Literature Evaluation Table
Literature Evaluation Table
Literature Evaluation Table
Student Name:
Change Topic (2-3 sentences): The aim of the evaluation is to determine the best method for reducing Adverse Drug Events (ADEs) in the older patients. Strategies being compared are educational programs and electronic medication. Literature Evaluation Table
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| Criteria | Article 1 | Article 2 | Article 3 | Article 4 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Wang, H., Meng, L., Song, J., Yang, J., Li, J., & Qiu, F. (2018). Electronic medication reconciliation in hospitals: A systematic review and meta-analysis. European Journal of Hospital Pharmacy, 25(5), 245–250. https://doi.org/10.1136/ejhpharm-2017-001441
|
Kinlay, M., Ho, L. M., Zheng, W. Y., Burke, R., Juraskova, I., Moles, R., & Baysari, M. (2021). Electronic Medication Management Systems: Analysis of enhancements to reduce errors and improve workflow. Applied Clinical Informatics, 12(05), 1049–1060. https://doi.org/10.1055/s-0041-1739196
|
Fuller, A. E. C., Guirguis, L. M., Sadowski, C. A., & Makowsky, M. J. (2018). Electronic Medication Administration records in long‐term Care Facilities: A scoping review. Journal of the American Geriatrics Society, 66(7), 1428–1436. https://doi.org/10.1111/jgs.15384
|
Bugnon, B., Geissbuhler, A., Bischoff, T., Bonnabry, P., & von Plessen, C. (2021). Improving primary care medication processes by using shared electronic medication plans in Switzerland: Lessons learned from a participatory action research study. JMIR Formative Research, 5(1). https://doi.org/10.2196/22319 |
| Article Title and Year Published
|
Title- Electronic medication reconciliation in hospitals: A systematic review and meta-analysis.
Year: 2018 |
Title: Electronic Medication Management Systems: Analysis of enhancements to reduce errors and improve workflow
Year: 2021 |
Title: Electronic Medication Administration records in long‐term Care Facilities: A scoping review
Year: 2018 |
Title: Improving primary care medication processes by using shared electronic medication plans in Switzerland: Lessons learned from a participatory action research study
Year: 2021 |
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
Hypothesis: Medication reconciliation is a multi-professional process for the prevention of medication discrepancies. | No research questions/hypothesis | Null | Null |
| Purposes/Aim of Study | To evaluate the available electronic medication reconciliation (eMedRec) tools and their effect on unintended discrepancies that occur in hospital institutions | 1. Identify system-related medication errors or workflow blocks that were the target of eMM system updates
2. Describe and classify the system enhancements made to target these risks |
To map the extent, range, and nature of research on the effectiveness, level of use, and perceptions about electronic medication administration records (eMARs) in long-term care facilities (LTCFs) | Summarize lessons learned from primary care professionals involved in a pioneering pilot project in Switzerland for the system wide implementation of shared electronic medication plans. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Meta-analysis | Retrospective study | Scoping review of quantitative and qualitative literature. | Formative action research study. |
| Setting/Sample
|
Meta-analysis, 13 articles included | Systematic analysis | Literature review | Longitudinal study |
| Methods: Intervention/Instruments
|
Methodological quality was assessed using the nine standard criteria of Cochrane Effective Practice and Organization of Care Review Group (EPOC) | 147 individual changes, were made to the eMM system over the 4-year period | Systematically searched MEDLINE, CINAHL, Scopus, ProQuest, and the Cochrane Library. | Group interviews |
| Analysis
|
Relative risk and significance difference | Descriptive analysis (use of percentages) | Level of significance analysis | Descriptive analysis |
| Key Findings
|
Electronic Medical Reconciliation reduces the incidence of medication with unintended discrepancies and improves medication safety. | Electronic Medication Management (eMM) reduces medication errors and optimize workflows | Evidence linking electronic Medication Administration Records (eMAR) in reducing errors is weak. | Participants considered medication plan management, digitalized or not, a core element of good clinical practice |
| Recommendations
|
Hospitals adopt electronic medication to reduce ADEs | Hospital organizations can adopt eMM to enhance patient safety and operational efficiency | More research need to be conducted to determine the effectiveness of electronic medication in reducing ADEs | Digitalization is a key element of transforming hospital records |
| Explanation of How the Article Supports EBP/Capstone Project
|
