RESEARCH FINDINGS AND THEIR IMPLICATIONS
ResearchFindings and their Implications
Several decades ago, there was a major concern on medical errors inthe health facilities, which compromised patients’ safety.Statistics shows that there were thousands of medication errorsannually. Although most of them have no, low or moderate harm topatients, it is necessary to reduce them. As a result, severalstudies have been initiated to access various interventions to reducemedication errors in the hospitals. In their article, “Quit please!Drug Round Tabards: Are They Effective and Accepted”, Verweij,Smeulers, Maaskant, and Vermeulen conducted a quantitative researchstudy to investigate the effectiveness of a round tabard interventionto reduce medication errors in a hospital. The purpose of this paperis to describe conclusions drawn from the finding of this study, aswell as the implications for the clinical practice, taking intoconsideration of its limitations.
ConclusionsDrawn from the Finding of this Study
The study indicates that the drug round tabards are effective inimproving medication administration safety by reducing interruptionsand medical administration errors (MAEs). Statistics shows thatinterruptions and medical administration errors reduced by 75% and66% respectively after implementation of tabards (Verweij,Smeulers, Maaskant, and Vermeulen (2014). According toUko-Udom(2014), the tabards act as a reminder for nurses to check whetherthey have necessary requirements before commencing a round, as wellas help them to remain focused throughout the process.
Additionally, findings indicate that tabard does not have asignificant effect on the patients’ interruption on its own hence,something else should be used to boost its effectiveness. In mostcases, patients do not know the purpose of tabards, and using it doesnot change their attempts to attract nurses. The research points outother factors such as changing the color of tabard and implementingtabards cleaning protocol in the laundry service would contribute tothe positive effects. Most nurses complain that since a tabard is nota personal item, they are unhygienic and there might have a risk ofcross-infections. Besides, patients and visitors should be informedabout tabards to reduce interruption.
Verweijet. al, (2014) advocate for further research to be conductednationwide on the complementary interventions that contribute tomedical error reduction. By doing so, the study will give a betterunderstanding of the effectiveness of tabards drugs. Moreover,further investigation is necessary to examine the contribution ofeach additional intervention, as well as to minimize implementationof unnecessary and interventions with no evidence.
Implicationsfor the Clinical Practice
Despite its controversies, the round tabards enhance patients’safety. Therefore, health facilities should implement them in theirwards. Although they have possible side effects, their positiveeffect outweighs them. Patients’ quality of care is a vital aspectof clinical nursing practice.
Further, more attention should be given to the causes of medicalerrors and how care system interferes or compliments with nurse’swork. Ofosuand Jarrett (2014) suggest technology interventions should beimplemented in medical procedures to reduce error in the future. Forexample, programmable secure cabinets can replace the drug trolley.Moreover, technology would improve clinical communicationenvironment, as well as reduce interruptions during medicationprocesses.
Lastly, nurses should follow recommended medication administrationguidelines such as double-checking the medication throughout theadministration process. Uko-Udom(2014) argues it is the accountability of every medical practitionerto take suitable steps to uphold proficiency in all medicationmanagement aspects, as well as make sure their clinical practices andskills are advanced. In addition, they should identify their causesof medication errors, and hence, come up with strategies to minimizefurther occurrence. Verweij et al., (2014) argues thatif nurses can pay attention to the process, then, they would be moreaware of their responsibilities in the medical administration.
An ideal health care should not have distraction and interruptions,but this is impossible. Tabards intervention is one of the effectiveinitiatives to reduce medical administration errors. It is widespreadand a cheap strategy to reduce interruption during drug rounds andMAEs. However, its effectiveness evidence is limited, and they areunpopular among many nurses while others are uncomfortable wearingthem.
Ofosu, R., &Jarrett, P. (2014). Reducing nurse medicine administrationerrors. Nursingtimes, 111(20),12-14.
Uko-Udom, B.(2014). Introductionof Drug Round Tabard and Checklist to Reduce Interruptions and Errorin Medication Administration (Doctoraldissertation, Royal College of Surgeons in Ireland (RCSI)).
Verweij, L.,Smeulers, M., Maaskant, J. M., & Vermeulen, H. (2014). Quietplease! Drug round tabards: are they effective and accepted? A mixedmethod study. Journalof Nursing Scholarship, 46(5),340-348.