NUR 590 Topic 1 DQ 1

Assignment: Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing.

Based on the PICOT you developed for NUR-550, summarize the intervention you are proposing. How does this support the population of focus, your setting, and role? Justify how the problem you selected to investigate is amenable to a research-based intervention using the PICOT format. Include your PICOT statement with your response.

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NUR 590 Topic 1 DQ 1 The Proposed Intervention Sample

Issues hampering patient care require creative, up-to-date solutions. Part of nurses’ professional role in daily practice is to evaluate such issues and propose appropriate solutions. In nursing practice, evidence-based interventions lead to holistic, high-quality care since targeted improvements are based on current research and knowledge (ANA Nursing Resources Hub, 2023). The proposed intervention in the evidence-based practice (EBP) project is a protocol that makes dual verification for high-alert/high-risk medications mandatory. The implementation of this protocol involves two competent healthcare professionals collaborating to confirm all drugs before administration (Manias et al., 2020). Making it mandatory signifies a standard procedure that all healthcare professionals adhere to. NUR 590 Topic 1 DQ 1 

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The intervention supports improved patient outcomes for adults in the acute care setting (the focus population) by reducing the risk of medication errors and associated adverse outcomes. If high-alert/high-risk medications are poorly administered, the rate of medication errors increases, which results in increased hospital-acquired infections, fatalities, and medical costs. Mutair et al. (2021) found implementing a dual verification process critical to improving patient safety, reducing stress among nursing staff, and preventing potential escalation of healthcare expenditures. These outcomes suggest an intervention that fosters a healthy workforce and promotes safe, cost-effective care. It further supports the nurse’s role as an implementer of evidence-based change to improve nursing procedures to ensure high-quality, safe, and cost-effective patient care.

The problem selected (medication errors) is amenable to a research-based intervention using the PICOT format due to the availability of scientific literature that supports the proposed solution and compares outcomes to the procedure of comparison. In this case, the feasibility of the intervention can be investigated and adequate current research can be found to ensure that the recommended solution will achieve the desired outcomes within a specific timeline.

NUR 590 Topic 1 DQ 1 PICOT Statement

In adult patients in an acute care setting (P), does the implementation of a dual verification required protocol for high alert and high-risk medications (I) compared to dual verification recommended only (C) reduce the rate of medication errors (O) over six months (T)?

NUR 590 Topic 1 DQ 1 References

ANA Nursing Resources Hub. (2023). What is evidence-based practice in nursing? https://www.nursingworld.org/content-hub/resources/workplace/evidence-based-practice-in-nursing/

Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: a systematic review. Therapeutic Advances in Drug Safety, 11. https://doi.org/10.1177/2042098620968309

Mutair, A. A., Alhumaid, S., Shamsan, A., Zaidi, A. R. Z., Mohaini, M. A., Al Mutairi, A., Rabaan, A. A., Awad, M., & Al-Omari, A. (2021). The effective strategies to avoid medication errors and improving reporting systems. Medicines (Basel, Switzerland), 8(9), 46. https://doi.org/10.3390/medicines8090046 NUR 590 Topic 1 DQ 1

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