NURS FPX4020 Assessment 3

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NURS FPX4020 Assessment 3 Improvement Plan In-service Presentation

NURS FPX4020 Assessment 3 Research shows that the number of medical mistakes is going up every year and that each health center makes an average of one mistake every day. Medicine companies also work hard to fix medical mistakes that happen because of the wrong medicine or medicine that has passed. Medication mistakes can also happen when the right amount of medicine is given or when a doctor or nurse isn’t paying enough attention. To close the difference between study and real-life clinical experience, translational research teams should be thought of (Taberna et al., 2020). These mistakes can be fixed with the right education, training, plans, changes, and new technology.

Purpose And Goals of an in-Service Session

The purpose of this presentation is to provide healthcare workers with the information they require on the likelihood of the occurrence of drug errors and how to prevent them. These treatments mainly aim at sustaining effective strategies and being vigilant to the risk of these drug errors. These problems can be spotted easily when people of different disciplines speak to each other. It increases the possibility that such errors will be corrected and provides means to prevent them. The people who care can also be taught from facts-based case studies. Another thing found and included is the basic information concerning the technical tools and advances in technology used in problem-solving. Healthcare workers prioritize the health of their patients, their requirements for adaptation, and the consequences first (Ailabouni et al., 2021).

 The Process to Improve Safety Outcomes

NURS FPX4020 Assessment 3 can be performed through the safety measures that lead to the good outcomes of the nursing. The purpose of the safety measures for medication use is to prevent the misuse and abuse of the medicines, the reduction in the prescription of the medicines, the safe use of the medicines, and the potential use of the medicines (Eshethie et al., 2021). Good results are obtained when medicine-related interventions are effective. Proper interactions and empathic attitudes of the care workers are also included in these tasks. New technologies should be demonstrated and applied in the correct manner to find solutions. The number of medication errors can be reduced and patient safety improved by taking these initiatives to incorporate efficient medicines. A key impact of drug errors is that they reduce the satisfaction of patients (Volpe, 2022).

NURS FPX4020 Assessment 3 Explanation of Specific Data and Evidence

Administration of drugs to patients is an essential aspect of care as it directly impacts their health and recovery. In contrast, medication errors might occur and lead to negative outcomes, increased healthcare costs, or death. Using evidence-based methods and adhering to the set standards in medication administration is so crucial in ensuring safe administration. BCMA tools are a way to ensure safety. The BCMA systems work with barcode technology to match the patient’s medication order with the record of medication delivery. This ensures that the correct patient is given the correct drug at the correct time. The use of BCMA systems has reduced medication errors significantly. Medication errors decreased by 68% in a hospital setting.  (Zheng et al., 2020).

Medicine adjustment is another method to make things safer. Drug reconciliation is what refers to the comparison of a patient’s current list of medications with their list of medications when they were admitted or transferred. The point is to recognize any variations. This method helps to prevent patients from receiving drugs that do not interact well or that are unwarranted. Drug reconciliation is found to reduce drug errors by as high as 50% (Patel et al., 2019). In addition to employing those methods that have been proven to work, the existing rules need to be followed. The Joint Commission is an independent and not-for-profit entity that accredits and certifies healthcare organizations. They have established rules for the way that hospitals and other healthcare organizations should manage medications to maintain their approval. These standards cover the regulation of medications, administration, and storage. Adherence to these rules ensures that the administration of medications is safe and effective (Ruiz et al., 2019).

Role of Audience in Making Improvement Plan

Nurses will be the key people to enact the changes in the future of healthcare. This became more pronounced after the 2019 health policy failed during the COVID-19 outbreak. The trust of patients in the health sector is believed to be closely related to nurses’ function (Anders, 2020). In spite of how nurses are excluded from government policies and boardrooms, it makes it difficult for them to maintain a professional appearance in this range of contexts. This implies that their only responsibility in healthcare is the development of healthcare plans. Nonetheless, nurses can recommend more appropriate and efficient treatments due to the data they can access. Numerous issues have been identified as causes of the nurse shortage in healthcare.

