follow directions exactly 

· Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.

· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

· Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

Matrix Worksheet Template

Matrix Worksheet Template

Use this document to complete
Part 1 of the Module 2 Assessment, 

Evidence-Based Project, Part 1: Identifying Research Methodologies

Full

citation
of selected article

Article #1

Article #2

Article #3

Article #4

Loomer, L., Grabowski, D., Yu, H., & Gandhi, A. (2022). Association between nursing home staff turnover and infection control citations. Health Services Research, 57(2), 322-332. 
https://doi.org/10.1111/1475-6773.13877

Anderson, D. C., Grey, T., Kennelly, S., & O’Neill, D. (2020). Nursing Home Design and COVID-19: Balancing Infection Control, Quality of Life, and Resilience. Journal of the American Medical Directors Association, 21(11), 1519-1524. 
https://doi.org/10.1016/j.jamda.2020.09.005

Stone, P. W., A. Herzig, C. T., Agarwal, M., Marziaz, M. P., & Dick, A. W. (2018). Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study. 
Sage
https://doi.org/10.1177/0046958018778636

A. Herzig, C. T., Stone, P. W., Castle, N., Marziaz, M. P., Larson, E. L., & Dick, A. W. (2016). Infection Prevention and Control Programs in US Nursing Homes: Results of a National Survey. 
Journal of the American Medical Directors Association
17(1), 85-88. 
https://doi.org/10.1016/j.jamda.2015.10.017


Why
you chose this article and/or

how it relates
to the clinical issue of interest (include a brief

explanation of the ethics
of research related to your clinical issue of interest)

This article was picked because it highlights the association between nursing home employee turnover and the number and severity of infection control citations.

This article was chosen be

PICO

Department, Institutional Affiliation

Course Title

Tutor’s Name

Date

Chosen Clinical Issue

Medication error: it is a preventable event leading to unsuitable medication use or harm to patient when the medication is under the control of healthcare provider.

The medication errors are linked to:

Dispensing an incorrect medicine

Incorrect dosage strength or form

Miscalculation of the dose

Failure to identify the drug interactions or contraindications.

The selected issue is the medication error which is a preventable event that leads to the unsuitable medication use or harming patient when the medication is under the control of healthcare provider. The medication erros reported in the facilities are linked to the dispensing an incorrect medicine, incorrect dosage strength or form, miscalculation of the dose, and the failure to identify the drug interactions or contraindications.

2

Cont’d

It is a preventable issue

Poor implementation practices amongst providers leads to the increase in medication errors.

It leads to increase in the length of hospital stay due to the readmission.

It is also linked to the rise in the medical costs and nosocomial infections.

Healthcare providers must have an instant report incident to the doctor and supervisors.

Medication errors affect hospital performance in terms of quality service delivery.

This is a preventable issue, but there is poor implementation practices amongst providers. The impact of the medication errors is the increase in the length of hospital stay by patients due to the readmission. It is also linked to the rise in the medical costs, and nosocomial infections. It is important for healthcare providers to have an instant report incident to the doctor and supervisors. Medication errors affect hospital performance in terms of quality service delivery.

3

The Development of the PICO (T)

Computerized physician order entry (CPOE) system is a technical solution to the medication ordering errors.

CPOE helps in the reduction of 81 percent of the medication errors.

The practice of CPOE system is poorly implemented in the facilities.

PICOT Question: For pediatric patients, does the adoption of the computerized physician order entry (CPOE) system compared to the paper-based system lead to a reduction in the rates of medication errors within three months?.

Population: pediatric patients

Intervention: computerized physician order entry (CPOE) system.

Comparison: paper-based system

Outcomes: reduction in the rates of the medication errors

Time: three months for the implementation period.

The computerized p

[removed]