Contributing factors that influence medication errors in the prehospital paramedic environment: a mixed-method systematic review protocol

Article


Walker, Dennis, Moloney, Clint, SueSee, Brendan and Sharples, Renee. 2019. "Contributing factors that influence medication errors in the prehospital paramedic environment: a mixed-method systematic review protocol." BMJ Open. 9 (12), pp. 1-5. https://doi.org/10.1136/bmjopen-2019-034094
Article Title

Contributing factors that influence medication errors in the prehospital paramedic environment: a mixed-method
systematic review protocol

ERA Journal ID200230
Article CategoryArticle
AuthorsWalker, Dennis (Author), Moloney, Clint (Author), SueSee, Brendan (Author) and Sharples, Renee (Author)
Journal TitleBMJ Open
Journal Citation9 (12), pp. 1-5
Article Numbere034094
Number of Pages5
Year2019
PublisherBMJ
Place of PublicationUnited Kingdom
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2019-034094
Web Address (URL)https://bmjopen.bmj.com/content/9/12/e034094
Abstract

Introduction: There is limited reliable research available on medication errors in relation to paramedic practice, with most evidence-based medication safety guidelines based on research in nursing, operating theatre and pharmacy settings. While similarities exist, evidence suggests that the prehospital environment is distinctly different in many aspects. The prevention of errors requires attention to factors from the organisational and regulatory level down to specific tasks and patient characteristics. The evidence available suggests errors may occur in up to 12.76% of medication administrations in some prehospital settings. With multiple sources stating that the errors are under-reported, this represents significant potential for patient harm. This review will seek to identify the factors influencing the occurrence of medication errors by paramedics in the prehospital environment.

Methods and analysis: The review will include qualitative and quantitative studies involving interventions or phenomena regarding medication errors or medication safety relating to paramedics (including emergency medical technicians and other prehospital care providers) within the prehospital environment. A search will be conducted using MEDLINE (Ovid), EBSCOhost Megafile Search, the International Committee of Medical Journal Editors trial registry, Google Scholar and the OpenGrey database to identify studies meeting this inclusion criteria, with initial searches commencing 30 September 2019. Studies selected will undergo assessment of methodological quality, with data to be extracted from all studies irrespective of quality. Each stage of study selection, appraisal and data extraction will be conducted by two reviewers, with a third reviewer deciding any unresolved conflicts. The review will follow a convergent integrated approach, conducting a single qualitative synthesis of qualitative and 'qualitised' quantitative data.

Ethics and dissemination: No ethical approval was required for this review. Findings from this systematic review will be disseminated via publications, reports and conference presentations.

Keywordsmedication error, medication safety, paramedic, pre-hospital
Related Output
Is part ofAn exploration of the factors contributing to paramedic medication errors in the pre-hospital environment
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 2020320219. Paramedicine
420503. Community and primary care
Public Notes

This article is part of a UniSQ Thesis by publication. See Related Output.

