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5 pages/β‰ˆ1375 words
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Style:
APA
Subject:
Health, Medicine, Nursing
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Essay
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English (U.S.)
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Topic:

Reviewing the Literature and Theory. Health, Medicine, Nursing Essay

Essay Instructions:

The final capstone project is a culmination of the written research-based assignments completed throughout the course. Each written assignment contributes to the final Evidenced-Based Proposal paper. This is the second written assignment.
Locate a minimum of 15 peer-reviewed articles that describe the problem or issue and that support the proposed solution. Eight of the 15 articles must be research-based (i.e., a study which is qualitative, quantitative, descriptive, or longitudinal).
The "Table of Evidence" document is a tool you can use to organize information from the study articles you have chosen for your literature review. Use this tool as a guide to ensure you have captured the key information that should be incorporated into your literature review narrative.
Begin your search for literature by utilizing the databases located in the GCU Library. Contact your instructor, the librarian, or library staff for additional researching tips and keyword suggestions.
Preview each of the 15 articles chosen by reading the article abstracts and summaries. Article abstracts and summaries provide a concise description of the topic, research outcomes, and significance of findings.
Analysis and Appraisal
Write an analysis and appraisal (1375 words): This section should build and support your case, in the reader's mind, of why your problem, purpose, and proposed solution are valid.
Remember, you are building an argument to prove your case to do this project; this is not simply an article review.
Analyze and appraise the selected articles to support your problem, purpose, and solution. Appraise each article by answering the following questions (one to two sentences is sufficient to answer each question):
How does the article describe the nature of the problem, issue, or deficit you have identified?
Does the article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?
What are some examples of morbidity, mortality, and rate of incidence or rate of occurrence in the general population?
Does the article support your proposed change?
Group the analyses based on the content of the articles and the support each article provides for your project.
My topic for problem, purpose, and proposed solution is misdiagnosis and how patient information management systems are a reliable solution in health care.

Essay Sample Content Preview:

Reviewing the Literature and Theory: Evidence Table
Name
Institutional Affiliation
Evidence Table
Source#1: Abimanyi-Ochom, J. et al. (2019). Strategies to reduce diagnostic errors: a systematic review. BMC Medical Informatics & Decision Making 19, 174, 1-12, https://doi.org/10.1186/s12911-019-0901-1

Description of issue

Statistical Information

Rates of Incidence/Morbidity/Mortality

Support Proposed Change?

Level of Evidence

The article describes the issue of patient misdiagnosis that while several studies on strategies to reduce diagnostic errors have been conducted, there is little evidence to identify specific and practice approach used in clinical settings and there are biases in studies, especially from the United States (Abimanyi-Ochom et al., 2019)

Yes, there is a bias in 73% of the 19 studies from the United States that have limited possible interventions to prevent patient misdiagnosis (Abimanyi-Ochom et al., 2019).

None

Yes, the article supports trigger algorithms such as alert and computer-based systems to reduce delayed and accuracy of diagnosis.

Grade B/Level II evidence (Practice Recommendation) (Burns, Rohrich, & Chung, 2011).

Source#2: Graber, M.L. (2013). The incidence of diagnostic error in medicine. BMJ Quality & Safety, 22, ii21-ii27, http://dx.doi.org/10.1136/bmjqs-2012-001615

Description of issue

Statistical Information

Rates of Incidence/Morbidity/Mortality

Support Proposed Change?

Level of Evidence

In the article, Graber (2013) describes misdiagnosis issues result in patient harm, and deaths and, while different approaches such as diagnostic testing audits have been attempted, none is effective in practice.

Misdiagnosis occurs at the rate of 10-15% in the United States (Graber, 2013).

Incidence rates of 10-15% in the United States. 73% of misdiagnoses result in serious patient harm (Graber, 2013).

Yes, the article supports trigger tools such as the “Global Trigger Tool” to capture rates of misdiagnosis from patient electronic records (Grabber, 2013)

Grade A/Level I evidence (Strong recommendation of practice) (Burns, Rohrich, & Chung, 2011).

Source#3: Hogan, W.R., & Ceusters, W. (2016). Diagnosis, misdiagnosis, lucky guess, hearsay, and more: an ontological analysis. Journal of Biomedical Semantics, 7, 54, https://dx.doi.org/10.1186%2Fs13326-016-0098-5

Description of issue

Statistical Information

Rates of Incidence/Morbidity/Mortality

Support Proposed Change?

Level of Evidence

Hogan and Ceusters (2016) recognize the significance of patient diagnosis data in quality care. However, the leading concern in improving quality is errors and provenance in this data, especially in cases involving lucky guesses, and justified layperson’s beliefs that a disease is present.

None

None

Yes, Hogan and Ceusters (2016) recommend the use of data capture approaches in electronic health records (EHR), including other computerized systems to facilitate the capture of diagnostic assertions will minimal bias.

Grade A/Level I evidence (...
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