NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation


NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation


Capella university

NURS-FPX 4020 Improving Quality of Care and Patient Safety

Prof. Name


Improvement Plan In-Service Presentation

Hi everyone, I am —–, and I work at Arnold Palmer Hospital for Children as a baccalaureate-prepared nurse and team lead role; I am mentoring today’s session on an improvement plan. This safety improvement plan in-service presentation stemmed from evaluating the root-cause analysis of recently growing patient-identification error issues. I hope you all have a learning session today and practice more vigilantly to prevent the incidence of patient identification errors for children at our hospital.

Agenda and Outcomes

 I will talk about the purpose and goals of the in-service session, the processes that need to be improved related to patient identification, and the role of the audience in addressing this safety concern. Moreover, I will also create resources and activities to encourage skill development and better comprehension of newly implemented processes. By the end of this session, the audience will have enhanced knowledge of preventing patient identification errors and hands-on experience with the technologies to be used. Moreover, they will be educated on protocols for patient identification to avoid errors.

 Purpose and Goals of Patient Identification Safety Presentation

My aim for today’s presentation is to raise awareness among the healthcare workforce and administrative staff to prevent patient identification due to human errors and technological constraints. Additionally, the purpose of this session is to mitigate the risks associated with misidentification, which can lead to severe consequences such as medication errors, delays in care, incorrect treatments, and compromised patient safety (Rodziewicz & Hipskind, 2020). Our ultimate goal is to decrease the incidence of patient identification errors by 50% within one year. Additionally, the goal is to enhance the adherence to established patient identification protocols and procedures by 80% among healthcare and administrative staff. These goals are established by considering the SMART goal strategy, where goals are specific, measurable, attainable, realistic, and time-bound (Jeong et al., 2021).

Safety Improvement Plan

Overview of the Current Problem 

Currently, our healthcare organization has been tackling patient identification errors. Now, a root-cause analysis for one of these patient identification errors was performed due to the high emerging rates of this problem. The two patients, Julia and Jenny, came for vaccination, and their bracelet identifiers were replaced due to administrative errors. As a result, patients acquired the wrong vaccines, experienced adverse reactions, and increased susceptibility to diseases. The nurses also paid no heed to verifying patients before administering vaccines. The overall incident led the administrative team to delve into the root cause of the problem and create a plan to reduce these errors.

Proposed Plan

The proposed safety improvement plan includes implementing a barcode system, developing standardized protocols and checklists for double patient identification verification, and training staff, particularly the administrative and healthcare workforce. The barcode system will designate a barcode identifier for each patient and promote correct identification of the patient as the same barcode is assigned to the medication to be administered (Barakat & Franklin, 2020).

This will reduce the onset of patient misidentification and enhance patient safety. Additionally, the healthcare administration will develop standards or protocols for patient identification, such as double verification and following the five rights of medication administration, where identifying the right patient is mandatory (Romano et al., 2021). The training sessions for healthcare and administrative staff will be performed to educate all relevant and responsible members on patient safety and the need for patient identification. This safety improvement plan will effectively boost patient safety in our organization (Romano et al., 2021).

Need for Improving Safety by Avoiding Patient Identification Errors

There is a pressing need for integrating new processes to improve patient safety by reducing identification errors. One of the significant reasons is that patient identification errors contribute to a substantial threat to safety of patients. They can lead to onset of adverse events like medication errors, compromised care treatments, and increased healthcare costs (Rahmawati et al., 2020).

An evidence-based study states that about 236 patient identification errors occurred on losing their bracelet identifier (Rahmawati et al., 2020). By preventing these errors, patients will have better health outcomes as they receive correct care treatments and reduce healthcare costs. This requires reviewing incident reports and tracking the organization’s frequency of patient identification errors. Therefore, patient identification is an essential step towards patient safety, which must be correctly done by integrating relevant processes, protocols, and technologies.

Role of Audience and Their Importance

The success of the proposed safety improvement plan solely relies on the audience’s significant and active involvement and commitment. All the healthcare workforce and administrative are essential to fulfill the desired goal and achieve the purpose of the improvement plan. Clinical staff, including nurses, doctors, pharmacists, and other personnel, play a crucial role in adhering to new protocols, utilizing technology, and practicing accurate patient identification at every stage of care (Alomari et al., 2020). Since they are the primary caretakers of patients, their keen dedication to follow the new processes and technologies is necessary.

Other front-line staff members, including receptionists and aides, are often the first point of contact with patients. Their diligence in following identification protocols is also essential (Burrows, 2020). Hospital administration must champion the improvement plan by allocating resources and creating a culture prioritizing patient safety. The IT professionals will maintain and update technological solutions such as barcode scanners and overall barcode systems and upgrade EHRs to avoid system flaws (Houtan et al., 2020). The collaborative effort of each audience group is crucial to the success of the improvement plan. The organization will celebrate unified success with every milestone by implementing an improvement plan.

