Analyzing a Healthcare Problem or Issue (Research Paper Sample)
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.
Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas media piece) and provide details about it.
Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
Identify possible causes for the problem or issue.
Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.
Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
You may find the applicable Undergraduate Library Research Guide helpful in your search.
Review the Think Critically About Source Quality to help you complete the following:
Assess the credibility of the information sources.
Assess the relevance of the information sources.
Analyze the health care problem or issue.
Describe the setting or context for the problem or issue.
Describe why the problem or issue is important to you.
Identify groups of people affected by the problem or issue.
Provide examples that support your analysis of the problem or issue.ï»¿
Discuss potential solutions for the health care problem or issue.
Describe what would be required to implement a solution.
Describe potential consequences of ignoring the problem or issue.
Provide the pros and cons for one of the solutions you are proposing.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.
Describe what would be necessary to implement the proposed solution.
Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
Provide examples from the literature to support the points you are making.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 3 Example [PDF].
Your assessment should also meet the following requirements:
Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.
Organize your paper using the following structure and headings:
Title page. A separate page.
Introduction. A brief one-paragraph statement about the purpose of the paper.
Elements of the problem/issue. Identify the elements of the problem or issue or question.
Analysis. Analyze, define, and frame the problem or issue.
Considering options. Consider solutions, responses, or answers.
Solution. Choose a solution, response, or answer.
Ethical implications. Ethical implications of implementing the solution.
Implementation. Implementation of the potential solution.
Conclusion. One paragraph.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.
Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.
Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.
Competency 3: Apply ethical principles and academic standards to the study of health care.
Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented
Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella's writing standards.
Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Write following APA style for in-text citations, quotes, and references.
A medication error is a preventable adverse effect of a patient taking the wrong medication or dosage, whether or not it is evident or harmful to the patient. Medication errors can be a source of serious patient harm, including death.
Potential Intervention Approaches:
– Medical staff education
– Packaging improvements
– Patient medication safety training
Keywords for Articles:
medication administration, medication errors, medication safety
Cohen, M. (2016). Medication errors (miscellaneous). Nursing. 46(2):72, February 2016. DOI: 10.1097/01.NURSE.0000476239.09094.06
Institute for Healthcare Improvement. (2017). Improve Core Processes for Administering Medications. http://www.ihi.org/resources/Pages/Changes/ImproveCoreProcessesforAdministeringMedications.aspx
Agency for Healthcare Research and Quality. (2012). Table 6: Categories of Medication Error Classification. http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/match/matchtab6.html
Schmidt, K., Taylor, A., & Pearson, A. (2017). Reduction of medication errors: A unique approach. Journal of Nursing Care Quality. 32(2), April/June 2017, 150–156
Analyzing a Healthcare Problem or Issue
Analyzing a Healthcare Problem or Issue
Medication errors are a contemporary and global health issue. Medication can be errors of omission, errors of commission leading to minor effects or sentinel events. Medication errors are the leading medical errors. They occur between diagnosis, ordering, dispensing, and administering the drugs. Medication errors cause harm from drug reactions, immunologic reactions and physiologic damage. Medication errors are preventable through interprofessional collaboration and favorable organizational policies. Interventions are thus integral and should thus encompass all these processes. This essay analyzes medication errors, their causes, and possible solutions ad their ethical implications.
The Food and Drugs Act Agency receives more than 100,000 medication errors reports, with more than 4000,000 medication error-related injuries yearly. Medication errors cost the US over $40 billion yearly, and most of these costs are preventable (IHI, 2017). They cause more than 250,000 deaths annually, making them a leading cause of death (FDA, 2019). Nurses, doctors, pharmacists, and nutritionists are all prone to medication errors
According to Schmdt, Tylor, and Person (2017), all patients are exposed to medication errors; hence effective prevention strategies are integral. The most affected population by patient falls are mental health, emergency/trauma, and severely ill patients. Their vulnerability is due to the inability to follow instructions or question medications or any interventions during their care. Patients give informed consent before medication administration, which may not be possible with the confusion among critically ill patients. However, all patients require protection from medication errors because medical errors can be fatal to anyone, despite their health status before the infusion of the drugs.
