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Individual Analyzing Published Research Article (IAPRA PART 1)

Research question

For nurses taking care of patients in health care settings, how can safety interventions as compared to no intervention reduce medication error?

Aim of the study

“To analyze, in a controlled manner, the administration of medications to patients of four emergency departments in a single organization; in that, two units used the electronic medical record, and two, the conventional handwritten data” ( Vaidotas,et al., 2019,p.2).

Dependent variable

Based on the National Coordinating board for the medical error recording and avoidance, Medical error is the mistaken application that leads to hurt to the patient (Vaidotas, et al., 2019,p.2). These happenings are associated with professional exercise, healthcare commodities, medical processes, and prescription structures. Errors can occur in a lot of ways ranging from the prescription, transportation of medication, labelling and packaging as well as the preparation process by practitioners.

The application of electronic medical records was a helping element for the administration of treatment. There was an assumption that electronic medical records were operating in avoiding errors, with the ability for observing the whole procedure, from the inclusion of a component on prescription to the management. Any organization that escalates the administration and examination of every step has the capability of advancing the patients’ security. Irrespective of the complication of the technology remedy was considered in this technique.

A certain investigation evaluated the application of electronic prescriptions to reduce medical errors and was done in many hospital environments. The majority, nevertheless, used unregulated means or applied control groups never like the cases examined. The hospital consisted of 4 emergency sections that enable the hospital to establish a regulated clinical investigation. The application of electronic medical data provided solution to the issues of medical errors hence in this study, the dependent variable is reduced medication errors.

Independent variable

The validation of the similarity amongst several emergency units was marked through the ways of investigation of the kinds of ailments treated in every unit. The sections presented similar complication outlines of the patients, the assignment per healthcare practitioner for every emergency section was provided in table three of the article.

The study reported several medical errors in the departments with predictable records about the sections with electronic medical records that are 33 verses 11, respectively. The population of patients available at the departments with conventional records was higher equated with the patients in the departments that used electronic medical records. In the 2 units that operated with conventional records, the kind of treatment, dose, as well as management to allergic patients were the most prevalent medical errors, and in the units with electronic medical data, the most prevalent medical errors were linked to planning or handling, mistaken patient, wrong channel, and wrong management mechanism. Hence in this study, the independent variable is the implementation of electronic medical record use as a support tool in reducing medical errors because it has the potential of checking the entire process of medication administration beginning from its prescription to its administration.

Participants

The total number of participants was not mentioned in the study. However, the study was done in the hospital which had 4 different emergency departments which enabled a controlled study where 2 units had to use the electronical medical record and the other 2 units had to use the regular handwritten method. ‘These ED are physically independent in the city of Sao Paolo (SP), but under management, administration of similar teams with training and orientation of identical organizational protocol” (Vaidotas, et al., 2019,p.2). Vaidotas, et al.(2019

The exclusive criteria were not mentioned in the study. However, according Vaidotas, et al.(2019) to be eligible, the 4 units had to present the same complexity of patient profile as well as the workload of all workers including the physicians, nurses, and pharmacists for each of the emergency departments. To investigate the serious occurrence there was a comparison of the number of medical mistakes per million chances. The prevalence of the 2 groups was equated. The procedure level where the error happened and resulted in the medical error and the seriousness was grouped in accordance with the national coordinating board for medication error recording and avoidance.

References

Vaidotas, M., Yokota, P., Negrini, N., Leiderman, D., Souza, V., & Santos, O. (2019). Medication errors in emergency department: is electronic medical record an effective barrier? Einstein (Sao Paulo). http://dx.doi.org/10.31744/einstein.journal/2019GS4282