Great response to this discussion question. It was clear and concise, and provided good information. However, you did not document your References quite correctly. Please review the Reference Documentation Examples document that I provided in Resources (Course Materials - Add-ons - Instructor Add-ons) under 6th edition APA Basics. Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles. 5 posts Re:Topic 1 DQ 1 Patient safety is a global healthcare concern. Registered nurses as direct providers of care have an integral role in keeping patients safe. Medication error, including medication administration error, is the most frequent cause of preventable morbidity and mortality in hospitals. According to the American Nurse Association (2010), an error can happen at any step. Although many errors arise at the prescribing stage, some are intercepted by pharmacists, nurses, or other staff. Some of the causes for medication errors include storage of look-alike medications and labelling. Heavier workloads also are associated with medication errors. According to Briggs (2010) there is evidence that suggests that having two nurses check medication orders prior to dispensing medication significantly reduces the incidence of medication errors. Additionally, computer based system whereby the physician writes all orders online is very effective in reducing medication errors in a general hospital population. One study found that in 44% of cases where the system alerted the physician to a potential risk of an adverse drug event related injury, the physician was unaware of the risk. Another strategy for reducing medication errors is to establish adequate quality processes and risk- management strategies. Every facility should have a culture of safety that encourages discussion of medication errors and near-misses (errors that don’t reach a patient) in a nonpunitive fashion (ANA, 2010). Another area of safety is hand hygiene. Evidence to support the importance of hand hygiene in preventing infection dates back to the 1800s (World Health Organization [WHO], 2009). The World Health Organization published guidelines for hand hygiene in health care to increase patient safety by ensuring clean care. The easiest and most effective way to reduce the risk of contamination is consistent hand hygiene before and after interaction with the patient or environment.
These two safety areas have greatly impact nursing practice and patient outcome. Evidence-based
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