Create a 3–5-page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue.
Introduction
In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will research a health care problem or issue faced by current health care organizations.
For this assessment, you will research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 4.
• Medication Errors (*Selected topic)
o Description: A medication error is a preventable adverse effect of a patient taking the wrong medication or dosage, whether or not it is evident or harmful to the patient. Medication errors can be a source of serious patient harm, including death.
o Interventions: Electronic prescribing, pharmacist reviews, patient education.
o Keywords: Adverse drug events, medication reconciliation, patient safety, medication administration, medication errors, medication safety.
Sample Solution
Introduction
Medication errors are a significant patient safety concern, accounting for an estimated 1.5 million preventable adverse events annually in the United States alone. These errors can range from minor inconveniences to life-threatening complications, and they contribute to substantial healthcare costs. Addressing medication errors requires a multifaceted approach that encompasses various healthcare stakeholders, including prescribers, pharmacists, nurses, and patients. This annotated bibliography and summary will explore best practices for preventing medication errors and highlight the importance of evidence-based decision-making in improving medication safety.
Full Answer Section
Annotated Bibliography
- Wu, A. D., Wong, J. J., Birkmeyer, J. D., Moore, B. H., Andrews, S. L., & Stukenberg, B. W. (2000). Medication errors in hospitalized patients: Readmission and death. Archives of Internal Medicine, 160(10), 138.
Summary: This study analyzed data from nearly 10,000 hospitalized patients and found that medication errors were associated with an increased risk of readmission and death. The authors concluded that medication errors are a significant patient safety issue and that efforts to prevent them are essential.
- Bates, D. W., Leape, B. D., Cullen, D. J., Laird, N. M., Newhouse, J. P., & Berwick, D. M. (1995). Medication errors: An opportunity for improvement. Journal of the American Medical Association, 272(23), 1797-1802.
Summary: This influential article identified medication errors as a major problem in healthcare and called for a comprehensive approach to preventing them. The authors outlined several key strategies, including computerized prescribing systems, pharmacist interventions, and patient education.
- Gandhi, T. K., Weingart, S., & Franklin, J. (2007). Medication errors in outpatient care. Health Affairs, 26(3), 773-781.
Summary: This study examined medication errors in outpatient settings and found that they were even more common than in hospitals. The authors identified several contributing factors, including poor communication between providers, inadequate patient education, and lack of standardized processes.
- Kaushal, N., Kaushal, R., Bates, D. W., & Davis, R. H. (2008). Medication errors in ambulatory care. New England Journal of Medicine, 359(26), 2581-2590.
Summary: This comprehensive review of medication errors in ambulatory care identified a wide range of contributing factors, including prescribing errors, dispensing errors, and administration errors. The authors emphasized the need for a multidisciplinary approach to prevention, involving prescribers, pharmacists, nurses, and patients.
- Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). To err is human: Building a safer health system. National Academies Press.
Summary: This landmark report from the Institute of Medicine (IOM) brought widespread attention to the issue of medical errors, including medication errors. The report called for a comprehensive approach to patient safety, including the use of evidence-based interventions and the creation of a culture of safety within healthcare organizations.
Summary
Medication errors are a complex problem with multiple contributing factors. However, there is a growing body of evidence that supports the effectiveness of various interventions in preventing medication errors. These interventions include:
- Electronic prescribing (e-prescribing): E-prescribing can help to prevent prescribing errors by automating the process and providing real-time drug interaction alerts.
- Pharmacist reviews: Pharmacists can play a critical role in preventing medication errors by reviewing prescriptions for accuracy and interacting with patients to ensure they understand their medications.
- Patient education: Patients can be empowered to prevent medication errors by understanding their medications, asking questions, and reporting any concerns to their healthcare providers.
Addressing medication errors requires a multifaceted approach that involves all stakeholders in the healthcare system. By implementing evidence-based interventions and creating a culture of safety, healthcare organizations can significantly reduce the risk of medication errors and improve patient safety.
Conclusion
Medication errors are a serious patient safety concern, but they are not inevitable. By applying evidence-based best practices, healthcare organizations can significantly reduce the risk of medication errors and improve patient outcomes. Healthcare providers, pharmacists, and patients all have a role to play in preventing medication errors. By working together, we can create a safer healthcare system for everyone