NURS FPX 4020 Assessment 3: Improvement Plan In-Service

NURS FPX 4020 Assessment 3: Improvement Plan In-Service

Improvement Plan In-Service

Valley Ways Hospital’s Improvement Plan In-Service aims to enhance the nursing staff’s proficiency, knowledge, and awareness regarding safe medication administration. This presentation outlines the purpose, goals, and process for improving safety outcomes. It emphasizes the role of the audience in making the plan successful and presents resources and activities for skill development and process understanding. The in-service aims to create a medication safety culture to prevent incidents like Mr. Johnson’s and safeguard patient well-being. NURS FPX 4020 Assessment 3: Improvement Plan In-Service

The Purpose and Goals of In-Service Sessions

Valley Ways Hospital is committed to ensuring the safety and well-being of its patients. As such, the hospital is conducting an in-service session to enhance its nursing staff’s proficiency, knowledge, and awareness of safe medication administration (Salim et al., 2019). This proactive response follows a recent medication error involving Mr. Johnson, a 65-year-old patient who underwent heart surgery. The hospital aims to prevent similar incidents from occurring in the future by fostering a culture of medication safety among its nursing staff.

The session will focus on improving nurses’ ability to accurately interpret medication labels, particularly those on pre-filled syringes, to address labeling ambiguity concerns (Salim et al., 2019). Additionally, the hospital will emphasize the importance of effective communication between healthcare team members to facilitate accurate verification of medication orders and prompt resolution of any concerns (Salim et al., 2019). To provide an extra layer of safety, the hospital will implement double-check protocols for high-risk drugs like Heparin, where nurses will independently verify medication labels and orders. The in-service session will also include comprehensive training and education programs to ensure that nurses thoroughly understand the hospital’s medication administration system (Salim et al., 2019). Nurses will be encouraged to participate in error and near-miss reporting to promote a proactive safety culture (Salim et al., 2019). The session will also highlight the significance of interdisciplinary collaboration among healthcare professionals in ensuring medication safety.

NURS FPX 4020 Assessment 3: Improvement Plan In-Service

Lastly, the hospital will introduce technology integration, such as barcode scanning systems, to improve the accuracy of matching medication labels with patient records (Salim et al., 2019). By achieving these goals, Valley Ways Hospital aims to equip its nursing staff with the knowledge and skills to prevent medication errors effectively. Ultimately, this proactive effort will minimize the risk of sentinel events and ensure safer medication administration practices within the institution.

Purpose and Goals

Valley Ways Hospital is conducting an in-service session to enhance its nurses’ knowledge, skills, and awareness about safe medication practices. The primary objective of this session is to prevent incidents like the recent medication error involving Mr. Johnson. The session aims to improve medication labeling proficiency, communication skills, double-check protocols, training and education, reporting culture, interdisciplinary collaboration, and technology integration. These goals are all achievable and relevant to the session’s purpose. The primary focus is to develop a medication safety culture and equip nurses with the necessary tools to ensure patient well-being while preventing medication errors in the future (Salim et al., 2019). NURS FPX 4020 Assessment 3: Improvement Plan In-Service

Need and Process to Improve Safety Outcomes

Improving medication administration safety is crucial in healthcare institutions due to the potential harm medication errors can cause patients. The healthcare industry has various data, evidence, and standards that support this necessity. Firstly, data from healthcare organizations and research studies consistently reveal the prevalence and impact of medication errors (Hossaini Alhashemi et al., 2019). For instance, the British Journal of Clinical Pharmacology published “The problem of look‐alike, sound‐alike name errors: Drivers and Solutions” reports that medication errors contribute to thousands of patient deaths annually in the United States (Bryan et al., 2020). This alarming statistic underscores the urgency of improving medication safety.

Additionally, evidence-based practices and research guide how to enhance medication administration safety. Organizations like the Institute for Safe Medication Practices (ISMP) and The Joint Commission offer guidelines and recommendations for safe medication practices, as Youmbi et al. (2023) stated. These evidence-based approaches emphasize strategies such as enhanced medication labeling, double-check protocols, staff training, and technology integration, as mentioned in the safety enhancement plan for Mr. Johnson’s case. These strategies are rooted in research and have been shown to reduce medication errors and improve patient safety. Moreover, standards and regulations within the healthcare industry demand a focus on medication safety (Hossaini Alhashemi et al., 2019).

NURS FPX 4020 Assessment 3: Improvement Plan In-Service

As stated by Neumann et al. (2023), organizations like the Agency for Healthcare Research and Quality (AHRQ) and regulatory bodies like the U.S. Food and Drug Administration (FDA) set standards and expectations for healthcare institutions to prioritize patient safety in medication administration. Non-compliance with these standards can have legal and financial repercussions for healthcare facilities (Neumann et al., 2023). The need to improve safety outcomes related to medication administration is evident from data on the prevalence of medication errors, evidence-based practices that have proven effective, and the standards and regulations set by healthcare organizations and regulatory bodies. The process to enhance safety outcomes involves implementing evidence-based strategies and adhering to established standards to mitigate the risk of medication errors and ultimately ensure the well-being of patients.