These are misuse politically, or meeting business and personal requirements, and being inability to exhibit personally or in groups. The way out is more than justifiable and ranks high in the Yolder-Wise Framework for Planned Policy Change (Andres. Kaneko et al.  (2019) add that nurses can emerge from being indirectly involved, given that they know how to be involved. There are several reasons why healthcare workers should be involved in making plans to improve patients’ health: There are several reasons why healthcare workers should be involved in making plans to improve patients’ health:

  1. It will help in communicating healthcare objectives and in their actualization.
  2. With practical, evidence-based methods, nurses can nurse and watch the health of their patients in an effective manner.
  3. Making care workers have priority to patient health to reduce drug errors.
  4. Application of new technology and instruments in patient care. According to Kaneko et al. (2019), nurses have the potential to assist in the development of effective laws.
  5. NURS FPX4020 Assessment 3 Improvement plan

 Persuasive and Transparent Communication

Bringing the crowd along and getting them to buy into the plan is crucial. This can be achieved by proper communication. Transparent communication implies stating what the plan is aimed at, what its advantages are, and what risks, or issues it may bring. The openness and truthfulness concerning any data or evidence that supports the concept also is a part of it. This increases the likelihood that the listener will trust and believe you (Smale et al., 2021). In persuasive communication, the proposal should be presented in a coherent manner and should be difficult to reject. This may involve emphasizing advantages to be derived from the plan, such as improved patient outcomes or cost reduction. It could also be the provision of answers to any queries or fears that the crowd may have. The plan can be presented in a sensitive and convincing way, and if so, it can be seen as clear, credible, and attractive. This makes the audience support and invest in the plan, which is crucial for its success.

This can be done in the following ways: First, define it and explain why it is critical to discuss. Support your argument by using numbers and statistics and pointing out the influence of this matter on the daily work of the nurses and the results for the patients (Willis & Delbaere, 2021). Inform the audience how the growth plan will benefit them. Dwell on how it would facilitate their work, benefit patients, and improve their work. Detailed cases should be used to demonstrate benefits as Esmaeilzadeh (2019) points out. Train and assist the people in the crowd so that they can perform the change plan well. This is to ensure that the project is effective and that the target audience is okay with the modifications (Smale et al., 2021).

 Activities to Encourage Skill Development About Safety

Separate skills are required to enhance patient experience and reduce drug errors. The skills and the things that you should do to improve these skills Nurses and other health care workers can utilize the simple, one-page Medication Administration Safety Checklist to ensure that all safety measures are followed when medications are given. This involves the search for allergens, ensuring the correct medication is given to the correct person, and ensuring the dose and route of administration are NURS FPX4020 Assessment 3 (Lamé & Dixon-Woods, 2018). Safe Administration of Medicine Training exercise is a comprehensive training program that covers all components of medication administration including proper use of medication delivery tools, the various methods to administer medications, and the importance of double-checking medication orders.

Practice with realistic situations is also included in the training to help healthcare workers feel more confident and assured in administering medicine properly (McDerby et al., 2019). The Health care workers can use the Medication Error Reporting System, to report medication errors, near misses, and other safety issues. By recording such events, healthcare workers can detect trends and areas where they need to make improvements. This approach allows healthcare workers to monitor their progress over time so that they can see the outcomes of their work to help make drug administration safer (McDerby et al., 2019). The medication administration safety audit observes the way that drugs are administered routinely.

NURS FPX4020 Assessment 3

This is done by reviewing drug administration records and observing individuals administering drugs. The audit can identify areas that should be improved and provide recommendations on how to implement changes that will make drug administration safer (McDerby et al., 2019). The Medication Administration Safety Bulletin Board is an information display that provides the latest information and tools in medication administration safety including the most recent standards and best practices. These boards enable you to communicate with healthcare workers and alert them to important safety instructions (Lamé & Dixon-Woods, 2018).

The activities and materials are quite helpful as they provide the health workers with the knowledge and instruments to administer the drugs in a safer manner. Education, tools, and opportunities to report them will assist healthcare workers in understanding dangers and protect patients from medication errors. The audit and message board is a tool that can identify where changes are needed and facilitate alteration. These tools and exercises may contribute to improved patient performance and safer healthcare.


In NURS FPX4020 Assessment 3, Many are the factors that result in the success of medicine errors by healthcare workers. One of the reasons is neglect by care workers. It is possible when carers are partly connected. These drug errors can be reduced by moving the policy-making process closer to the care workers.


