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…
