NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing
Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Name Date Electronic Medication Administration with Barcoding Electronic medication administration with barcoding is an advanced healthcare information technology that can improve patient safety and medication efficiency. Medication errors account for 7,000 to 9,000 deaths in the U.S. every year. The costs associated with additional treatment due to medication errors exceed $40 billion annually. Moreover, patients who experience medication errors suffer from physical, emotional, psychological, and financial implications, leading to reduced patient satisfaction and distrust in healthcare systems (Tariq & Scherbak, 2023). Given these alarming statistics, I was compelled to explore this healthcare technology’s potential in preventing medication errors and their subsequent consequences. Through barcode medication administration (BCMA), healthcare professionals can enhance patient safety by minimizing medication errors due to wrong drug administration. Moreover, it will improve the quality of care, promote interdisciplinary team collaboration, and enhance patient safety. I used Google Scholar, PubMed, CINAHL, JSTOR, and Scopus to research this technology thoroughly. Moreover, I used different search terms to get broader data on this topic, including “Barcode medication administration,” “Electronic medication administration with barcode,” “Medication errors reduction with BCMA,” “BCMA and patient safety,” and “BCMA and quality of care.” Annotated Bibliography Jessurun, J. G., Hunfeld, N. G. M., van Rosmalen, J., van Dijk, M., & van den Bemt, P. M. L. A. (2021). Effect of automated unit dose dispensing with barcode scanning on medication administration errors: An uncontrolled before-and-after study. International Journal for Quality in Health Care, 33(4), 1–8. https://doi.org/10.1093/intqhc/mzab142 This article by Jessurun and colleagues (2021) emphasizes the impact of automated dispensing systems and medication administration using barcode technology on medication administration errors. Moreover, the study highlights how using composite technologies reduces the prevalence of medication errors. Lastly, this study shows that nurses’ satisfaction is enhanced as they utilize this technology to provide an accurate and better quality of care with minimal chances of medication administration errors. According to this resource, rates of medication errors due to wrong doses declined from 3.8% to 2.1%, showing its effectiveness in reducing the probability of medication administration errors from 19.5% to 15.8%. Moreover, it showed that patient safety was improved as nurses used this technology with enhanced quality of care. This technology is relevant to nursing practices as it is directly related to medication administration in which nurses are primarily involved. Moreover, this technology enhances interdisciplinary team collaboration as IT personnel and nurses collaborate in its practical use. Therefore, this resource is helpful for nurses to delve into deeply as it can enlighten them on how to use it to improve patient safety and quality of care while integrating interdisciplinary team collaboration. Küng, K., Aeschbacher, K., Rütsche, A., Goette, J., Zürcher, S., Schmidli, J., & Schwendimann, R. (2021). Effect of barcode technology on medication preparation safety: A quasi-experimental study. International Journal for Quality in Health Care, 33(1). https://doi.org/10.1093/intqhc/mzab043 NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing This annotated bibliography focuses on how barcode technology can reduce medication preparation time and errors. Moreover, the time-based staff performance was also assessed. The results showed that patient safety was greatly enhanced as the wrong medication and dosage errors were declined post-implementation of this technology. After barcode technology use, the time required to prepare medication for a 24-hour was also reduced (from 30.2 min to 17.2 min). This resource shows that using barcode medication preparation and administration enhances patient safety and quality of care while improving nurses’ work efficiency and productivity. This source highlights the relevance of this technology with nursing practices as the nurses’ work productivity is enhanced, and the preparation time is reduced along with a decrease in medication errors from 270 to 190. Interdisciplinary teams collaboratively use this technology for measuring the data of medication errors and driving quality improvements based on estimated data. Hence, this resource is helpful for nurses, health administrators, IT professionals, and quality improvement departments to revise changes accordingly in technology implementation. Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy, 8(3), 148. https://doi.org/10.3390/pharmacy8030148 This study evaluates the impact of barcode medication scanning on nursing workflow and its potential for patient safety. This source is particularly relevant to nursing practices as medication administration errors occur at nurses’ hands. Using this resource, nurses can learn about the workflow changes after implementing this technology. The interdisciplinary team members, including front-line staff members, leaders, and the quality improvement department, can all collaborate using this technology to ensure patient safety consistently. NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing This is possible when nurses and quality control personnel collaboratively gather data on medication errors and analyze the trends pre- and post-implementation of this technology. Lastly, healthcare leaders must understand that chances of medication errors persist even after full implementation of BCS. The healthcare workforce must read this article to learn more about BCMA, prospective changes that occur after the implementation of BCMA, and measures to take for future improvements. Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2020). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832–841. https://doi.org/10.1016/j.sapharm.2020.08.001 In their systemic review, Zheng and colleagues (2020) studied different healthcare information technologies, including barcode medication administration, focusing on their impact on the safety of controlled medication and work processes. The study also highlighted that BCMA eliminates medication administration from 2% to 0, reducing the risk of adverse drug events. This showed that BCMA enhanced patient safety and improved quality of care as medication errors were eliminated. Moreover, this study relates the use of BCMA with nursing practices as their primary involvement in delivering medications may cause medication administration errors that can be effectively prevented by BCMA use. Furthermore, interdisciplinary team collaboration can be enhanced using
NHS FPX 4000 Assessment 2 Applying Research Skills