Ailabouni, N. J., Marcum, Z. A., Schmader, K. E., & Gray, S. L. (2021). Medication Use Quality and Safety in Older Adults: 2019 Update. Journal of the American Geriatrics Society.

Anders, R. L. (2020). Engaging nurses in health policy in the era of COVID‐19. Nursing Forum, 56(1), 89–94.

Eshetie, T. C., Marcum, Z. A., Schmader, K. E., & Gray, S. L. (2021). Medication use quality and safety in older adults: 2020 update. Journal of the American Geriatrics Society, 70(2), 389–397.

Esmaeilzadeh, P. (2019). The process of building patient trust in health information exchange (hie): The impacts of perceived benefits, perceived transparency of privacy policy, and familiarity. Communications of the Association for Information Systems, 364–396.

Kaneko, R. M. U., & Lopes, M. H. B. de M. (2019). Realistic health care simulation scenario: what is relevant for its design? Revista Da Escola de Enfermagem Da USP, 53(1).

Lamé, G., & Dixon-Woods, M. (2018). Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simulation and Technology Enhanced Learning, 6(2).

McDerby, N., Kosari, S., Bail, K., Shield, A., Peterson, G., & Naunton, M. (2019). The effect of a residential care pharmacist on medication administration practices in aged care: A controlled trial. Journal of Clinical Pharmacy and Therapeutics, 44(4), 595–602. 

Patel, E., Pevnick, J. M., & Kennelty, K. A. (2019). Pharmacists and medication reconciliation: a review of recent literature. Integrated Pharmacy Research and Practice, Volume 8, 39–45.

Ruiz, E. S., Karia, P. S., Besaw, R., & Schmults, C. D. (2019). Performance of the American Joint Committee on cancer staging manual, 8th edition vs the Brigham and women’s hospital tumor classification system for cutaneous squamous cell carcinoma. JAMA Dermatology, 155(7), 819.

Smale, E. M., Egberts, T. C. G., Heerdink, E. R., van den Bemt, B. J. F., & Bekker, C. L. (2021). Key factors underlying the willingness of patients with cancer to participate in medication dispensing. Research in Social and Administrative Pharmacy

Taberna, M. (2020). The multidisciplinary team (MDT) approach and quality of care. Frontiers in Oncology, 10(85).

Willis, E., & Delbaere, M. (2021). Patient Influencers: The next frontier in direct-to-consumer pharmaceutical marketing (preprint). Journal of Medical Internet Research

Purpose and Goals of an In-Service Session


The crucial patient safety concern of “Documentation Accuracy” in nursing will be covered in this in-service session. With a focus on how accurate documentation affects treatment choices, continuity of care, and overall patient outcomes, our goal is to deeply teach patients about the critical role that precise documentation plays in patient care.


  1. Increase awareness about the value of precise documentation in nursing practices.
  2. Offer practical guidance and strategies to improve accuracy in documentation.
  3. Empower nurses with the knowledge and skills to detect and rectify documentation errors.
  4. Foster a culture of accountability and responsibility for accurate and comprehensive record-keeping.
  5. NURS FPX4020 Assessment 3 Improvement Plan In-Service Presentation
  6. Ensure that nurses leave with the skills to contribute actively to our commitment to patient safety through error free documentation.

The need to enhance documentation accuracy in nursing practices stems from its pivotal role in ensuring patient safety, care quality, and effective communication among NURS FPX4020 Assessment 3 healthcare professionals. In a study published in the Frontiers in Computer Science, documentation errors were identified as a leading contributor to adverse events and patient harm (Bjerkan et al., 2021). These errors not only impact patient care decisions but can also compromise care continuity during transitions between healthcare providers. The process of improving safety outcomes involves a multifaceted approach.

