week 7
PICO
Department, Institutional Affiliation
Course Title
Tutor’s Name
Date
Chosen Clinical Issue
Medication error: it is a preventable event leading to unsuitable medication use or harm to patient when the medication is under the control of healthcare provider.
The medication errors are linked to:
Dispensing an incorrect medicine
Incorrect dosage strength or form
Miscalculation of the dose
Failure to identify the drug interactions or contraindications.
The selected issue is the medication error which is a preventable event that leads to the unsuitable medication use or harming patient when the medication is under the control of healthcare provider. The medication erros reported in the facilities are linked to the dispensing an incorrect medicine, incorrect dosage strength or form, miscalculation of the dose, and the failure to identify the drug interactions or contraindications.
2
Cont’d
It is a preventable issue
Poor implementation practices amongst providers leads to the increase in medication errors.
It leads to increase in the length of hospital stay due to the readmission.
It is also linked to the rise in the medical costs and nosocomial infections.
Healthcare providers must have an instant report incident to the doctor and supervisors.
Medication errors affect hospital performance in terms of quality service delivery.
This is a preventable issue, but there is poor implementation practices amongst providers. The impact of the medication errors is the increase in the length of hospital stay by patients due to the readmission. It is also linked to the rise in the medical costs, and nosocomial infections. It is important for healthcare providers to have an instant report incident to the doctor and supervisors. Medication errors affect hospital performance in terms of quality service delivery.
3
The Development of the PICO (T)
Computerized physician order entry (CPOE) system is a technical solution to the medication ordering errors.
CPOE helps in the reduction of 81 percent of the medication errors.
The practice of CPOE system is poorly implemented in the facilities.
PICOT Question: For pediatric patients, does the adoption of the computerized physician order entry (CPOE) system compared to the paper-based system lead to a reduction in the rates of medication errors within three months?.
Population: pediatric patients
Intervention: computerized physician order entry (CPOE) system.
Comparison: paper-based system
Outcomes: reduction in the rates of the medication errors
Time: three months for the implementation period.
The computerized physician order entry (CPOE) system is considered to be a technical solution to the medication ordering errors. It helps in the reduction of 81 percent of the medication errors. The practice of computerized physician order entry (CPOE) system is poorly implemented in the facilities. PICOT Question: For pediatric patients, does the adoption of the computerized physician order entry (CPOE) system compared to the paper-based system lead to a reduction in the rates of medication errors within three months?. Population are the pediatric patients, the intervention is the computerized physician order entry (CPOE) system. The proposed intervention is compared to paper-based system, the expected outcome is the drop in the medication errors within three months time.
4
Four Databases Used to Conduct Search for Peer-Reviewed Articles Selected
CINAHL
PubMed
ScienceDirect
Google Scholar,
Cochrane
EBSCOhost
APA Citations
Abraham, J., Kitsiou, S., Meng, A., Burton, S., Vatani, H., & Kannampallil, T. (2020). Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews. BMJ Quality & Safety, 29(10), 1-2.
Alanazi, A. (2020). The effect of computerized physician order entry on mortality rates in pediatric and neonatal care setting: Meta-analysis. Informatics in Medicine Unlocked, 19, 100308. https://doi.org/10.1016/j.imu.2020.100308
Elshayib, M., & Pawola, L. (2020). Computerized provider order entry–related medication errors among hospitalized patients: An integrative review. Health Informatics Journal, 26(4), 2834-2859. DOI: 10.1177/1460458220941750
Srinivasamurthy, S. K., Ashokkumar, R., Kodidela, S., Howard, S. C., Samer, C. F., & Rao, U.S. C. (2021). A systematic review is the impact of computerized physician order entry (CPOE) on the incidence of chemotherapy-related medication errors. European Journal of Clinical Pharmacology, 1-9. https://doi.org/10.1007/s00228-021-03099-9
The Level of Evidence of the Four Peer-Reviewed Articles Selected
Alanazi (2020), systematic review based on literature search work and it belongs in the level of I
Abraham et al. (2020) is systematic review and belong to level I evidence
Srinivasamurthy et al. (2021) is a systematic review study hence belong to level of evidence I
Elshayib & Pawola (2020), a systematic review study and it belongs to level I evidence
Strength of Using Peer-Reviews for Clinical Research
They deliver clear and comprehensive overview of evidences.
Supports identification of research gaps
The identification of research gaps helps in understanding of the role of CPOE in reduction of medication errors.
Reduces the level of biases
Generates more and reliable and accurate study conclusions.
It offer thorough summary of all primary research studies.
Systematic review study are important in delivering clear and comprehensive overview of the available evidences. It help in identifying the research gaps hence promote the understanding of the role of CPOE in reduction of medication errors. Systematic research review reduces biases hence generation of reliable and accurate study conclusions. It offer thorough summary of all the available primary research studies.
8