Causes of medication errors
The leading cause of medication errors is poor communication. Poor communication can occur at any moment between transcription, procurement, and dispensing (Bergener, 2020). Causes include illegible handwriting, typing errors, unclear or inaudible verbal orders. Nursing handovers at the nursing desk (handing over without the patient) and poor interprofessional collaboration add to the list of medication errors. Another major cause of medication errors is incorrect diagnosis. Incorrect diagnosis and patient misidentification are leading causes of incorrect medication administration (Svitlica et al., 2017). These two are common due to the hasty nature of the medical field. Healthcare workers’ (especially nurses) shortage also causes medication errors because healthcare providers are always in a hurry to provide care to many patients, thus committing these errors. In addition, LASA (look-like sound-alike) drugs are also a leading cause of medication errors, and production factories should provide adequate means to differentiate such drugs (IHI, 2017).
Possible Solutions to Patient Falls
There are several ways to prevent medication errors between diagnosing, ordering, dispensing, and administering the drugs. Medical staff education and sensitization on medication errors are possible solutions. Educated staff often make better and informed decisions in preventing medication errors. IHI (2017) believes packaging improvements through favourable organizational policies are integral. Some of these strategies are handing over with patients (at the bedside) instead of handing over at the nursing station, clear packing and storage of LASA drugs, and using companions or drug pumps for safe drug administration. Another possible solution is patient medication safety training. According to Schmdt, Tylor, and Pearson (2017), risk assessment tools help prevent more than twenty percent of medication errors. Patient medication safety training ensures they are actively involved in safe medication administration. Informed patients can also help avoid medication errors by questioning inconsistencies and following the given instructions adequately.
Solution- Staff Education to Prevent Medication Errors
As mentioned above, staff education and sensitization n medication errors are integral in preventing medication errors. Most states require at least 2 hours of continuing education on medication errors training to equip healthcare providers with adequate knowledge to prevent medication errors in the dynamic healthcare field. Staff training sensitizes the staff on the implications of medication errors. According to Di Simone et al. (2018), training and workshops provide a good platform for reminding staff of the guidelines and policies regarding medication errors. According to Institute for Healthcare Improvement (2017), common organizational strategies include avoiding abbreviations, separating LASA drugs, legible handwriting, clear handover guidelines, and medication error reporting. Staff training also creates a culture of safety within the organization. Trained staff also teach patients adequately even at home.
Medication errors are not confined to the wards or hospital environments, and they can happen at home after discharge; thus, patient education is integral. Staff training determines the quality of patient education, and quality discharge education is integral. Healthcare institutions should embrace staff training and development programs that suit the strategies integral to impacting the right knowledge and skills in medication errors prevention.
Healthcare interventions are highly dependent on ethical acceptability. Staff education promotes autonomy through informed decision-making. Patients and staff who are informed would hardly make mistakes. Recent studies show that staff training reduces patient deaths by over 15% and improves the overall clinical performance by over 30%, promoting beneficence (Di Simone et al., 2018). In addition, staff training encourages medication error reporting, which informs the institutions’ organization and prevention strategies. Education also enables healthcare providers and patients to make the best decisions regarding care hence the best patient outcome promoting beneficence and nonmaleficence. All patients and their relatives should receive education on mediation and medication safety to ensure justice. All patients are entitled to patient safety, and staff education on medication errors ensures that patients are adequately managed.
Implementation of the Solution
Staff training requires massive input from healthcare leaders. A clear and comprehensive program entailing the different causes, risk factors, consequences, and organizational and government policies on medication errors prevention is essential. The engagement of reputable healthcare trainers such as accredited firms and advanced practice registered nurses is integral. As per Occupational Safety and Health Administration (OSHA) guidelines, staff training on medication errors could be integrated with other patient safety training (Di Simone et al., 2018).
A keen analysis of patients and staff needs is integral in
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