Audience’s Role in and Importance of Making an Improvement Plan

The audience primarily refers to the healthcare professionals involved in medication administration, including nurses, physicians, pharmacists, support staff, hospital administrators, and leadership (Spana et al., 2020). Their role in making the improvement plan for medication administration successful is pivotal, and it’s crucial to emphasize the significance of their participation and cooperation through persuasive and transparent communication (Spana et al., 2020). NURS FPX 4020 Assessment 3: Improvement Plan In-Service

First and foremost, the audience’s role is critical in ensuring patient safety and preventing medication errors. Healthcare professionals directly engage in medication administration processes, and adherence to the new safety protocols, training, and reporting mechanisms is essential for the plan’s success. Their commitment to double-checking procedures, effective communication, and technology integration can significantly reduce the likelihood of errors, protecting patients from harm (Spana et al., 2020).

Furthermore, the improvement plan’s success hinges on the healthcare team’s collective efforts. The audience’s collaboration across disciplines is vital for effective interdisciplinary communication, particularly when addressing medication-related concerns and preventing errors (Spana et al., 2020). Physicians must provide clear and accurate medication orders, pharmacists must ensure medication accuracy and availability, and nurses must administer medications safely. Hospital administrators and leadership also play a crucial role in the plan’s success (Spana et al., 2020). Their support, allocation of resources, and commitment to fostering a culture of medication safety set the tone for the entire organization. Administrators must ensure that the necessary training and technology are available and encourage staff to report errors without fear of reprisals (Spana et al., 2020). Their commitment to transparent reporting mechanisms and a non-punitive culture is instrumental in identifying and addressing issues proactively (Spana et al., 2020).

NURS FPX 4020 Assessment 3: Improvement Plan In-Service

Persuasive and transparent communication is key to securing buy-in from the audience (Hubbart, 2022). It’s essential to clearly articulate the rationale behind the improvement plan, emphasizing the need for enhanced safety, as highlighted by real-world examples and data on medication errors and their consequences (Hubbart, 2022). The communication should underscore the shared goal of protecting patients from harm, which resonates deeply with healthcare professionals. Moreover, transparency in communication is vital to building trust within the healthcare team. Clearly explaining how the plan addresses root causes, aligns with evidence-based practices, and complies with industry standards instills confidence in the proposed changes (Hubbart, 2022). It’s important to engage in open dialogue, actively listen to concerns and suggestions, and be responsive to feedback from the audience (Hubbart, 2022).

Resources or Activities to Encourage Skill Development Process

Healthcare institutions can implement various resources and activities to improve medication administration safety to encourage skill development and process understanding. These initiatives enhance healthcare professionals’ competence and confidence and reinforce safe medication administration practices.

Simulation training workshops are invaluable resources for skill development. These workshops offer a controlled environment where nurses and healthcare staff can practice medication administration scenarios. This includes verifying medication labels and responding to potential errors (Saiyad et al., 2020). The workshops simulate real-life situations, allowing participants to learn from mistakes without putting patients at risk. The value lies in the hands-on experience, which can significantly boost participants’ confidence in their abilities and improve their understanding of best practices (Saiyad et al., 2020). 

NURS FPX 4020 Assessment 3: Improvement Plan In-Service

Moreover, medication administration competency assessments are a formal means of evaluating and maintaining staff proficiency. These assessments can include written quizzes, practical evaluations, and scenario-based tests. Periodically assessing staff members’ skills and knowledge ensures that healthcare institutions’ teams remain competent in medication administration (Saiyad et al., 2020). The value of these assessments is twofold: they confirm that staff members are well-prepared for their responsibilities, and they identify areas where further training may be necessary (Saiyad et al., 2020).

Interactive e-learning modules offer flexible learning opportunities for healthcare professionals (Wu et al., 2022). These modules can cover medication administration topics, such as medication labeling, double-checking protocols, and error reporting (Wu et al., 2022). The value of e-learning is its convenience, allowing healthcare professionals to access training materials at their own pace and convenience. Including quizzes and case studies in these modules can reinforce learning and provide opportunities for self-assessment (Wu et al., 2022). Medication safety drills replicate real-life emergencies and test staff members’ ability to respond effectively (Lin et al., 2023). These drills help reinforce the importance of following established protocols and working together as a team (Lin et al., 2023). The value lies in the practical experience gained during these drills, as they simulate high-pressure situations, allowing healthcare professionals to apply their knowledge and skills in a controlled setting (Wu et al., 2022).

NURS FPX 4020 Assessment 3: Improvement Plan In-Service

Peer-to-peer learning sessions facilitate collaboration and knowledge sharing among healthcare professionals (Degn et al., 2022). In these sessions, staff members can discuss their experiences, share best practices, and collectively problem-solve. The value of peer-to-peer learning is the opportunity for healthcare professionals to learn from their peers’ real-world experiences, gaining practical insights that may not be covered in formal training programs (Degn et al., 2022). Medication administration competitions provide an engaging way for healthcare professionals to test their skills. These competitions challenge individuals or teams to accurately and safely administer medications while adhering to established protocols and guidelines (Degn et al., 2022). The value of competition is the friendly competition aspect, which can continuously motivate staff members to improve their skills and knowledge (Degn et al., 2022). 

