QUESTION DEVELOPMENT TOOL
Nursing Evidence-Based Practice
Appendix B: Question Development Tool
1. What is the problem and why is it important?
The problem is the high incidence of medication errors at the practice setting. The hospitals policy is zero incidents of medication errors. Over the past two years, however, there has been a notable increase in such incidents, with the past year recording at least one error in every ten medication administration events. The most common medication errors involved administering the wrong medication, administering medication to the right patients in wrong doses, and administering medication at the wrong time. Unfortunately, medication errors can cause severe physical injury and preventable death in severe cases (Tariq et al., 2022). Further, such errors place the institution at risk of reputational issues, legal settlements, and costs associated with prolonged patient hospitalization
2. What is the current practice?
The hospital operates a decentralized alarm system that notifies nurses whenever a patient is due for medication as a means to ensure that drugs are administered at the right time, to the right patients, and in the right doses.
3. What is the focus of the problem?
? Clinical
? Educational
? Administrative
4. How was the problem identified? (Check all that apply)
??Safety/risk management concerns
? Quality concerns (efficiency, effectiveness, ? timeliness, equity, patient-centeredness)
? Unsatisfactory patient, staff, or organizational outcomes
??Variations in practice within the setting
??Variations in practice compared with external organizations
???Evidence validation for current practice
???Financial concerns
5. What is the scope of the problem?
? Individual ? Population ?Institution/system
6.What are the PICO components?
P (Patient, population, problem): admitted patients at the practice setting
I (Intervention):...
A starting question that can be refined and adjusted as the team searches through the literature.List possible search terms. Using PICO components and the initial EBP question, list relevant terms to begin the evidence search. Terms can be added or adjusted as the evidence search continues. Document the search terms, strategy, and databases searched in sufficient detail for…
References
Abukhader, I., & Abukhader, K. (2020). Effect of medication safety education program on
intensive care nurses’ knowledge regarding medication errors. Journal of Biosciences
and Medicines, 8(6), Doi: 10.4236/jbm.2020.86013
Medication Errors Since the research materials are provided to you by human beings, and may be based Medication errors pose a significant threat to patients. The results of medication errors vary from mild to deadly. No facility is immune from the possibility to drug errors, either through a fault of their own, or from suppliers or pharmacists that supply them. All medication errors must be reported to the Food and Drug Administration.
Medication Errors Including Look-Alike Sound-Alike Drugs in an ICU People mistakes. This is true in every field and in every job. But in certain areas, mistakes can be costly, even deadly. Medication errors happen because sometimes staff at the medical facility or hospital see drug names that not just look alike, but also sound alike. Statistics point to only 0-2% detection rate of medication errors and prescribing errors. Although over 34%
Medication Errors Over Medication Overmedication can be described as an inappropriate medical treatment that occurs when a patient takes unnecessary or excessive medications. This may happen because the prescriber is unaware of other medications the patient is already taking, because of drug interactions with another chemical or target population, because of human error, or because of undiagnosed medical conditions. Sometimes, the extra prescription is intentional (and sometimes illegal), as in the case
One proven solution to decrease medication errors is use of medication software such as CPOE. It has significantly reduced errors in prescribing, transcription, and dispensing of medications (Hidle). It also has the potential to decrease errors in administration due to unfamiliarity with a drug, drugs with similar names, or incorrect dose calculations since the software performs the calculations. So, why are these systems not used more often in the administration
Medication errors have serious direct and indirect results, and are usually the consequence of breakdowns in a system of care…Ten to 18% of all reported hospital injuries have been attributed to medication errors" (Mayo & Duncan 2004: 209). One of the most common reasons that errors in medical administration transpire is miscommunication. On a staff level, errors may occur in terms of the paperwork associated with the patient. The hospital
The anger that eventually and inevitably spills out is far more hurtful than any truth I could have told before, and the damage I have done to my self-esteem is too great. My opinions, right or wrong, are part of who I am. Honesty does not mean tactlessness. In fact, one of the important lessons about learning to be honest is to know that honesty does not mean being too
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