Firstly, implementation of standardized documentation protocols, aligning with recognized standards such as those outlined by the American Nurses Association (ANA), can serve as a foundation for accuracy improvement (ANA, 2010). Secondly, continuous education and training programs tailored to address common documentation pitfalls and challenges must be integrated into nursing practices. Evidence from a study in the BMC Nursing emphasizes the positive impact of ongoing education on reducing documentation errors (De Groot et al., 2022), Thirdly, leveraging technology solutions, such as electronic health records (EHRs) with decision support tools, can enhance accuracy by minimizing manual errors and ensuring real-time data validation (Lewis et al., 2023). Additionally, fostering a culture of open communication and regular audits for documentation accuracy can create a proactive environment for identifying and addressing errors promptly (Samani & Rattani, 2023). Therefore, by acknowledging the need for improved documentation accuracy and implementing evidence-based strategies, we can fortify patient safety, uphold care quality, and strengthen the overall integrity of our healthcare system.

The Proposed Plan Capella FPX4020 Assessment 3

Standardized Documentation Templates: Implementing standardized documentation templates, as endorsed by the American Health Information Management Association (AHIMA), fosters consistency, reducing the likelihood of errors (AHIMA, 2020).

Continuous Professional Development: Regular training sessions focused on documentation best practices and updates, following the World Health Organization’s (WHO) emphasis on ongoing education, enhance healthcare professionals’ skills and reduce errors (Baloyi, 2020).

Leveraging Technology Solutions: Utilizing technology, such as Natural Language Processing (NLP) algorithms in Electronic Health Records (EHRs), assists in real-time error detection and correction, as supported by research in the AccScience Publishing (Gurav, 2024).

Documentation Review Committee: Establishing a documentation review committee, in line with the Institute for Healthcare Improvement’s (IHI) guidelines, promotes accountability and continuous improvement through regular audits and feedback (IHI, 2022).

Collaborative Efforts: Fostering collaborative efforts involving nurses, nurse educators, and healthcare administrators is pivotal for the successful implementation of the plan.

Feedback Mechanisms and Open Communication: Incorporating feedback mechanisms and creating a supportive environment for open communication, aligned with the principles outlined in the Agency for Healthcare Research and Quality’s (AHRQ) Patient Safety Culture Survey, allows for collective contributions to enhancing documentation accuracy (AHRQ, 2017).

This proposed plan, grounded in recognized standards and supported by contemporary research, offers a multifaceted approach to mitigate documentation errors and elevate patient safety within our nursing practices.

Importance of Addressing Documentation Accuracy Issues

Addressing documentation accuracy is paramount for several reasons. Accurate documentation ensures the continuity of care, allowing healthcare providers to make informed decisions based on precise and up-to-date information (Demsash et al., 2023). Reliable documentation also plays a crucial role in legal and regulatory compliance, mitigating the risk of legal repercussions and financial penalties for healthcare organizations. Furthermore, meticulous documentation supports effective communication among healthcare teams, reducing the likelihood of errors and enhancing patient safety (Demsash et al., 2023). It contributes to transparent and accountable healthcare practices, fostering trust between patients and healthcare providers. Ultimately, prioritizing documentation accuracy is integral to delivering high-quality, safe, and patient-centered care.

 Audience Role and Importance in Making the Improvement Plan

Nurses play a pivotal role in the success of the documentation accuracy improvement plan. Their active engagement is crucial for the plan’s effective implementation.

  • Adherence to Standardized Documentation Templates:
    • Commit to consistently using standardized documentation templates, recommended by AHIMA (2020, to enhance uniformity and reduce errors, ensuring a standardized approach across the nursing team.
  • Active Participation in Continuous Professional Development:
    • Engage proactively in regular training sessions focusing on documentation best practices and updates. This participation ensures nurses stay abreast of the latest standards and strategies.
  • Leveraging Technology Solutions:
    • Collaborate in the integration and use of technology solutions, such as NLP algorithms in EHRs, for real-time error detection and correction (Gurav, 2024). Embracing technology enhances efficiency and accuracy in documentation.
  • Commitment to Meticulous Documentation:
    • Recognize the significance of meticulous documentation in enhancing patient safety, contributing to informed decision-making, and ensuring care continuity (Bjerkan et al., 2021). Each nurse’s commitment is crucial for maintaining a high standard of care.
  • Cultural Adoption of Best Practices:
    • Act as champions for cultural adoption of best documentation practices, promoting a shared responsibility for accuracy and accountability. Encourage a positive culture where colleagues support and remind each other of the importance of accurate documentation.

