1 Running Head: A CLINICAL ISSUE A Clinical Issue Nursing Errors Roberto J Silva Evidence-Based Practice Walden University March 15, 2020 Perfection is not in humans, but at times we commit errors in areas that we should not. Such an environment is a medical setting because we deal with human life, which is very precious and once lost, cannot be recovered. Therefore, I based my clinical issue on a question on why there are errors in the medical field. I found this clinical issue to work hand in hand with the question of what are the adverse effects suffered by patients who are victimized of these nursing errors. How is the severity of the impact experienced by each patient when they bear errors that, as a result of medical officers, in this case, nurses? These articles observed research ethics because they were based on a practical environment, and all participants used for research were aware of the research being conducted. These articles have different objectives, but all of them are concentrated in errors that are manifested in a medical setting by patients due to a nurse's faults of efficiency. The first article, in this case, is based on errors that are committed by nurses in cases of outpatient. The article associates these errors to technological shortcomings, which are as a result of a new method of prescribing outpatient (Matthew E. Hirschtritt, Steven Chan, Wilson O. Ly, Pharm). The second research article uses a more general approach whereby it assesses the general reasons why nurses find themselves committing errors while issuing medication to patients. This research article covers the reasons why these errors are manifested on a regular basis (Midwifery Journal, 2018). The third article that I used for my paper was based on the frequency and severing of adverse effects suffered by patients for a case of nursing errors. To serve the purpose, the article is based on patients who exhibit old age demographic factors (Risk Management Health Policy, 2013). From the fourth research article that I used to assess my clinical issue in question, it was more related to the other three articles. It is also based on the reason for errors that are manifested in a psychiatric setting. In particle, the article focuses on the type and the nature of errors that are prevalent in the psychiatric setting (International Journal for Quality in Health Care, 2010). Each of these research articles uses different methods to mine data and factual information about errors that are prevalent in the medical setting. They range from qualitative methods, quantitative methods, and others are based on mixed methods. The first article that I used for my clinical issue is based on a theoretical approach hence qualitative methodology. The article has an in-depth theoretical explanation of these errors from nurses. The second article is based on a quantitative methodology. Figures collected from participants are analyzed using ANOVA and chi-square tests. The ...

1. 1
Running Head: A CLINICAL ISSUE
A Clinical Issue
Nursing Errors
Roberto J Silva
Evidence-Based Practice
Walden University
March 15, 2020
Perfection is not in humans, but at times we commit errors in
areas that we should not. Such an environment is a medical
setting because we deal with human life, which is very precious
and once lost, cannot be recovered. Therefore, I based my
clinical issue on a question on why there are errors in the
medical field. I found this clinical issue to work hand in hand
with the question of what are the adverse effects suffered by
patients who are victimized of these nursing errors. How is the
severity of the impact experienced by each patient when they
bear errors that, as a result of medical officers, in this case,
nurses? These articles observed research ethics because they
were based on a practical environment, and all participants used
for research were aware of the research being conducted.
These articles have different objectives, but all of them are
concentrated in errors that are manifested in a medical setting
by patients due to a nurse's faults of efficiency. The first article,
in this case, is based on errors that are committed by nurses in

2. cases of outpatient. The article associates these errors to
technological shortcomings, which are as a result of a new
method of prescribing outpatient (Matthew E. Hirschtritt,
Steven Chan, Wilson O. Ly, Pharm). The second research article
uses a more general approach whereby it assesses the general
reasons why nurses find themselves committing errors while
issuing medication to patients. This research article covers the
reasons why these errors are manifested on a regular basis
(Midwifery Journal, 2018).
The third article that I used for my paper was based on the
frequency and severing of adverse effects suffered by patients
for a case of nursing errors. To serve the purpose, the article is
based on patients who exhibit old age demographic factors
(Risk Management Health Policy, 2013). From the fourth
research article that I used to assess my clinical issue in
question, it was more related to the other three articles. It is
also based on the reason for errors that are manifested in a
psychiatric setting. In particle, the article focuses on the type
and the nature of errors that are prevalent in the psychiatric
setting (International Journal for Quality in Health Care, 2010).
Each of these research articles uses different methods to mine
data and factual information about errors that are prevalent in
the medical setting. They range from qualitative methods,
quantitative methods, and others are based on mixed methods.
The first article that I used for my clinical issue is based on a
theoretical approach hence qualitative methodology. The article
has an in-depth theoretical explanation of these errors from
nurses. The second article is based on a quantitative
methodology. Figures collected from participants are analyzed
using ANOVA and chi-square tests. The research article is
based on quantitative methods; hence inferences are made on
figures inferences.
The third research paper uses more of a combined methodology
approach rather than a specific type of method. The article uses
different methods to gain insights on errors that are prevalent in
medical settings. Because the research paper is focused on the