It identifies the best approach that can reduce ADES between educational programs and electronic medication. | Shows that electronic Medication Management is the best bet for reducing ADEs | The article informs the need for conducting more robust research on the efficacy of electronic medication in reducing ADEs. | More research should be done to assess the efficacy of electronic records. |
| Criteria | Article 5 | Article 6 | Article 7 | Article 8 |
| Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
|
Gregory, L. R., Lim, R., MacCullagh, L., Riley, T., Tuqiri, K., Heiler, J., & Peters, K. (2021). Intensive Care Nurses’ experiences with the new electronic medication administration record. Nursing Open, 9(3), 1895–1901. https://doi.org/10.1002/nop2.939
|
Li, R., Zaidi, S. T., Chen, T., & Castelino, R. (2019). Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review. Pharmacoepidemiology and Drug Safety, 29(1), 1–8. https://doi.org/10.1002/pds.4906 | Lau, G., Ho, J., Lin, S., Yeoh, K., Wan, T., & Hodgkinson, M. (2018). Patient and clinician perspectives of an integrated electronic medication prescribing and dispensing system: A qualitative study at a multisite Australian Hospital Network. Health Information Management Journal, 48(1), 12–23. https://doi.org/10.1177/1833358317720601
|
Martin, P., Tamblyn, R., Benedetti, A., Ahmed, S., & Tannenbaum, C. (2018). Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults. JAMA, 320(18), 1889. https://doi.org/10.1001/jama.2018.16131 |
| Article Title and Year Published
|
Title: Intensive Care Nurses’ experiences with the new electronic medication administration record
Year: 2021 |
Title: Effectiveness of interventions to improve adverse drug reaction reporting by healthcare professionals over the last decade: A systematic review
Year: 2019
|
Title: Patient and clinician perspectives of an integrated electronic medication prescribing and dispensing system: A qualitative study at a multisite Australian Hospital Network
Year: 2018 |
|
| Research Questions (Qualitative)/Hypothesis (Quantitative)
|
What are intensive care nurses’ experiences with the new electronic medication administration record?
|
No research question and hypothesis | Null | Can a consumer-targeted, pharmacist-led educational intervention reduce prescriptions for inappropriate medication among community-dwelling older adults? |
| Purposes/Aim of Study | To explore the experiences of Registered Nurses who administered medications to patients using the electronic medication administration record. | To assess the impact of various strategies to improve ADR reporting published in the last decade and compare this with the strategies identified in a previous systematic review | To explore and compare patient and clinician attitudes towards an integrated e-prescribing and dispensing system | o compare the effectiveness of a consumer-targeted, pharmacist-led educational intervention vs usual care on discontinuation of inappropriate medication among community-dwelling older adults. |
| Design (Type of Quantitative, or Type of Qualitative)
|
Qualitative descriptive exploratory approach | Systematic review | A cross-sectional survey | A cluster randomized clinical trial |
| Setting/Sample
|
Five participants | 10,021 articles selected, 13 articles included | Australian metropolitan teaching hospital | Quebec, Canada |
| Methods: Intervention/Instruments
|
Focus group, observation | MEDLINE and EMBASE databases Literature Evaluation Table | Survey | andomization occurred at the pharmacy level, with 34 pharmacies randomized to the intervention group (248 patients) and 35 to the control group (241 patients) |
| Analysis
|
Thematic analysis | Descriptive analysis | Descriptive analysis- percentages | Descriptive and inferential statistics |
| Key Findings
|
eMAR reduced time nurse spent with patients | Electronic method was found to be a better approach when reporting adverse drug reactions compared to educational method | The majority of patients and clinicians reported a positive impact of e-prescribing on safety and efficiency | A pharmacist-led educational intervention compared with usual care resulted in greater discontinuation of prescriptions for inappropriate medication after 6 months |
| Recommendations
|
More research needed on the effects of using eMAR to patients and healthcare providers. | More research needed to find the robustness of each method | Hospitals should implement e-prescribing | More research needed to establish the effectiveness of educational programs in reducing ADEs |
| Explanation of How the Article Supports EBP/Capstone
|
Electronic medication has the potential to increase patient safety | The article directly compares the effectiveness of educational programs and electronic records which are included in the PICOT question. | The study adds to the evidence that electronic medication is the best approach to reduce ADEs | The study contributes to the topic because educational program for nurses was found to be effective in dealing with ADEs. |