Name Capella university NHS FPX4000 Developing a Health Care Perspective Prof. Name Date Applying Research skills Medication errors can be described as a failure in the medication management process. It can be due to improper prescription, administration, or inaccurate medication records that can potentially damage the patient, resulting in poor health outcomes (Mosisa et al., 2022). The growing incidences of medication errors have developed my interest into this topic. As a healthcare provider, I must prioritize initiatives to prevent these errors in my nursing practice. In the professional context, I have observed various medication errors in my organization where healthcare providers administered incorrect medication, misread prescriptions, and neglected possible drug interactions, leading to severe patient complications. Thus, it is essential to tackle the underlying causes and put strong protections in place to reduce medication errors and ensure patient safety. Peer-reviewed Journal Articles Relevant to Medication Errors Many peer-reviewed journal articles are available on different databases that address medication errors and the potential strategies to minimize them. The selected articles for annotated bibliography are gathered from various databases, including the Capella University Library and outside resources like BioMed Central, Science Direct, Google Scholar, CINAHL, and PubMed. To increase the search efficiency of desired articles, I used appropriate keywords like “medication errors”, “medication safety”, and “medication administration”. The selected papers for annotated bibliography are recently published and relevant to the topic of interest as they present the information and knowledge with the most recent developments for reducing medication errors in healthcare settings. Assessing the Credibility and Resources of Relevance Evaluating the credibility and relevance of resources is a crucial step in any research process. The CRAAP criteria are applied to evaluate the value and dependability of the sources, which stands for currency, relevance, authority, accuracy, and purpose (Lowe et al., 2021). The credibility of resources can be ensured by; the articles being published within five years, the source responding explicitly to our research topic of medication errors, the authors and journal is credentialed, previous articles supporting their findings, and the purpose supports the objectives of the related topic of medication error. The reason for selecting reliable, evidence-based sources in the annotated bibliography on medication error is that these sources collectively offer comprehensive insights into the widespread issue of medication errors in pediatric settings. They also address the prevalence of errors in outpatient and home settings with emphasis on the importance of dosage accuracy, communication, and caregiver education. Lastly, these resources also highlight the role of advanced technologies like CDSS and eMAR systems in enhancing medication safety. Annotated Bibliography Stipp, M. M., Deng, H., Kong, K., Moore, S., Hickman, R. L., & Nanji, K. C. (2022). Medication safety in the perioperative setting: A comparison of methods for detecting medication errors and adverse medication events. Medicine, 101(44), e31432. https://doi.org/10.1097/md.0000000000031432 This research study investigates medication errors (MEs) with a focus on the differences between direct observation and self-reporting approaches for identifying these incidents. It was revealed in this study that there are several types of MEs, including labeling errors, incorrect doses, and omission errors. The study underlines the need for various strategies to identify and manage drug errors in perioperative care and advises enhancing event reporting templates. It was concluded that pharmacy-prepared meds and barcode-assisted administration could handle the difficulties of managing drugs in a fast-paced surgical environment to improve patient safety. The rationale to add this article is it is crucial to acknowledge the gaps in capturing perioperative medication incidents through direct observation versus self-reporting. Understanding these differences is vital for refining reporting strategies and improving medication safety in perioperative settings. Shahzeydi, A., Farzi, S., Tarrahi, M. J., & Babaei, S. (2023). Exploring internship nursing students’ experiences regarding the effect of supervision model implementation on medication safety: A descriptive qualitative study. Journal of Education and Health Promotion, 12(1), 266. https://doi.org/10.4103/jehp.jehp_1250_22 NHS FPX 4000 Assessment 2 Applying Research Skills This paper disclosed the impact of implementing a clinical supervision model on medication safety among nursing students. Medication errors are a significant concern in healthcare, and the article aims to help students decrease this area. The study included 15 nursing students and used qualitative approaches to acquire information about their experiences. Major outcomes of the clinical supervision approach include improved drug safety competence, increased trust, and reduced student stress. The research emphasizes the significance of competent clinical supervision in improving medication safety and students’ clinical abilities. This research article is added because it is essential to emphasize the effectiveness of the clinical supervision model in enhancing medication safety skills among nursing internship students. The results of this study highlight the model’s impact on medication administration principles, error reduction, accurate calculations, and overall improvement in clinical performance through constructive feedback. Liang, M. Q., Thibault, M., Jouvet, P., Lebel, D., Schuster, T., Moreault, M.-P., & Motulsky, A. (2023). Improving medication safety in a pediatric hospital: A mixed-methods evaluation of a newly implemented computerized provider order entry system. BMJ Health & Care Informatics, 30(1), e100622. https://doi.org/10.1136/bmjhci-2022-100622 This article advocates the adoption of a Computerized Provider Order Entry (CPOE) system in a hospital context, including its adoption for pediatric prescribing that will result in major changes in resolving medication errors. Most errors occurred during the nurse-administering step, emphasizing the need for better safety precautions, particularly in pediatric settings. Nurses and pharmacy technicians benefited from this activity, which improved efficiency and reduced medication errors. NHS FPX 4000 Assessment 2 Applying Research Skills In hospital settings, using a Clinical Decision Support System (CDSS) enhances the management of allergies and drug interactions, decreasing medication errors. The study was included here because it emphasizes the significance of enhancing electronic medication administration (eMAR) in mitigating medication errors. Adopting this aligns with the need for improved healthcare technology for patient safety. It was recommended in this study to develop proactive event reporting systems, and system-based suggestions highlight the importance of a comprehensive approach to error prevention and reporting. Chew, C.-C., HSS, A.-S., Chan, H.-K., & Hassali, M. A. (2019). Medication safety at home: A qualitative study on caregivers of chronically ill children in Malaysia. Hospital Pharmacy, 55(6), 001857871985171. https://doi.org/10.1177/0018578719851719