This active engagement and commitment from nurses are fundamental to the success of the improvement plan. Their dedication ensures a cohesive and standardized approach to documentation, leveraging technology, and fostering a culture that prioritizes accuracy and patient safety.

 Importance of  NURS FPX4020 Assessment 3  in the Improvement Plan

The role of nurses in the improvement plan is indispensable. They are at the forefront of patient care, and accurate documentation directly impacts treatment decisions and patient outcomes. Nurses serve as the eyes and ears of the healthcare system, and their meticulous documentation ensures a reliable source of information for the entire healthcare team (Adane et al., 2019). In legal and regulatory contexts, nurses’ accurate documentation provides a crucial defense against legal repercussions, safeguarding both individual nurses and the organization (AHIMA, 2020) Moreover, nurses are integral to fostering a culture of transparent communication. Their input during audits and feedback sessions helps identify areas for improvement and reinforces a commitment to patient safety (Samani & Rattani, 2023).

In the improvement plan, nurses act as champions of change. Their active participation not only ensures the success of the plan but also cultivates a sense of ownership and responsibility. Nurses who feel valued and recognized for their contribution are more likely to champion ongoing improvements (Flaubert et al., 2021). Hence, transparent and persuasive communication is crucial for garnering buy-in from nurses. By clearly outlining the impact of their role in achieving accurate documentation – from enhancing patient safety to reducing legal risks – nurses are more likely to embrace and champion the improvement plan.

 New Process and Skills Practice

Interactive Webinars:

Introducing interactive webinars to delve into the nuances of documentation accuracy. These sessions, as discussed by Kimura et al. (2023), will focus on real-life scenarios, emphasizing the critical role of precision in documentation and its impact on patient care.

Peer Review Sessions:

Facilitating peer review sessions where nurses collaboratively assess and provide feedback on each other’s documentation. This approach, supported by Abd et al. (2021), fosters shared learning, cultivates a culture of accountability, and identifies areas for improvement.

Utilizing Documentation Software:

Providing training on advanced documentation software with features for real-time error detection and correction. This initiative aligns with the evolving landscape of healthcare informatics, ensuring efficiency and accuracy in documentation (Yogesh & Karthikeyan, 2022).

Mentorship Programs:

Establishing mentorship programs pairing experienced nurses with those newer to the profession. These mentorship relationships, in line with insights from Gularte-Rinaldo et al. (2022), include guidance on best practices in documentation, creating a supportive environment for skill development.

Case-based Learning Modules:

We are developing case-based learning modules to address common documentation challenges. This approach, as highlighted by Magbanua (2024), enables nurses to apply theoretical knowledge to practical situations, fostering critical thinking and enhancing documentation accuracy.

While these initiatives target documentation accuracy challenges, the overarching goal is to cultivate a culture where precision in documentation becomes a collective responsibility ingrained in our nursing practice.

NURS FPX4020 Assessment 3  Soliciting Feedback

To ensure the continual success of our documentation accuracy improvement plan, we emphasize the importance of soliciting feedback from our nursing community. This involves creating an open communication environment during and after training sessions, sending follow-up surveys, scheduling one-on-one meetings, and encouraging ongoing feedback. Feedback serves as a valuable tool for gauging the effectiveness of the initiatives and making necessary adjustments. An iterative feedback process enhances the improvement plan’s efficacy and ensures it remains relevant and responsive to the evolving needs of our nursing staff.

 Future Improvements

The feedback obtained through solicitation will play a pivotal role in shaping future improvements. By carefully reviewing the feedback received, we can identify recurring trends, areas for enhancement, and potential innovations. This input will be systematically analyzed to create an action plan with clear phases, due dates, and assigned responsibilities. The next stage involves the implementation of this strategy, addressing areas that require improvement. Tracking the progress of the action plan through follow-up surveys and ongoing feedback will be essential. This iterative process ensures that the voices of our nursing community actively contribute to the evolution of our documentation accuracy initiatives, fostering continuous improvement and alignment with their present and future needs.


