Research Paper Outline

docx

School

Athabasca University, Athabasca *

*We aren’t endorsed by this school

Course

235

Subject

Health Science

Date

Feb 20, 2024

Type

docx

Pages

Uploaded by EarlBoulder13568

1 Research Paper Outline Assignment # 3 Nicole Miller AU #3594894 HADM 235, Athabasca University Tutor: Wonita Janzen Date: October 18 th , 2023

2 ELEMENTS IN MY PAPER MY PAPER OUTLINE TITLE: Quality of Patient Care and Patient Safety: Medication Error Prevention and Direct Need for Implementation of Safe Medication Practices within Hospital Setting THEME: In Canada, enhancing patient safety through the implementation of safe medication practices is crucial in the prevention of medication errors. The National Coordinating Council for Medication Error Reporting Prevention defines medication errors as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional, patient, or consumer” (NCCMERP, n.d.). They continue to define medication errors as "any preventable event that may cause or lead to inappropriate medication use or patient harm, while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use” (NCCMERP, n.d). Medication errors occur when medication systems and/or human factors such as fatigue, poor environmental conditions, or staff shortages affect prescribing, transcribing, dispensing, administration, and monitoring practices which can then result in sever harm, disability or even death. (WHO, n.d, Medication Without Harm ). Medication error’s key concepts are human error, system failure, and drug-related errors. Medication-related errors follow a “five right” of medication use protocol and include wrong dosage, wrong drug, wrong route, wrong time, wrong person, and wrong place (G rissinger M., 2010). To address this issue, healthcare systems need to prioritize the implementation of safe medication practices by reducing risks of medication error outcomes , i mplementing strategies to reduce the incidence of medication error and its negative consequences, reducing the incidence of medication errors through continued education for health professionals, and understanding the severity of the impact medication errors has on patient safety and patient satisfaction. PROBLEM STATEMENT: Medication errors continue to pose a significant threat to patient safety in Canadian hospital settings, leading to adverse outcomes. It is essential for Healthcare Administrators to recognize the risks associated with medication errors and develop strategies to minimize these risks. This is a problem as medication errors can be seen as incorrect dosages, wrong medications, wrong timing of medications, and incorrect administration routes. These errors can have serious medical consequences such as overdose, underdose, or drug interactions, as well as financial consequences such as increased healthcare costs, and legal consequences such as malpractice suits. Medication errors can lead to patient harm, increased costs, and a decrease in patient satisfaction (AMCP, n.d.). The three most common dispensing errors are: dispensing an incorrect medication, dosage strength or dosage form; miscalculating a dose; and failing to identify drug interactions or contraindications. Errors caused by drug administration can be made by the health care provider or by the patient themselves. THESIS Healthcare administrators can address the problem of medication errors first, by

3 STATEMENT: reducing the risk of medication error outcomes, this can be done through standardized protocols and standardized medication protocols – implementing standardized protocols, guidelines, and best practices for medication prescribing, dispensing, administration, and monitoring, reducing variability, and minimizing risk of errors. These research studies show evidence of effectiveness in reducing medication errors. Secondly, using advanced technologies to reduce the potential for medication error and technology integration. Electronic health record, clinical decision support systems, and automated medication dispensing systems to enhance medication safety and reduce risk of errors. These implemented technological advancements help to measure the effect on medication errors and how we can use them to lower risks. Due to the increasing complexity of the medication system, 11 a system that can monitor all stages, from prescribing to administration, is required to assist medication management and reduce medication error. 12 The US was one of the first countries to establish the National Medication Errors Reporting Program (MERP) to monitor medication error. 13 In addition, the National Alert Network (NAN) has also been set up to publish the alerts from MERP to increase the safety of medication use. (Chen, 2019). Third, the continuous education and ongoing training of health professionals. A focus on communication and interprofessional collaboration among health professionals are essential to reduce medication error. By working together, healthcare teams can identify and correct potential errors and promote a safe working culture without fear for accountability for their actions. Ongoing training to ensure healthcare professionals are up to date on safe medication practices. Continuous learning enables them to implement the best practices, recognize potential risk and proactively address medication errors while ensuring patient safety. PLAN:  Define the key terms.  Explain the problem of medication errors within the hospital setting and its impact on patient safety.  Describe current practices of medication awareness and protocol within the hospital setting.  Identify the benefits of implementing new strategies and protocols to reduce risks associated with medication error and explain its negative consequences.  Conclude that medication errors in Canada are a significant problem and must be addressed using said thesis points and continued education for Health professionals. BACKGROUND:  Briefly describe the current rate of medication error in Canada o Where is it regulated (see The Canadian Medication Incident Reporting and Prevention System (CMIRPS), ISMP Canada, Institute of Medicine (IOM) Committee, Patients for Patient Safety Canada, and Healthcare Excellence Canada) o How many areas are affected, the differences between provinces (See the provincial Health Services Authorities, Canadian Institute for Health Information, Canadian Patient Safety Institute) DISCUSSION: Thesis Point 1- Reducing risks of Medication error outcomes:

