down the results to arguably the most relevant articles. Preventing Medication Errors in-Home Treatment Essay
References
Ciampi, M., Coronato, A., Naeem, M., & Silvestri, S. (2022). An intelligent environment for preventing medication errors in-home treatment. Expert Systems with Applications, 193, 116434. https://doi.org/10.1016/j.eswa.2021.116434Links to an external site.
Mulac, A., Mathiesen, L., Taxis, K., & Granås, A. G. (2021). Barcode medication administration technology used in hospital practice: a mixed-methods observational study of policy deviations. BMJ Quality & Safety, 30(12), 1021-1030. http://dx.doi.org/10.1136/bmjqs-2021-013223Links to an external site.
Smith-Love, J. (2022). Reducing near-miss medication events using an evidence-based approach. Journal of Nursing Care Quality, 37(4), 327-333. https://doi.org/10.1097/NCQ.0000000000000630Links to an external site.
Svensk, J., & McIntyre, S. E. (2021). Using QR code technology to reduce self-administered medication errors. Journal of Pharmacy Practice, 34(4), 587-591. https://doi.org/10.1177/0897190019885245Links to an external site. Preventing Medication Errors in-Home Treatment Essay
THE ABOVE POST IS MY MAIN POST. PLEASE, USE MY POST ABOVE AS A GUIDE TO RESPOND TO POST ONE AND POST TWO BELOW SEPARATELY. EACH RESPOND SHOULD HAVE THRE REFERENCES.
POST ONE
- Over seven million people worldwide suffer from sickle cell disease (SCD), a disorder that poses a serious risk to their lives. SCD is the most prevalent genetic hematological illness in the United States, affecting one in every 375 African Americans living in the country. People with SCD may experience a wide range of major medical issues, such as chronic anemia, stroke, acute chest syndrome, pulmonary embolism, renal failure, retinopathy, and many other serious issues. Pain is by far the problem that people with SCD most frequently encounter at some time in their lives (John N, 2010). Preventing Medication Errors in-Home Treatment Essay
The main therapy utilized to manage both acute and chronic pain in SCD has been opioids. Promoting non-pharmacologic methods for the treatment of chronic pain has become necessary in recent years due to worries about long-term opioid medication. For people with SCD, chronic opioid medication primarily treats the sensory/physical aspect of pain; it does not address the affective, behavioral, cognitive, cultural, or social aspects of life that are impacted by chronic pain (Booker M. et all, 2010).
I’ll be raising a topic for the debate in this post on Non-Pharmaceutical Treatments for Chronic Pain: Sickle Cell Disease. Since is important that non-pharmacological therapies be investigated and used as complements to pharmacological therapies to address and treat both acute and chronic pain for those with SCD. The PICOT question structure; Are non‐pharmacological interventions effective in reducing chronic pain in patient with Sickle Cell Diseases? In the PICOT acronym, the P stands for the population, which relates to patients with SCD. I stand for intervention; non-pharmacological pain management. The letter C represented Contrast; of pharmacological and non-pharmacological pain management techniques. O refers to the outcome, which is to manage chronic pain. T discusses our timeline for accomplishing this target. Preventing Medication Errors in-Home Treatment Essay
A useful method for summarizing research questions that examine the impact of therapy is the PICOT format, the PICOT research question is frequently utilized in the medical industry. One of the first steps in exploring various knowledge sources and performing one’s own evidence-based research to learn more about a topic or condition and advance knowledge is to develop a specific and purposeful research question (Guyatt, G. & Rennie D, 1993).
The search tools I used for this post’s purposes were PubMed, EMBASE, and Walden Library. My key words search was; non‐pharmacological, pain management, and sickle cell disease. which returned 12 articles on PubMed, 40 on EMBASE, and 17 at Walden Library, date range between 2009 through 2023. Using more than one database is one way to improve the accuracy and efficacy of an electronic search. A 2 PICO element search yielded more systematic reviews than a 4-element search, according to one study on search techniques. Additionally, it was discovered that in order to obtain a 90% retrieval of pertinent material, at least three databases needed to be combined (UTHealth, 2019). Preventing Medication Errors in-Home Treatment Essay
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References
John N. (2010). A review of clinical profile in sickle cell traits. Oman medical journal, 25(1), 3–8. https://doi.org/10.5001/omj.2010.2Links to an external site.
