Develop a PICOT question
The purpose of this assignment is to develop a PICOT question. A PICOT (Patient, Intervention, Comparison, Outcome and Time) question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.
Using the “PICOT Question” template, formulate a PICOT question applying the PICOT format that addresses the approved clinical nursing problem from Topic 2.
The PICOT question will provide a framework for your capstone project change proposal.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Please use the below PICOT question
PICOT Question
In cancer patients receiving chemotherapy, how does the implementation of a pharmacist-led medication reconciliation intervention compared to a nurse-led medication reconciliation intervention affect the rate of medication errors within 3 months of treatment initiation?
Explanation of PICOT Elements:
1. Population: The population for this study will be cancer patients receiving chemotherapy. Medication reconciliation by a pharmacist may be crucial for cancer patients initiating new therapies, since they have a high burden of medication use and are more likely to experience accidental medication discrepancies (Chun, et al., 2020).
2. Intervention: The intervention will be a pharmacist-led medication reconciliation intervention, where the pharmacists conduct a comprehensive review of the patients\’ medication history, identify any discrepancies, and provide education and counseling to the patients and their caregivers. The comparison intervention will be a nurse-led medication reconciliation intervention, where nurses conduct a similar process but without the direct involvement of pharmacists.
3. Comparison: The study will compare the effectiveness of the pharmacist-led medication reconciliation intervention to that of the nurse-led intervention.
4. Outcome: The primary outcome will be the rate of medication errors identified during the 6-week period after chemotherapy initiation. This includes any discrepancies, inappropriate dosages, drug interactions, or any other medication-related issues identified through chart reviews, direct observations, or patient interviews (Vaga, et al., 2016).
5. Time: The timeframe of the study will be specified as “within 3 months after hospital discharge” to ensure that any medication errors that occur during this period can be accurately assessed. This timeframe can be considered relevant as medication errors during this period can have significant clinical consequences.
References:
Vega TG, Sierra-Sánchez JF, Martínez-Bautista MJ, García-Martín F, Suárez-Carrascosa F, Baena-Cañada JM. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016 Jun;22(6):734-40. doi: 10.18553/jmcp.2016.15248. Epub 2016 Apr 28. PMID: 27231800; PMCID: PMC10398067.
Chun DS, Faso A, Muss HB, Sanoff HK, Valgus J, Lund JL. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. J Oncol Pharm Pract. 2020 Jul;26(5):1156-1163. doi: 10.1177/1078155219892066. Epub 2019 Dec 18. PMID: 31852349.
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