Create a 3–5-page annotated bibliography and summary based on your research related to best practices addressing a current health care problem or issue Research using Peer-Review Journal Articles

Research using Peer-Review Journal Articles
I started my search in the Capella library. By using the Summon search box I searched for
topics like medication errors, new nurse medication errors, and patient safety medications.
Then, I refined my search to scholarly and peer reviewed journal articles. I further refined my
search to publications within the last five years. To determine if the articles are credible, I
examined the publishing journal and also the author. In order to be credible, the author must have
a professional background in healthcare and be well respected. In the articles chosen by me, the
authors were professors in the healthcare field. It was important to me that these chosen sources
provided examples of medication errors of “real life” situations and included data to prove it. In
addition, I also was looking for solutions for patient safety in medication administration.
Annotated Bibliography
Cloete , L. (2015). Reducing medication errors in nursing practice. Nursing Standard (2014),
29(20), 50-59. doi:http://dx.doi.org.library.capella.edu/10.7748/ns.29.20.50.e9507
In this article, the author determined that interruptions and distractions accounted for the
main causes of medication errors. Common causes of interruptions or distractions include
a secondary task such as; patient alarms, patient questions, physician or staff questions.
The article stressed that medication administration utilizes skill-based and knowledgebased focus for successful medication administration. Prioritizing distractions or
minimising distractions may be part of the solution to reduce errors in medication
administration. Other potential solutions include implementing “interruption free-zones”

during staff medication times. The article also stressed that nurses need to recognize
which interruptions need immediate attention versus interruptions that can wait.
The article also stated that 76% of nurses that have made errors don’t always report their
medication error to their managers or supervisors. Often nurses feared disciplinary or
negative reaction by their manager. “A safe reporting environment that encourages staff
engagement to identify contributory factors as well as possible solutions must also be
fostered”
This article was chosen because interruptions are very common in nursing practice. The
article provides solutions to minimizing interruptions during medication administration. I
think nursing units should implement interruption-free zones to reduce errors. Also, the
article stated that providing a safe environment for reporting errors is key to increase
patient safety by reducing medication errors.
Härkänen, M., Tiainen, M., & Haatainen, K. (2017) Wrong‐patient incidents during medication
administrations. Journal of Clinical Nursing. 27: 715– 724.
Retrieved from https://doi-org.library.capella.edu/10.1111/jocn.14021
This article focused on wrong-patient medication administration and the contributing
factors related to the medication error. Patients with similar conditions, similar
medications regimens, similarities between patients names with neighboring patients, all
contributed to caused wrong patient medication administration. Failure to correctly
identify the patient is the most common cause (77%). Nurses in the survey omitted this
step because they felt they knew their patient. Another reason was “nurses were
concerned that repeatedly asking for the patients’ identity could harm their dignity”
Other factors in wrong patient medication errors include, fatigue, negligence,