Booker, M. J., Blethyn, K. L., Wright, C. J., & Greenfield, S. M. (2006). Pain management in sickle cell disease. Chronic illness, 2(1), 39–50. https://doi.org/10.1177/17423953060020011101Links to an external site.
Guyatt, G. H., & Rennie, D. (1993). Users’ guides to the medical literature. Jama, 270(17), 2096-2097.
UTHealth. (2019). Best Practices for Developing Search Strategies: Home. Retrieved 12 22, 2020, from UTHealth: https://libguides.sph.uth.tmc.edu/c.php?g=543359Links to an external site.
ReplyReply to Comment Preventing Medication Errors in-Home Treatment Essay
There are millions of American over the age of sixty-five, living with dementia and pain is a common finding in this population. The PICOT question I researched is if chronic pain is treated effectively in the older population that have dementia than those without dementia. The “P” refers to the population, which is the older population (over the age of sixty-five). The “I” or intervention applies to pain treatment, and the “C” or comparison is between pain management between dementia patient and non-dementia patients. The “O” refers to the outcome, which is effective pain management. The “T” in PICOT refers to the time which refers to chronic pain (lasting 3 months or more). Preventing Medication Errors in-Home Treatment Essay
In terms of databases, CINAHL and Nursing and Allied Health were used to search for articles. When researching in the CINAHL database, the phrase “dementia and pain” was inputted, and over four thousand reports were generated. After using the Boolean operator of “AND,” only thirty-three articles were displayed. For the Nursing and Allied Health database, using the phrase “dementia and pain” generated over two thousand articles, and after using the “AND” boolean operator, five hundred twenty-six articles were shown. Thus, the search results were more applicable to the research question using the Boolean operator.
To increase the effectiveness of a database search, using Boolean operators, truncation, filters, and alternate keywords can be beneficial (Grewal et al., 2016). Boolean operators include “AND,” “OR,” or “NOT,” which are in the search box of most databases (Grewal et al., 2016). Filters can also be applied according to full text, source and publication type, and publication date (Grewal et al., 2016). Truncation or stemming can also be used to search for a word with multiple endings (Shanman, 2017). The asterisk (*) is used after the root word in the search box (Shanman, 2017). For example, entering “promot*” in the search box will generate articles containing the phrase promote, promoting, and promoted (Shanman, 2017). Using alternate keywords can also be beneficial, such as old, mature, aged, or aging. Preventing Medication Errors in-Home Treatment Essay
Searching for relevant articles can be a very tedious process and may become overwhelming when looking through thousands of articles. Therefore, research techniques such as Boolean operators, truncation, and applying filters can be helpful. Additionally, the PICOT model is also recommended to formulate a clinical question and find the best available evidence (Eriksen & Frandsen, 2018).
References
Eriksen, M. B., & Frandsen, T. F. (2018). The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association : JMLA, 106(4), 420–431. https://doi.org/10.5195/jmla.2018.345
Grewal, A., Kataria, H., & Dhawan, I. (2016). Literature search for research planning and identification of research problem. Indian journal of anaesthesia, 60(9), 635–639. https://doi.org/10.4103/0019-5049.190618
Ho, G. J., Liew, S. M., Ng, C. J., Shunmugam, R., & Glasziou, P. (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PloS one, 11(12), e0167170. https://doi.org/10.1371/journal.pone.0167170
Shanman R. (2017). Phrase truncation in PubMed searches. Journal of the Medical Library Association : JMLA, 105(4), 404. https://doi.org/10.5195/jmla.2017.252 Preventing Medication Errors in-Home Treatment Essay
INSTRUCTIONS
Respond to at least two of your colleagues on two different days and provide further suggestions on how their database search might be improved. Preventing Medication Errors in-Home Treatment Essay