Byline AffiliationsSchool of Health and Wellbeing
School of Nursing and Midwifery
School of Linguistics, Adult and Specialist Education
Victoria University
Institution of OriginUniversity of Southern Queensland
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Munt, Natasha, Ralph, Nicholas and Moloney, Clint. 2017. "Non-pharmacological interventions for the prevention and management of violence in hospitalised patients: a systematic review and meta-analysis." PROSPERO: International Prospective Register of Systematic Reviews. 10 May 2017.
Characteristics and processes of clinical reasoning in nurses and factors related to its use: a scoping review protocol
Griffits, Susan, Hines, Sonia, Moloney, Clint and Ralph, Nicholas. 2017. "Characteristics and processes of clinical reasoning in nurses and factors related to its use: a scoping review protocol." JBI Database of Systematic Reviews and Implementation Reports. 15 (12), pp. 2832-2836. https://doi.org/10.11124/JBISRIR-2016-003273
Including critical thinking and problem solving in physical education
Pill, Shane and SueSee, Brendan. 2017. "Including critical thinking and problem solving in physical education." Journal of Physical Education, Recreation and Dance. 88 (9), pp. 43-49. https://doi.org/10.1080/07303084.2017.1367741
Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice
Moloney, Clint, Ralph, Nicholas and Taylor, Melissa. 2016. "Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice." Australian Journal of Advanced Nursing. 34 (1), pp. 23-31.
How the Spectrum can help me meet ACARA descriptors
SueSee, Brendan, Edwards, Ken and Hewitt, Mitch. 2017. "How the Spectrum can help me meet ACARA descriptors." 30th ACHPER International Conference. Canberra, Australia 16 - 18 Jan 2017 Australia.
How would the spectrum explain game sense?
SueSee, Brendan and Edwards, Ken. 2016. "How would the spectrum explain game sense?" AIESEP International Conference (2016). Laramie, United States 09 - 12 Jun 2016
Spectrum of teaching styles
Hewitt, Mitch, Edwards, Ken and SueSee, Brendan. 2017. "Spectrum of teaching styles." 30th ACHPER International Conference. Canberra, Australia 16 - 18 Jan 2017
Surgical risks for patients with metabolic syndrome: a systematic review and meta-analysis
Norris, Philip, Ralph, Nicholas and Moloney, Clint. 2016. "Surgical risks for patients with metabolic syndrome: a systematic review and meta-analysis." PROSPERO: International Prospective Register of Systematic Reviews. 9 Nov 2016.
ACCERT: aged care community education research training
Moloney, Clint W. and Taylor, Melissa. 2013. "ACCERT: aged care community education research training." Joanna Briggs Institute International Convention (JBI 2013): The 2013 Campaign for Getting Evidence into Policy. Adelaide, Australia 21 - 23 Oct 2013 Melbourne, Australia. https://doi.org/10.1111/1744-1609.12034
Online intravenous pump emulator: as effective as face-to-face simulation for training nursing students
Terry, Victoria R., Moloney, Clint, Bowtell, Leslie and Terry, Peter C.. 2016. "Online intravenous pump emulator: as effective as face-to-face simulation for training nursing students." Nurse Education Today. 40, pp. 198-203. https://doi.org/10.1016/j.nedt.2016.03.004
Reconciling approaches – a game centred approach to sport teaching and Mosston's spectrum of teaching styles
SueSee, Brendan, Pill, Shane and Edwards, Kenneth. 2016. "Reconciling approaches – a game centred approach to sport teaching and Mosston's spectrum of teaching styles." European Journal of Physical Education and Sport Science. 2 (4), pp. 69-96. https://doi.org/10.5281/zenodo.163966
Mobile learning initiatives in nursing education
Rees, Sharon, Moloney, Clint and Farley, Helen. 2015. "Mobile learning initiatives in nursing education." Zhang, Yu (Aimee) (ed.) Handbook of mobile teaching and learning. Berlin, Germany. Springer. pp. 275-289
Self-identified and observed teaching styles: a case study of senior physical education teachers in Queensland schools
SueSee, Brendan and Edwards, Ken. 2015. "Self-identified and observed teaching styles: a case study of senior physical education teachers in Queensland schools." Harmes, Marcus K., Huijser, Henk and Danaher, Patrick Alan (ed.) Myths in education, learning and teaching: policies, practices and principles. Basingstoke, United Kingdom. Palgrave Macmillan. pp. 73-93
An evidence-based approach to the prevention and initial management of skin tears within the aged community setting: a best practice implementation project
Beechey, Rebekah, Priest, Laura, Peters, Micah and Moloney, Clint. 2015. "An evidence-based approach to the prevention and initial management of skin tears within the aged community setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 13 (5), pp. 421-443. https://doi.org/10.11124/jbisrir-2015-2073
Digital skills in healthcare practice