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

It is crucial to address the growing safety concern of patient identification errors at our organization, as leaving them unaddressed can result in higher morbidity and mortality rates due to wrong treatments (Romano et al., 2021). Moreover, they cause high costs to the healthcare system Additionally, by embracing roles in the plan, each audience group can fulfill their duties, experience enhanced job satisfaction, and contribute to patient safety. The work-burnout will be reduced in all working groups when each member fulfills the delegated assignment and adheres to the new processes, protocols, and technology utilization. Therefore, each group must contribute to achieving the goals of this improvement plan, enhancing job satisfaction, and improving patient safety (Romano et al., 2021).

Resources and Activities

The new processes, such as implementing safety and accurate patient identification protocols, will require skill development and practice. For this purpose, a role-play workshop will be conducted in today’s session. The role-playing will help members understand their roles and responsibilities in patient identification, promoting effective communication and teamwork. Moreover, it will allow you to practice new protocols in a collaborative setting (Lee et al., 2021). To begin with this activity, I would like all of you to take on different roles within the healthcare team. The patient scenario will be presented by a simulation strategy where the patient will be admitted and verified for identification during procedures and patient interaction.

With the help of this strategy, all audience groups will be able to implement identification protocols from the beginning to the end of treatment. Another activity is organizing peer-to-peer learning sessions where all audience members share success stories, discuss challenges, and offer solutions (Lee et al., 2021). A discussion panel will be created to encourage open dialogue and encourage participants to learn from each other. The peer learning will promote a collaborative culture, allowing healthcare professionals to share their experiences and insights on patient safety through accurate patient identification. It will also facilitate the exchange of practical tips and best practices for improving patient identification (Markowski et al., 2021). These activities will require financial, human, and other resources to implement suggested activities effectively. 

Soliciting Feedback

To promote continuous improvement after implementing new processes and protocols, it is crucial to solicit feedback from the audience to evaluate user experience, patient safety, and user satisfaction. For this purpose, each audience group will provide feedback to their department head via report or team meeting. An interdisciplinary team meeting will be conducted among all heads of departments to discuss the strengths and weaknesses of the system. The feedback will be integrated into the work culture and systems to improve the patient safety improvement plan.


 I am concluding this session by mentioning that alarming situations at Arnold Palmer Hospital require prompt action to prevent patient identification errors. This requires evaluating the current problem and limitations that need to be addressed. A safety improvement plan is developed considering the hospital’s need to improve patient safety. The resources and activities were designed to practice the established protocols and acquire knowledge on patient safety and correct identification of patients.


Alomari, A., Sheppard‐Law, S., Lewis, J., & Wilson, V. (2020). Effectiveness of clinical nurse’s interventions in reducing medication errors in a pediatric ward. Journal of Clinical Nursing29(17-18), 3403–3413. 

Barakat, S., & Franklin, B. D. (2020). An evaluation of the impact of barcode patient and medication scanning on nursing workflow at a UK teaching hospital. Pharmacy8(3), 148. 

Burrows, M. J. (2020, July 1). The use of process improvement methodologies to equip receptionists for their clinical roles in general practice. 

Houtan, B., Hafid, A. S., & Makrakis, D. (2020). A survey on blockchain-based self-sovereign patient identity in healthcare. IEEE Access8, 90478–90494. 

Jeong, Y. H., Healy, L. C., & McEwan, D. (2021). The application of goal setting theory to goal setting interventions in sport: A systematic review. International Review of Sport and Exercise Psychology1(1), 1–26. 

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

Lee, W., Pyo, J., Jang, S. G., Choi, E. Y., Ock, M., Jo, M.-W., & Lee, S.-I. (2021). Effectiveness of patient safety role-playing education for medical students to improve patient safety awareness. Health Insurance Review & Assessment Service Research1(1), 64–80. 

Markowski, M., Bower, H., Essex, R., & Yearley, C. (2021). Peer learning and collaborative placement models in health care: A systematic review and qualitative synthesis of the literature. Journal of Clinical Nursing30(11-12), 1519–1541.

Rahmawati, T. W., Sari, D. R., Ratri, D. R., & Hasyim, M. (2020). Patient identification in wards: What influences nurses’ complicance? Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit9(2). 

Rodziewicz, T., & Hipskind, J. (2020). Medical error prevention (pp. 1–37). 

Romano, R., Marletta, G., Sollami, A., La Sala, R., Sarli, L., Artioli, G., & Nitro, M. (2021). The safety of care focused on patient identity: An observational study. Acta Bio Medica : Atenei Parmensis92(Suppl 2), e2021038. 


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