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

4  Safe medication practices -The use of the five principles, the right patient, drug, dose, time, and route (Mula, 2019)  Standardization of medication protocols (Wu et. al, 2018) ( Leotsakos et. al, 2014)  Intervention programs for medication prescribing, dispensing, administration, and monitoring, reducing variability (Netanel, et. al 2020)  Implementing error reporting system (web based strategies) (Rudman et al., 2005) ( (Pierson et al. ,2007) Thesis Point 2- Implemented Strategies to reduce the incidence of medication error and its negative consequences:  Reduce prescribing errors through Electronic Medication Systems ( Engstorm, et. al, 2023)  Reduce medication error though the use of the National Medication Error Reporting System and programs like MEM (Chen ,2019)  Use of advanced technology for medication reconciliation obtaining BPMHs, using telecommunications to reduce medication error upon hospital admissions ( Francis, M. et al., 2023) Thesis Point 3- Improving Patient Safety through Continued education of Health Professionals  Continuing Professional Education ( Frenzel et. al, 2020)  Educational support ( Gholam et. al, 2013)  Safe error reporting (Ridley et. al, 2021)  Creating safety systems inside health care organizations through the implementation of safe practices at the delivery level (Elkin, P. L., & Gorman, P. N., 2002) CONCLUSION:  Restate argument: Issues related to medication errors in hospital setting and how they can be addressed.  Restate how these errors affect hospitals, and patient safety.  Relate these benefits to the role of healthcare administrators and healthcare professionals. References:

5 Agnès Leotsakos, Hao Zheng, Rick Croteau, Jerod M. Loeb, Heather Sherman, Carolyn Hoffman, Louise Morganstein, Dennis O'Leary, Charles Bruneau, Peter Lee, Margaret Duguid, Christian Thomeczek, Erica van der Schrieck-De Loos, Bill Munier, Standardization in patient safety: the WHO High 5s project, International Journal for Quality in Health Care , Volume 26, Issue 2, April 2014, Pages 109– 116, https://doi.org/10.1093/intqhc/mzu010 Medication errors . AMCP.org. (2019, July 18). https://www.amcp.org/about/managed-care- pharmacy-101/concepts-managed-care-pharmacy/medication-errors Collaborative Culture: Focus on Psychological Safety and Error Reporting. The Annals of thoracic surgery , 111 (2), 683–689. https://doi.org/10.1016/j.athoracsur.2020.05.152 Elkin, P. L., & Gorman, P. N. (2002). Continuing medical education and patient safety: an agenda for lifelong learning. Journal of the American Medical Informatics Association : JAMIA , 9 (6 Suppl), S128–S132. https://doi.org/10.1197/jamia.m1244 Engstrom, T., McCourt, E., Canning, M., Dekker, K., Voussoughi, P., Bennett, O., North, A., Pole, J. D., Donovan, P. J., & Sullivan, C. (2023). The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digital Medicine , 6 (1), 1–9. https://doi.org/10.1038/s41746-023-00877-w http://0- search.ebscohost.com.aupac.lib.athabascau.ca/login.aspx? direct=true&db=rzh&AN=166736651&site=eds-live Francis, M., Francis, P., Patanwala, A. E., & Penm, J. (2023). Obtaining medication histories via telepharmacy: an observational study. Journal of Pharmaceutical Policy & Practice, 16(1), 1–9. https://doi.org/10.1186/s40545-023-00573-w

