nurs fpx 4900assessment 1 assessing the problem leadership collaboration communication change management and policy considerations

  ps of medicines in intensive care units. Nurses working in ICUs for adult patients filled out a questionnaire about high-risk medicines to gauge their level of expertise. There were 240 participants in the study. It was deemed sufficient in 23% cases, and somewhat sufficient in 63% cases, to their knowledge. Nurses with a bachelor’s degree earned an average grade of 1.86, while those with a secondary education earned an average grade of 2.02 (p < 0.05). Just over a quarter (24%) said that they had made a medicine error at work, and 5% acknowledged that they had made a medication error personally! Nurses in intensive care units are well-versed in drug administration, but are reluctant to disclose medication mistakes (Štrbová et al., 2017).

NHS FPX 4000 Assessment 2 Applying Research Skills JJ
Breuker, C., Macioce, V., Mura, T., Castet-Nicolas, A., Audurier, Y., Boegner, C., … & Sultan, A. (2017). Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare. Journal of patient safety. This study aimed to determine the incidence, features, and severity of unexpected medication discrepancies (UMDs) as well as medication errors (MEs). Another goal was to investigate clinical and hospitalization variables linked with UMD risk as well as medication reconciliation features related to UMD detection. As part of a prospective observational research at the Endocrinology, Diabetes, and Nutrition Department at Montpellier Hospital, France, all adult patients hospitalized between 2013 and 2015 were enrolled. Clinical pharmacists conducted medication reconciliation by gathering the best available medication history from multiple sources and comparing it to admission and discharge prescriptions to find inconsistencies. Even unintentional medication inconsistencies rectified by a doctor counted as a ME. There are several risk variables for UMDs that may be discovered using logistic regression analysis (Breuker et al., 2017).

Asensi-Vicente, J., Jiménez-Ruiz, I., & Vizcaya-Moreno, M. F. (2018). Medication errors involving nursing students: A systematic review. Nurse educator, 43(5), E1-E5. To consolidate empirical research on prelicensure nursing students’ medication mistakes, this study was conducted. There has been a thorough literature review of original research papers. Only 19 papers met the criteria for inclusion in this review. Few studies have examined mistakes and near misses involving nursing students, and the available data shows that they occur often, according to the researchers’ results (Asensi et al., 2018).

Alenius, M., & Graf, P. (2016). Use of electronic medication administration records to reduce perceived stress and risk of medication errors in nursing homes. CIN: Computers, Informatics, Nursing, 34(7), 297–302. Several parts of therapeutics have been deemed unsafe due to the present pharmaceutical administration methods. E-Medication Administration Records might alleviate several of the aforementioned issues Unfortunately, little study on this issue has been conducted, especially in nursing homes. It was then decided to conduct a prospective case-control study in two nursing homes, one of which had a paper-based record system and the other had an electronic record system installed. Participants in the intervention group (n = 59) were asked to fill out a questionnaire on their feelings of stress as well as the risk of medication mistakes at baseline (n = 66). As compared to the control group, there were statistically significant reductions in the perceived risk of missing a medicine, medication mistakes due to communication issues, and medication errors due to inaccuracy in drug administration records. There was also a reduction in reported daily stress levels in the intervention group (P< .05) ( Alenius & Graf , 2016).