Moloney, Clint and Farley, Helen. 2015. "Digital skills in healthcare practice." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 155-181
Contributing to evidence-based healthcare cultures through lifelong learning
Beccaria, Lisa, Moloney, Clint and Lockwood, Craig. 2015. "Contributing to evidence-based healthcare cultures through lifelong learning." Lawrence, Jill, Perrin, Cheryl and Kiernan, Eleanor (ed.) Building professional nursing communication. Port Melbourne, Australia. Cambridge University Press. pp. 205-240
Safety and quality in clinical communication
Ralph, Nicholas and Moloney, Clint. 2015. "Safety and quality in clinical communication." Birks, Melanie, Davis, Jenny and Chapman, Ysanne B. (ed.) Professional and therapeutic communication. South Melbourne, Australia. Oxford University Press. pp. 173-194
Assessing the risk of falls among community dwelling older adults: a best practice implementation project
Lonergan, Holly and Moloney, Clint. 2014. "Assessing the risk of falls among community dwelling older adults: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (8), pp. 364-393. https://doi.org/10.11124/jbisrir-2014-1456
Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project
Hynes, Antonia, Beirne, Sue, Taylor, Melissa and Moloney, Clint. 2014. "Assessment and non-pharmacological management among adults with a dementia diagnosis in a residential care setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (9), pp. 489-501. https://doi.org/10.11124/jbisrir-2014-1686
Malnutrition screening among elderly people in a community setting: a best practice implementation project
Craven, Dana, Munn, Zachary, Moloney, Clint and Taylor, Melissa. 2014. "Malnutrition screening among elderly people in a community setting: a best practice implementation project." JBI Database of Systematic Reviews and Implementation Reports. 12 (3), pp. 1-18. https://doi.org/10.11124/jbisrir-2014-1454
A case study of a Queensland senior physical education syllabus: does the rubber (ever) meet the road?
SueSee, Brendan and Edwards, Ken. 2013. "A case study of a Queensland senior physical education syllabus: does the rubber (ever) meet the road?" Mooney, Amanda and Quay, John (ed.) 28th ACHPER International Conference (ACHPER 2013): A Defining Time. Melbourne, Australia 27 - 29 Nov 2013 Hindmarsh, South Australia.
Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician
Moloney, Clint Wayne. 2013. "Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician." Nurse Education in Practice. 13 (4), pp. 310-316. https://doi.org/10.1016/j.nepr.2013.03.017
Enhancing nursing education with remote access laboratories
Bowtell, Les, Moloney, Clint, Kist, Alexander A., Parker, Victoria, Maxwell, Andrew and Reedy, Natasha. 2012. "Enhancing nursing education with remote access laboratories." International Journal of Online Engineering. 8 (Special Issue), pp. 52-59. https://doi.org/10.3991/ijoe.v8iS4.2279
Using remote access laboratories in nursing education
Bowtell, Les, Moloney, Clint, Kist, Alexander A., Parker, Victoria, Maxwell, Andrew and Reedy, Natasha. 2012. "Using remote access laboratories in nursing education." 9th International Conference on Remote Engineering and Virtual Instrumentation (REV 2012). Bilbao, Spain 04 - 06 Jun 2012 Piscataway, NJ. United States. https://doi.org/10.1109/REV.2012.6293148
Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician
Moloney, Clint. 2011. Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
A qualitative evaluation of the effectiveness of videoconferencing to support the training of orthopaedic registrars
Scott, Annette, Gururajan, Raj, Moloney, Clint and Gururajan, Vijaya. 2006. "A qualitative evaluation of the effectiveness of videoconferencing to support the training of orthopaedic registrars." Journal of Telemedicine and Telecare. 12 (3 (Supplement)), pp. 69-70. https://doi.org/10.1258/135763306779379969
Self-identified and observed teaching styles of senior physical education teachers in Queensland schools
SueSee, Brendan and Edwards, Ken. 2011. "Self-identified and observed teaching styles of senior physical education teachers in Queensland schools." Dodd, Graham D. (ed.) 27th Australian Council for Health, Physical Education and Recreation Conference (ACHPER 2011): Moving, Learning and Achieving. Adelaide, Australia 18 - 20 Apr 2011 Adelaide, Australia.
The role of wireless technology in addressing sleeping disorders in aged care
Moloney, Clint. 2010. "The role of wireless technology in addressing sleeping disorders in aged care." Pease, Wayne, Cooper, Malcolm and Gururajan, Raj (ed.) Biomedical knowledge management: infrastructures and processes for e-health systems. Hershey, PA. United States. IGI Global. pp. 279-288
Developing the descriptions of landmark teaching styles: a spectrum inventory