6 Frenzel, J., Eukel, H., & Brynjulson, R. (2020). Use of Medication Error Simulations in Continuing Professional Education to Effect Change To Practice. Innovations in pharmacy , 11 (1), 10.24926/iip.v11i1.2215. https://doi.org/10.24926/iip.v11i1.2215 Gholam Hossein Falahinia , Arezoo Maleki , Zahra Khalili & Alireza Soltanian (2023) Impact of educational support on standards of medication administration regarding nursing medication errors in Intensive Care Units, International Journal of Training Research, 21:1, 57-66 https://doi.org/10.1080/14480220.2022.2107046 Grissinger M. (2010). The Five Rights: A Destination Without a Map. Pharmacy and Therapeutics, 35(10), 542. The Five Rights - PMC (nih.gov) Ioannidis, J. P., & Lau, J. (2001). Evidence on interventions to reduce medical errors: an overview and recommendations for future research. Journal of general internal medicine , 16 (5), 325–334. https://doi.org/10.1046/j.1525-1497.2001.00714.x Mula, C. T., Solomon, V., & Muula, A. S. (2019). The examination of nurses' adherence to the 'five rights' of antibiotic administration and factors influencing their practices: a mixed methods case study at a tertiary hospital, Malawi. Malawi medical journal : the journal of Medical Association of Malawi , 31 (2), 126–132. https://doi.org/10.4314/mmj.v31i2.4 NCCMERP. (n.d.). National Coordinating Council for Medication Error Reporting and Prevention . Medication Errors. https://www.nccmerp.org/about-medication-errors Netanel Eisenbach, Rozeen Abu Shqara, Eyal Sela, Randa Yawer Hana, Maayan Gruber, The effect of an interventional program on the occurrence of medication errors in children, International Journal of Pediatric Otorhinolaryngology,Volume 138, 2020

Your preview ends here

Eager to read complete document? Join bartleby learn and gain access to the full version

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

7 https://0-doi-org.aupac.lib.athabascau.ca/10.1016/j.ijporl.2020.110373. Pierson, S., Hansen, R., Greene, S., Williams, C., Akers, R., Jonsson, M., & Carey, T. (2007). Preventing medication errors in long-term care: results and evaluation of a large scale web-based error reporting system. Quality & safety in health care , 16 (4), 297–302. https://doi.org/10.1136/qshc.2007.022483 Ridley, C. H., Al-Hammadi, N., Maniar, H. S., Ben Abdallah, A., Steinberg, A., Bollini, M. L., Patterson, G. A., Henn, M. C., Moon, M. R., Dahl, A. B., & Avidan, M. S. (2021). Building a Collaborative Culture: Focus on Psychological Safety and Error Reporting. The Annals of thoracic surgery , 111 (2), 683–689. https://doi.org/10.1016/j.athoracsur.2020.05.152 Rudman, W. J., Bailey, J. H., Hope, C., Garrett, P., & Brown, C. A. (2005). The Impact of a Web- based Reporting System on the Collection of Medication Error Occurrence Data. In K. Henriksen (Eds.) et. al., Advances in Patient Safety: From Research to Implementation (Volume 3: Implementation Issues) . Agency for Healthcare Research and Quality (US). World Health Organization. (2023). Medication without harm . World Health Organization. https://www.who.int/initiatives/medication-without-harm Wu, L., Ji, C., Lu, H., Hong, X., Liu, S., Zhang, Y., Li, Q., Huang, S., Zhou, P., Yao, J., & Hu, Y. (2018). Standardization of medical service indicators: A useful technique for hospital administration. https://doi.org/10.1371/journal.pone.0207214 Yao Chen, Xingdong Wu, Zhiyi Huang, Wanlong Lin, Yunsong Li, Jianhui Yang, Jia Li,

8 Evaluation of a medication error monitoring system to reduce the incidence of medication errors in a clinical setting, Research in Social and Administrative Pharmacy,Volume 15, Issue 7,2019, Pages 883-888,ISSN 1551-7411, https://doi.org/10.1016/j.sapharm.2019.02.006.1 .

Research Paper Outline

Related Documents