NHS-FPX 4000 Assessment 2 Applying Library Research Skills

NHS-FPX 4000 Assessment 2

Name

Capella University

NHS4000: Developing a Health Care Perspective

Prof.

Februray, 2024

Applying Library Research Skills

Patient safety is paramount in the rapidly evolving healthcare sector, especially in light of healthcare system errors. These errors can take many forms, including mistakes or flaws in healthcare delivery, and can lead to significant harm to patients and suboptimal outcomes. Addressing these errors is a complex challenge involving various healthcare processes and practices. Healthcare system errors are not just limited to active errors, such as wrong-site surgeries performed by frontline staff, but also include latent errors arising from system design issues, such as equipment failures or ineffective organizational structures (Bell et al., 2023). Adverse events resulting from these errors may include unintended injuries, prolonged hospitalization, or physical disability. It’s important to note that not all adverse outcomes are necessarily a result of errors; preventable adverse events are particularly attributed to medical errors.

In the healthcare industry, fear of retribution or damage to one’s reputation often discourages healthcare professionals from reporting errors. This creates a culture that inadvertently discourages the identification and rectification of errors, significantly increasing the risk of further adverse events. To combat this, there is a growing movement towards creating a blame-free culture that encourages error reporting as part of a larger strategy for quality improvement and patient safety enhancement. As someone who plays a role similar to that of a medical transcriptionist, I understand the importance of accuracy in documenting healthcare information. A transcription error, such as inaccurately documenting medication dosage, can seriously affect patient safety. This understanding highlights the interconnectedness of all roles within the healthcare system and the collective impact on patient safety. It underscores the importance of vigilance, thoroughness, and a commitment to continuous improvement in all aspects of healthcare delivery.

Identifying Academic Peer-Reviewed Journal Articles

To conduct my research on healthcare system errors, I utilized Capella University’s Summon database. To ensure the accuracy and reliability of my findings, I conducted targeted searches on databases such as ProQuest Central and PubMed Central. I employed keywords such as “healthcare system errors,” “patient safety,” and “quality of care” to refine my search and gather relevant information. To ensure the reliability of my sources, I consciously limited my search to scholarly and peer-reviewed journal articles in medicine and nursing. I also refined my search to include articles published within the past five years. By doing so, I could access current information that is in line with modern healthcare practices and patient safety protocols.

Assessing Credibility and Relevance of Information Sources

To ensure the reliability and significance of sources related to healthcare system errors, I extensively searched academic peer-reviewed journals available through PubMed. During my search, I found a highly informative article titled “Medical Error Reduction and Prevention” that provided valuable insights. This article is published in the StatPearls journal. It thoroughly examines various types of medical errors, such as active and latent errors, and how they affect patient safety. This source is trustworthy because of its academic rigor, it has undergone a peer-review process, and the authors are experts in the medical field. The article is relevant because it discusses the causes, consequences, and prevention strategies for medical errors in detail, making it an essential resource for addressing this crucial healthcare issue.

NHS-FPX 4000 Assessment 2 Applying Library Research Skills

Annotated Bibliography

Bell, T., Sprajcer, M., Flenady, T., & Sahay, A. (2023). Fatigue in nurses and medication administration errors: A scoping review. Journal of Clinical Nursing, 32(17-18), 5445–5460. https://doi.org/10.1111/jocn.16620

This article presents a detailed examination of how nurse fatigue affects medication administration and results in errors. The research analyzed information from 38 studies, highlighting that fatigue was identified as a significant factor in medication errors and near misses in 82% of the cases. This study underscores the substantial impact of fatigue on cognitive performance, attention, and vigilance, all of which contribute to decreased nursing effectiveness and jeopardize patient safety. Circadian rhythm disruption and overtime, common components of shift work, were recognized as contributing factors. The review highlights the complex nature of fatigue and its implications in nursing practice. It advocates for implementing effective fatigue management systems and revising policies for safer working hours to improve the quality of patient care.

Jin, M. X., Kim, S. Y., Miller, L. J., Behari, G., & Correa, R. (2020). Telemedicine: Current impact on the future. Cureus, 12(8), e9891. https://doi.org/10.7759/cureus.989

This article contains valuable insights into how telemedicine is revolutionizing the healthcare industry. Various medical experts have written a comprehensive analysis of the rapid advancements in telemedicine. The ongoing COVID-19 pandemic has highlighted the crucial significance of telemedicine. In a significant move, the Centers for Medicare & Medicaid Services officially endorsed the use of telemedicine across different healthcare facilities on March 17, 2020. This recognition underscores the role of telemedicine in providing accessible and effective healthcare services during times of adversity. This policy change reflects a significant shift to support and promote this emerging modality. The article explores how telemedicine has become a convenient and resource-efficient approach, enabling communication between physicians and offering a viable alternative for patients unable to visit healthcare providers in person.

