Validity of Qualitative and Quantitative Evidence

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NR449MATRIXT.docx

NR449 Evidence-Based Practice

RUA: Analyzing Published Research

RUA: Analyzing Published Research

Evidence Matrix Table

Article

References

Purpose

Hypothesis

Study Question(s)

Variables

Independent(I)

Dependent(D)

Study Design

Sample

Size &

Selection

Data Collection

Methods

Major Finding(s)

1

Uhlenhopp, D. J., Aguilar, O., Dai, D., Ghosh, A., Shaw, M., & Mitra, C. (2020). Hospital-wide medication reconciliation program: error identification, cost-effectiveness, and detecting high-risk individuals on admission.  Integrated Pharmacy Research & Practice, 9, 195–203. https://doi.org/10.2147/IPRP.S269857

To determine the effectiveness of a hospital-wide Medication History Technician (MHT) program in recognizing mistakes from home prescriptions at patient’s admission stage, shows to be cost effective in hospital utilization, and identity of individual’s risk factors for medication discrepancies.

D: recognizes errors from home medications at patient’s admission stage, shows to be cost effective in hospital utilization, and identity the factors that put individuals at increased risks of medication differences.

I: a hospital-extended Medication History Technician (MHT) package.

-prospective observational study design

-mixed methods

N: 817

A workable sample that was chosen from two healthcare facilities within Des Moines city.

Inclusion: patients 1years and above, from critical care department, emergency department, and general medical units; exclusion-pediatrics, obstetrics, and surgical units.

Interviews, observation.

Improved identification of errors by technicians, demonstration of cost-effectiveness (cost avoidance estimated to be $210.33), and rapid identification of the associated factors in medication differences (female gender, high use of risk medications, and age factor).

2

Digiantonio, N., Lund, J., & Bastow, S. (2018). Impact of a pharmacy-led medication reconciliation program.  P & T, 43(2), 105–110.

To assess the benefits of a pharmacy-led medication resolution package at a large community hospital in relation to number of medical discrepancies.

D- number of prescription-associated differences provided in either the triage noted by nursing, student, or by physician

I- pharmacy-initiated medication resolution package.

-Retrospective study.

-Mixed methods

N- 200

Convenience sample chosen from Sarasota memorial facilities’ ED.

Inclusion-emergency department patients with at least three home prescription medications according to history.

Interviews

Standardized electronic data collection form.

Noteworthy decrease in numbers of significant, severe and life threatening prescription resolution mistakes on admission.

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