3. Experiencias de diagnósticos y revitalización del Nasa Yuwe
3.3 El proceso de autodiagnóstico de la zona de los Reasentamientos
This study sought to explore the relationship between a RNs knowledge,
specifically pharmacology knowledge, and medication error occurrence. Most research studies that have investigated medication errors have focused on causes, antecedents and systems factors. Findings from such studies do not adequately explain the role the practicing RN plays in patient outcomes. Thus this study contributes to the limited research regarding understanding possible RN knowledge determinants of positive patient outcomes. The literature reinforces the fact that medication errors are a tremendous problem. Most medication errors are attributed to the administration of medications that falls into the purview of the registered nurses’ role.
As previously established, a valid and reliable tool exists, that has been used in research to assess knowledge and the incidence of medication error, called the
Medication Calculation Skills test (MCS-t). When I assessed the relationship between practicing RNs’ pharmacology knowledge and medication error occurrence, I expected to find an inverse relationship between knowledge and the incidence of error. There is a relationship that exists between knowledge and error such that more knowledge is related to more error. However, caution is warranted because the MCS-t, as
interesting, valid and reliable a tool as it is, in the population of RNs in question, did not actually measure the “incidence of medication error” but instead measured “recognition of medication error either by yourself or another.”
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Importance of this Study
Ultimately, anything that contributes to the improvement of patient outcomes is important. The literature identifies the multi-disciplinary nature of the problem and highlights the important contribution that nurses make with regards to ensuring
medication safety. Patient safety and prevention of all patient related errors relies on competence in practice. Medication competence in nursing can be a challenging skill to develop (and maintain).
For the nurse, who is at the sharp end of a medication error, the basis of
medication competence lies in the knowledge that begins with their basic education and training (Benner, 2004) and is a lifelong pursuit. Limited evidence exists in the literature regarding the knowledge of practicing RNs and the occurrence of medication errors. In order to decrease medication errors we must recognize the complex nature of this issue and realize that solutions will be as complex as the issue they address.
108
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Appendix A
Medication Calculation Skills Test (MCS) Section 1 sample page) with PI created Demographics Section 3(sample page)
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The Medication Calculation Skills Test (MCS)