Annotated Bibliography

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Annotated Bibliography
Bartlett, G., Blais, R., Tamblyn, R., Clermont, R.J., & MacGibbon, B. (2008, June 3). Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ, 178(12), 1555-1562. Retrieved November 12, 2013 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2396356/
This study examined the risk of preventable adverse events among patients with communication problems admitted to a hospital and a major flaw of how health care is delivered. 3% to 17% of those in the hospital experience an adverse event in which almost half of those could be considered preventable. Language barriers and disabilities serve as some sources of difficult communication between patients and health care professionals. The study found that patients with a communication problem were 3 times more likely to experience a preventable adverse event than patients without communication problems. Most events were drug related or a result of poor clinical management, however, some were the result of a communication problem, such as deafness. These medical errors relate to improper or inadequate communication and should be reduced. This article supports the proposal because communication issues are related to health literacy. Patients and health care teams must work together to achieve the best method of care by optimizing information flow between patients and health care professionals.

Egbert, N., & Nanna, K. (2009, September 13) Health Literacy: Challenges and Strategies. OJIN: The Online Journal of Issues in Nursing, 14(3). Retrieved November 12, 2013 from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No3Sept09/Health-Litera...

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... spoons, or syringes," with over 99% of errors involving overdosing, which could be from lack of verifying a dose at eye-level, assumptions that the cup itself is a unit of measure or meant to be a full dose, inconsistent labeling system on cups, etc. They also found that "limited health literacy was associated with making a dosing error." However, the study states that the results may not be generalizable because it was performed in a clinic that primarily serves an immigrant Latino population with low socioeconomic status. Also, the results may be bias and the health literacy assessment did not measure all health skills. This article is critical to the proposal because it gives an example of how health literacy can influence medical errors and so we should prevent many medical errors, including adverse drug events, by addressing the issue of health literacy.

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