The authors delve into the practical aspects of telemedicine, such as building patient relationships and comfort in a virtual environment. They also highlight the significant potential of telemedicine in various settings, especially in hospice and nursing home care, where it can dramatically improve treatment monitoring and efficacy for elderly patients. Moreover, the article addresses the challenges and considerations in implementing telemedicine, such as maintaining ethics around patient security and autonomy, integrating new technologies into medical practice, and ensuring consistent service delivery comparable to in-person care. The authors emphasize the need for community reimbursement and physician adaptability to this evolving healthcare delivery model.

Pruitt, Z. M., Kazi, S., Weir, C., Taft, T., Busog, D. N., Ratwani, R., & Hettinger, A. Z. (2023). A systematic review of quantitative methods for Evaluating Electronic Medication administration record and bar-coded medication administration usability. Applied Clinical Informatics, 14(1), 185–198. https://doi.org/10.1055/s-0043-1761435

This study explores the practicality of implementing Electronic Medication Administration Records and Bar-Coded Medication Administration in healthcare environments. Through a thorough analysis of various sources, the authors investigate the effects of these technologies on productivity, outcomes, and user contentment, with an emphasis on numerical assessments. Their findings demonstrate the favorable outcomes associated with implementing BCMA and eMAR regarding effectiveness and user satisfaction while emphasizing the need for improved efficiency metrics. This article holds particular relevance in elucidating the role of technology in augmenting medication safety and user experience in healthcare contexts. Additionally, it contributes significantly to patient safety efforts by presenting evidence of reduced patient harm in hospitals and offering strategies to mitigate such risks.

NHS-FPX 4000 Assessment 2 Applying Library Research Skills

Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: systematic review. Informatics for Health & Social Care, 46(2), 192–204. https://doi.org/10.1080/17538157.2021.1879810

This systematic review explores the impact of patients accessing their electronic health records (EHRs) directly. After carefully screening over 2,000 papers, the researchers focused on studies that primarily looked at patient EHR access. They analyzed 74 selected papers with the help of field experts to study the outcomes of such access. The review reveals several benefits linked to patient EHR access, including increased patient reassurance, decreased anxiety levels, improved doctor-patient relationships, better awareness, medication adherence, and tangible improvements in health metrics like blood pressure and glycemic control. Additionally, the review highlights the potential for EHR access to strengthen self-management and patient engagement, leading to higher recovery scores and operational efficiencies within mental healthcare institutions. However, it also highlights concerns regarding the security, privacy, and confidentiality of health records, which may cause anxiety among patients. These nuanced findings offer valuable insights for healthcare practitioners and policymakers, emphasizing the need for a balanced approach that maximizes the benefits of EHR access while effectively addressing associated challenges and concerns.

Learnings from the Research

As part of my study on patient safety, I conducted extensive research by reviewing numerous peer-reviewed journal articles and creating an annotated bibliography based on my findings. The process involved analyzing various scholarly works on patient safety, including research on medication errors, surgical errors, and infections, among other topics. During the study, I discovered valuable insights that broadened my understanding of patient safety, including the importance of communication and teamwork among healthcare providers in preventing adverse events. Additionally, I found that patient safety is a multidimensional concept involving various factors such as technology, organizational culture, and human factors.

One of the specific issues that I uncovered during my research was nurse fatigue and its impact on medication errors. This highlighted the need for healthcare organizations to address the issue of nurse fatigue and implement measures to reduce the risk of medication errors caused by fatigue. Through my research, I have gained a vast amount of knowledge and resources that will prove to be invaluable in my future work on patient safety issues. The annotated bibliography that I have compiled serves as a valuable collection of scholarly works that I can easily refer to for further research on patient safety-related topics.

NHS-FPX 4000 Assessment 2 Applying Library Research Skills

References

Bell, T., Sprajcer, M., Flenady, T., & Sahay, A. (2023). Fatigue in nurses and medication administration errors: A scoping review. Journal of Clinical Nursing, 32(17-18), 5445–5460. https://doi.org/10.1111/jocn.16620

Jin, M. X., Kim, S. Y., Miller, L. J., Behari, G., & Correa, R. (2020). Telemedicine: Current impact on the future. Cureus, 12(8), e9891. https://doi.org/10.7759/cureus.989

Pruitt, Z. M., Kazi, S., Weir, C., Taft, T., Busog, D. N., Ratwani, R., & Hettinger, A. Z. (2023). A systematic review of quantitative methods for evaluating electronic medication administration record and bar-coded medication administration Usability. Applied Clinical Informatics, 14(1), 185–198. https://doi.org/10.1055/s-0043-1761435