SueSee, Brendan and Edwards, Kenneth D.. 2009. "Developing the descriptions of landmark teaching styles: a spectrum inventory." Cuddihy, Thomas F. and Brymer, Eric (ed.) 26th Australian Council for Health, Physical Education and Recreation International Conference (ACHPER 2009): Creating Active Futures. Brisbane, Australia 07 - 10 Jul 2009 Brisbane, Australia.
Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review
Moloney, Clint and Beccaria, Lisa Mara. 2009. "Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review." JBI Library of Systematic Reviews. 7 (33), pp. 1430-1491. https://doi.org/10.11124/01938924-200907330-00001
A systematic review of psychometric evidence and expert opinion regarding the assessment of faecal incontinence in older community-dwelling adults
Fallon, Anthony Bruce, Westaway, Julie and Moloney, Clint. 2008. "A systematic review of psychometric evidence and expert opinion regarding the assessment of faecal incontinence in older community-dwelling adults." International Journal of Evidence-Based Healthcare. 6 (2), pp. 225-259.
A discussion on the legal barriers in addressing sleeping disorders in aged care using wireless technology
Moloney, Clint and Gururajan, Raj. 2004. "A discussion on the legal barriers in addressing sleeping disorders in aged care using wireless technology." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city
Fallon, Tony, Buikstra, Elizabeth, Cameron, Michelle, Hegney, Desley, Mackenzie, Debra, March, Judith, Moloney, Clint and Pitt, Jacinta. 2006. "Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city." International Journal of Evidence-Based Healthcare. 4 (3), pp. 162-179. https://doi.org/10.1111/j.1479-6988.2006.00040.x
To what extent will the annual number of episodes of acute confusion within a medical unit be reduced following the introduction of high risk indicators and early intervention strategies
Moloney, Clint. 2005. To what extent will the annual number of episodes of acute confusion within a medical unit be reduced following the introduction of high risk indicators and early intervention strategies. Masters Thesis Master of Health Science. University of Southern Queensland.
Challenges for implementing wireless hand-held technology in health care: views from selected Queensland nurses
Gururajan, Raj, Moloney, Clint and Soar, Jeffrey. 2005. "Challenges for implementing wireless hand-held technology in health care: views from selected Queensland nurses." Journal of Telemedicine and Telecare. 11 (2 (Supplement)), pp. 37-38. https://doi.org/10.1258/135763305775124849
Out patient orthopaedic consultations via telehealth: a qualitative study
Gururajan, Raj, Gururajan, Vijaya, Moloney, Clint and Scott, Annette. 2005. "Out patient orthopaedic consultations via telehealth: a qualitative study." Beekhuyzen, Jenine, Von Hellens, Lisa, Guest, Karen, Morley, Morley and Collier, Toni (ed.) 2005 QualIT Challenges for Qualitative Research. Brisbane, Australia 23 - 25 Nov 2005 Brisbane, Australia.
Facilitators and inhibitors for wireless handheld technology: views from Queensland nurses
Gururajan, Raj and Moloney, Clint. 2005. "Facilitators and inhibitors for wireless handheld technology: views from Queensland nurses." Beekhuyzen, Jenine, Von Hellens, Lisa, Guest, Karen, Morley, Morley and Collier, Toni (ed.) 2005 QualIT Challenges for Qualitative Research. Brisbane, Australia 23 - 25 Nov 2005 Brisbane, Australia.
Adoption of wireless handheld technology: a case of Queensland healthcare
Gururajan, Raj, Hafeez-Baig, Abdul and Moloney, Clint. 2005. "Adoption of wireless handheld technology: a case of Queensland healthcare." Yeung, Jeff (ed.) 5th International Conference on Electronic Business: Enhancing Logistics & Supply Chain Competence Through E-Business (ICEB 2005). Hong Kong, China 05 - 09 Dec 2005 Hong Kong, China.
Drivers for wireless handheld technology: views from Queensland nurses
Gururajan, Raj, Moloney, Clint and Kerr, Don. 2005. "Drivers for wireless handheld technology: views from Queensland nurses." Shehadie, Elias (ed.) Australasian Business and Behavioural Sciences Association Conference 2005 (ABBSA 2005). Cairns, Australia 05 - 07 Aug 2005 Australia.
An investigation into the factors of adoption of wireless applications for data management by nurses
Gururajan, Raj, Kerr, Don, Moloney, Clint and Houghton, Luke. 2005. "An investigation into the factors of adoption of wireless applications for data management by nurses." Eldon, Li (ed.) APDSI 2005. Taipei, Taiwan 28 Jun - 02 Jul 2005 Taipei, Taiwan.
Instrument for collecting teachers' beliefs about their teaching styles used in physical education: an adaptation of the Description Inventory of Landmark Teaching Styles: A Spectrum Approach
Ashworth, Sara, SueSee, Brendan and Edwards, Ken. 2006. "Instrument for collecting teachers' beliefs about their teaching styles used in physical education: an adaptation of the Description Inventory of Landmark Teaching Styles: A Spectrum Approach." Spectrum of Teaching Styles online.