3. frequency and severity of errors, it uses both observation and
chart analysis for these inferences. Equally, the fourth research
article which I used for my clinical issue is more oriented on
mixed methods. It uses a quantitative methodology where the
search is used. On the other hand, qualitative methods are used,
in this case, observation and use of incident reports.
There are different reasons why each research article uses a
different research methodology. The first article uses a rich
theoretical explanation of errors in a medical setting. This
research article tackles the reasons why outpatient suffers
nursing errors through the logic of explanation. Therefore, the
qualitative method used is a reliable method to verify the
findings and the recommendation in the research article. The
second article, based on the quantitative method, has a sense of
statistical disclosure and inference. In particular, ANOVA and
chi-square were used for research findings. These methods are
reliable because of the disclosure of the comparison that exists
between a manifestation of different errors in a medical setting.
The third article is which is based on mixed methodology, is
reliable because it employs a theoretical explanation to findings
from quantitative methods. The claims and observations from
the research article are credible, especially due to the charts
used as a method. Charts reveal trends, and through theoretical
explanation, it creates more sense for what is disclosed from the
chart. This is the same methodology that is used in the fourth
research method that I used for my paper.

4. REFERENCES:
International Journal for Quality in Health Care; Volume 19,
Number 4: pp. 210–216 10.1093/intqhc/mzm019 Advance
Access Publication: 10 June 2010 https:
//academic.oup.com/intqhc/article-abstract/19/4/210/1803672
Matthew E. Hirschtritt, M.D., M.P.H., Steven Chan, M.D.,
M.B.A., Wilson O. Ly, Pharm.D., M.Sc. Realizing E-
Prescribing’s Potential to Reduce Outpatient Psychiatric
Medication Errors
Preventive Care in Nursing & Midwifery Journal 2018; 8(2): 1-
8
Risk Manag Healthc Policy. 2013; the medication process in a
psychiatric hospital: errors a potential threat to patient safety?
6: 23–31 https:
//www.ncbi.nlm.nih.gov/pmc/articles/PMC3775703/
ERRORS IN PSYCHIATRIC SETTING
Errors in Psychiatric Setting
Roberto J Silva
Walden university
Evidence-based practice
March 15, 2020
Identified clinical issue
Why are errors still prevent in the modern medical
environment?
As a clinical issue, it is important to ask why nurses find

5. themselves making errors yet they know how precious life is?
Errors are prevalent is medical institutions where prescriptions
is done wrongly, administration of medicine to the wrong
patients or even using the right medicine to the right person.
Therefore, why is it that nurses are not able to eliminate these
errors and exhibit operational excellence?
To learn answers to these question, it was necessary to select
article that assess common factors that increase medical errors.
Use of keywords
To mine these articles from the library database, I had to use
different keywords surrounding my clinical issue.
To retrieve any fist article, I used obvious keyword, which are
errors in nursing.
From this keywords, I was able to retrieve different research
article and my selected article fit my search purpose.
This was the keyword that is used for my second article.
From the available articles, I selected to be particular in
selection of tis article. That is why I ended up selecting hospital
based research article.

6. Use of keywords
Selection of my third article was a little bit different.
I used a different combination of keywords to retrieve this
article.
In this case, in my search I was more oriented on the effects
suffered due to nursing error.
Therefore, I used ‘effects of nursing errors’ as my keywords to
retrieve the research article.
To retrieve the fourth article was based on an obvious keyword
search on nursing errors.
However, I went deep into details to focus on population
demographics and how they are affected by nursing errors.
Research articles used
The first article that I used more a more general approach of
nursing errors (Matthew E. Hirschtritt, Steven Chan, Wilson O.
Ly, Pharm).
I preferred to use this research article to act as a development of
understanding what is meant by nursing errors.
In this case, the article introduced scenarios where nursing

7. errors are manifested.
In this case, the article started by errors manifested among
outpatients especially when a new method off prescribing
medicine is used.
Identification of the second article was to aid on perspective
that nurses have on nursing errors (Midwifery Journal, 2018).
Research articles used
The third article was based on nature of errors that are
manifested among nurses.
To identify these research article, I based my focus to identify
the repetitive errors among nurses.
Therefore, this was on identification of reasons why these errors
appears to be repetitive (Risk Management Health Policy,
2013).
To go more into details, I based on search on demographic
characteristics.
In this case, I identified a research article that was more
oriented on how demographic characteristics suffer nursing
errors (International Journal for Quality in Health Care, 2010).
REFERENCES:
Matthew E. Hirschtritt, M.D., M.P.H., Steven Chan, M.D.,
M.B.A., Wilson O. Ly, Pharm.D., M.Sc. Realizing E-
Prescribing’s Potential to Reduce Outpatient Psychiatric
Medication Errors
Preventive Care in Nursing & Midwifery Journal 2018; 8(2): 1-
8

8. Risk Manag Healthc Policy. 2013; the medication process in a
psychiatric hospital: are errors a potential threat to patient
safety? 6: 23–31 https:
//www.ncbi.nlm.nih.gov/pmc/articles/PMC3775703/
International Journal for Quality in Health Care; Volume 19,
Number 4: pp. 210–216 10.1093/intqhc/mzm019 Advance
Access Publication: 10 June 2010 https:
//academic.oup.com/intqhc/article-abstract/19/4/210/1803672
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