Medication safety webinars and guest speaker sessions offer opportunities to learn from experts in the field. These sessions can cover various topics, from the latest medication safety guidelines to technology integration and real-world case studies (Enderby et al., 2021). The value of webinars and guest speakers is the exposure to new information and perspectives, keeping healthcare professionals informed about best practices and emerging trends (Enderby et al., 2021). Training on medication safety reporting systems ensures staff members understand how to report errors and near-misses effectively. These training sessions emphasize the non-punitive nature of reporting and highlight the importance of reporting incidents for continuous improvement (Enderby et al., 2021). This training fosters a culture of transparency and accountability, where staff members feel comfortable reporting incidents and contributing to patient safety (Enderby et al., 2021). NURS FPX 4020 Assessment 3: Improvement Plan In-Service


Valley Ways Hospital’s Improvement Plan In-Service aims to equip nursing staff with the knowledge and skills needed for safe medication administration to prevent errors and sentinel events. Data, evidence-based practices, and industry standards support improved safety outcomes. Persuasive communication is essential to secure audience buy-in, and resources and activities are available to encourage skill development and process understanding. By committing to medication safety, Valley Ways Hospital can enhance patient care and reduce the risk of medication errors.


Bryan, R., Aronson, J. K., Williams, A., & Jordan, S. (2020). The problem of look‐alike, sound‐alike name errors: Drivers and solutions. British Journal of Clinical Pharmacology, 87(2). https://doi.org/10.1111/bcp.14285 

Degn, L., Selberg, H., & Anne-Lene Rye Markussen. (2022). Learning without a teacher: Perceptions of peer-to-peer learning Activities in simulation training. Springer EBooks, 77–89. https://doi.org/10.1007/978-3-031-10399-5-7 

Enderby, C. Y., Davis, S., Sincak, C. A., & Shaw, B. (2021). Health-system pharmacist preceptor development and educational needs for accessible resources. Currents in Pharmacy Teaching and Learning, 13(9), 1110–1120. https://doi.org/10.1016/j.cptl.2021.06.042 

Hossaini Alhashemi, S., Ghorbani, R., & Vazin, A. (2019). Improving nurses’ knowledge, attitudes, and practice in medication administration through enteral feeding tubes by clinical pharmacists: A case–control study. Advances in Medical Education and Practice, Volume 10, 493–500. https://doi.org/10.2147/amep.s203680 

Hubbart, J. A. (2022). Organizational change: Considering truth and buy-in. Administrative Sciences, 13(1), 3. https://doi.org/10.3390/admsci13010003 

Lin, C.-H., Tay, J., Tsai, C.-L., Chou, W.-K., Cheng, M.-T., Wu, C.-Y., Liu, H.-C., Hsu, S.-H., Lu, C.-H., Frank Fuh-Yuan Shih, & Lin, C.-H. (2023). Preparation of medical supply for prehospital emergencies and disasters: An internet-based simulation drill. 13(1), 20–35. https://doi.org/10.6705/j.jacme.202303_13(1).0004 

Neumann, P. J., Crummer, E., Chambers, J. D., & Tunis, S. (2023). Improving food and drug administration–centers for Medicare and Medicaid services coordination for drugs granted accelerated approval. Milbank Quarterly. https://doi.org/10.1111/1468-0009.12670 

Saiyad, S., Virk, A., Mahajan, R., & Singh, T. (2020). Online teaching in medical training: Establishing good online teaching practices from cumulative experience. International Journal of Applied & Basic Medical Research, 10(3), 149–155. https://doi.org/10.4103/ijabmr.IJABMR_358_20 

Salim, N., Joshua, R., AbuBaker, N., Chehab, F., & Jose, A. (2019). Effect of a nursing in-service education program on nurses’ knowledge and attitudes towards pain management in a governmental hospital in the United Arab Emirates: Experimental random assignment study. Dubai Medical Journal, 2(4), 146–152. https://doi.org/10.1159/000503560 

Spana, M. S. -, Brunson, E. K., Long, R., Ruth, A., Ravi, S. J., Trotochaud, M., Borio, L., Brewer, J., & Buccina, J. (2020). The public’s role in COVID-19 vaccination: Human-centered recommendations to enhance pandemic vaccine awareness, access, and acceptance in the United States. Vaccine. https://doi.org/10.1016/j.vaccine.2020.10.059 

Wu, I.-L., Hsieh, P.-J., & Wu, S.-M. (2022). Developing effective e-learning environments through e-learning use mediating technology affordance and constructivist learning aspects for performance impacts: Moderator of learner involvement. The Internet and Higher Education, 55. https://doi.org/10.1016/j.iheduc.2022.100871 

Youmbi, K. V., Arya, A., Conger, A., Hood, D., Mai, J., Patel-House, S., & Then, M. (2023). Practical strategies for ensuring the safety of medication overrides from automated dispensing cabinets. Journal of the American Pharmacists Association, 63(1), 193–197. https://doi.org/10.1016/j.japh.2022.09.015  

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