Posted: December 31st, 2022
Week 6 Discussion-Evidence Synthesis.
Synthesis is a skill that takes practice and the lectures discuss this process.
On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements without separately reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done. Week 6 Discussion-Evidence Synthesis.
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PICOT
In patients admitted to a psychiatric institution that converted from paper charting to electronic health records (P) , does the implementation of electronic health records (I) compared to paper charting ( C) decrease medication errors (O) within 6 months of its implementation (T).
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Article 1- Prescribing errors and adverse drug reaction documentation before and after implementation of e-prescribing using the Enterprise Patient Administration System (ATTACHED)
Article 2-Medication errors in emergency departments: is electronic medical record an effective barrier? (ATTACHED) Week 6 Discussion-Evidence Synthesis.
Evidence Synthesis
According to Al-Sarawi et al (2019), medication errors are among the leading causes of harm to patients. Sources of error include dose administration, monitoring response, history taking, prescribing errors, and medication management cycle. However, Al-Sarawi et al (2019) emphasize that prescribing errors are possibly the most serious types of medication errors. These findings are supported by Vaidotas et al (2019) who explain that prescription errors lead to wrong medication, wrong dose, and wrong route of administration; this may have major adverse outcomes. As a result, the electronic management of medications through e-prescribing has been used as a measure to reduce prescribing errors. E-prescribing could reduce prescribing errors by 50 percent in comparison to prescription using the paper-based system (Al-Sarawi et al., 2019). Findings by Vaidotas et al (2019) also demonstrate that electronic management of medications leads to reduced medication errors. For instance, the findings by Vaidotas et al (2019) showed that units using the paper-based system to prescribe had a higher number of medication errors when compared to units that haD implemented electronic medical records. Prescription errors such as medication type, dose, as well as administering medications to allergic patients were very common in units using paper-based prescription type. The study by Al-Sarawi et al (2019) supports this since the findings indicate that e-prescribing led to improved prescribing and not only improved completeness and clarity of prescription orders but also led to a significant decrease in unsafe prescriptions. Accordingly, evidence from both studies indicates that electronic management of medications significantly reduces medication errors, and especially prescribing errors. Week 6 Discussion-Evidence Synthesis.
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