In conclusion, Capella FPX4020 Assessment 3, this in-service education session focusing on documentation accuracy stands as a testament to our commitment to elevating nursing practices. By addressing challenges through interactive webinars, peer review sessions, advanced software training, mentorship programs, and case-based learning modules, we embark on a collective journey toward precision in documentation. The cultivation of a culture where accuracy is a shared responsibility is key. The ongoing solicitation of feedback ensures that this journey remains dynamic, responsive, and tailored to the evolving needs of our nursing community. As we embrace continuous improvement, we reaffirm our dedication to providing the highest standard of care, where every entry reflects our unwavering commitment to patient well-being.


Abd, A., Rahman1, E., Ibrahim2&, M., & Diab3, G. (2021). Quality of Nursing Documentation and its Effect on Continuity of patients’ care. MNJ, 6(2), 1–18.

Adane, K., Gizachew, M., & Kendie, S. (2019). The role of medical data in efficient patient care delivery: A review. Risk Management and Healthcare Policy, 12(1), 67–73.

AHIMA. (2020). Ethical Standards for Clinical Documentation Integrity(CDI) Professionals (2020). In American Health Information Management Association. American Health Information Management Association.

AHRQ. (2017). Strategy 2: Communicating to Improve Quality. families/engagingfamilies/strategy2/index.html

ANA. (2010). Principles for Nursing Documentation Guidance for Registered Nurses.

Bahrani, B. A., & Medhi, I. (2023). Copy-Pasting in Patients’ Electronic Medical Records (EMRs): Use Judiciously and With Caution. Cureus, 15(6).

Baloyi, O. B. (2020). Continuing Professional Development status in the World Health Organisation, Afro-region member states. International Journal of Africa Nursing Sciences, 13, 100258. NURS FPX4020 Assessment 3

Bjerkan, J., Valderaune, V., & Olsen, R. M. (2021). Patient Safety through Nursing Documentation: Barriers Identified by Healthcare Professionals and Students. Frontiers in Computer Science, 3(1), 1–11.

De Groot, K., De Veer, A. J. E., Munster, A. M., Francke, A. L., & Paans, W. (2022). Nursing documentation and its relationship with perceived nursing workload: a mixed-methods study among community nurses. BMC Nursing, 21(1).

Demsash, A. W., Kassie, S. Y., Dubale, A. T., Chereka, A. A., Ngusie, H. S., Hunde, M. K., Emanu, M. D., Shibabaw, A. A., & Walle, A. D. (2023). Health professionals’ routine practice documentation and its associated factors in a resource-limited setting: a cross-sectional study. BMJ Health & Care Informatics, 30(1), e100699.

Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). Nurses Leading Change. In National Academies Press (US).

Gularte-Rinaldo, J., Baumgardner, R., Tilton, T., & Brailoff, V. (2022). Mentorship ReSPeCT Study: A Nurse Mentorship Program’s Impact on Transition to Practice and Decision to Remain in Nursing for Newly Graduated Nurses. Nurse Leader, 21(2), 262–267.

Gurav, P. (2024). Natural language processing in electronic health records: A review. AccScience Publishing, 1(1), 2147–2147.

IHI. (2022, November 3). Alleviating the Burden of Documentation to Focus on What Matters | Institute for Healthcare Improvement.

Kimura, R., Matsunaga, M., Barroga, E., & Hayashi, N. (2023). Asynchronous e-learning with technology-enabled and enhanced training for continuing education of nurses: a scoping review. BMC Medical Education, 23(1).

Lewis, A. L., Weiskopf, N. G., Abrams, Z. B., Foraker, R. E., Lai, A. M., Philip, & Gupta, A. (2023). Electronic health record data quality assessment and tools: a systematic review. Journal of the American Medical Informatics Association, 30(10), 1730–1740.

Magbanua, N. M. (2024). Case-Based Approach to Improve FDAR Nursing Documentation Practices Among Selected Fourth-Year Nursing Students. International Multidisciplinary Journal of Research for Innovation, Sustainability, and Excellence (IMJRISE), 1(2), 126–136.

Samani, S., & Rattani, S. A. (2023). Fostering Patient Safety: Importance of Nursing Documentation. Open Journal of Nursing, 13(7), 411–428.

Yogesh, M. J., & Karthikeyan, J. (2022). Health Informatics: Engaging Modern Healthcare Units: A Brief Overview. Frontiers in Public Health, 10.

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