NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

Quality and Safety Enhancement

Patient safety relies on applying principles from safety science & NURS FPX 4020 Assessment 1 Enhancing Quality and Safety to create a reliable healthcare delivery system (Organization, 2021). Diagnostic Errors in medication administration can pose grave risks to patients, potentially resulting in harm or prolonged hospital stays due to treatment setbacks (Al-Worafi, 2020). Such errors not only undermine patient trust in healthcare providers and systems but also inflate treatment costs. This study aims to examine the factors that contribute to MAEs and explore strategies for enhancing the quality of patient care.

Patient Safety Risk Leading Factors – NURS FPX 4020 Assessment 1 Enhancing Quality and Safety

Diagnostic errors pose a significant patient safety risk in healthcare settings and can lead to serious consequences for patients (Simsekler & Qazi, 2020). Inadequate training of healthcare professionals increases the likelihood of errors during medication administration, as it may lead to insufficient knowledge of protocols and safety practices. Prescribing errors, such as illegible handwriting or ambiguous orders from physicians, can result in confusion and mistakes during the administration process. Workplace stress and burnout among healthcare providers impair concentration and judgment, elevating the risk of errors (MacDowell et al., 2021).

Communication gaps within healthcare teams, including nurses, pharmacists, and physicians, can lead to misunderstandings and errors in medication administration instructions. Patients with complex medication regimens face a higher risk of diagnostic errors due to increased potential for confusion, dosage errors, and drug interactions. Workflow interruptions in fast-paced healthcare environments can disrupt concentration and increase the likelihood of errors, particularly if tasks are not resumed accurately after interruptions. Challenges associated with electronic health records (EHR), such as incorrect data entry or software glitches, introduce additional risks for diagnostic errors.

Data from various studies & NURS FPX 4020 Assessment 1 Enhancing Quality and Safety support the prevalence of diagnostic errors and highlight their impact on patient safety. A study published by the Agency for Healthcare Research and Quality (MacDowell et al., 2021) found that diagnostic errors occur in approximately 8%–25% of medication administrations in hospitals, with nearly a third of these errors deemed potentially harmful to patients. Additionally, a systematic review published in the British Journal of Clinical Pharmacology (Strube‐Lahmann et al., 2022) reported that diagnostic errors are responsible for significant morbidity and mortality worldwide, emphasizing the need for effective strategies to reduce these errors.

These factors underscore the importance of implementing strategies and interventions aimed at preventing and reducing diagnostic errors, thereby enhancing patient safety in healthcare settings.

Best Evidence-Based Practice Solutions 

One important solution to enhance patient safety and reduce costs is the implementation of Clinical Decision Support Systems (CDSS) (Manias et al., 2020) & NURS FPX 4020 Assessment 1 Enhancing Quality and Safety. These systems can help reduce diagnostic errors by prompting providers to consider alternative diagnoses, suggesting appropriate tests or treatments, and alerting them to potential medication errors or adverse drug interactions. Various research studies have shown that CDSS implementation can improve diagnostic accuracy and patient outcomes. 

Additionally, Healthcare organizations can implement quality improvement initiatives targeting specific aspects of the diagnostic process, such as reducing wait times for diagnostic tests, improving access to specialist consultations, or enhancing communication between providers and patients. These initiatives, guided by evidence-based practices and performance metrics, aim to identify areas for improvement and implement interventions to enhance patient safety and optimize resource utilization. Research published by the Institute for Healthcare Improvement (Manias et al., 2020) highlights the effectiveness of quality improvement initiatives in reducing diagnostic discrepancies and improving patient safety during transitions of care.

Role of Nurses in Enhancing Quality

Nurses play a pivotal role in coordinating care to increase patient safety and reduce costs in healthcare settings. One way nurses can contribute to this effort is by actively participating in CDSS (Ravi et al., 2022). For example, when admitting a patient, nurses can review the patient’s diagnosis history, reconcile discrepancies, and ensure accurate diagnosis lists are documented. By identifying potential diagnostic errors or interactions early on, nurses help prevent adverse drug events and unnecessary costs associated with diagnostic-related complications.

Nurses also promote open communication among healthcare teams, swiftly addressing safety concerns like diagnostic errors (Shaikh, 2020). Additionally, they educate patients on preventive measures, like fall prevention strategies, minimizing the need for costly interventions.  Advocating for evidence-based practices and participating in quality improvement projects, nurses contribute to safer, more efficient care delivery, ultimately saving both lives and resources.

Stakeholders’ Roles in Quality and Safety 

In driving quality and safety enhancements, nurses often need to coordinate with various stakeholders to address specific safety quality issues effectively (Osei-Asibey et al., 2021). Some key stakeholders include physicians, who provide clinical expertise and guidance in diagnosing and treating patients, making their involvement essential for addressing safety issues such as medication management and treatment protocols. Pharmacists play a vital role in medication safety by verifying prescriptions, providing medication information, and monitoring potential drug interactions or errors. Nurses coordinate with pharmacists & NURS FPX 4020 Assessment 1 Enhancing Quality and Safety to ensure accurate diagnostic administration and to address concerns related to diagnostic safety and management.

Collaborating with quality improvement teams within healthcare organizations facilitates identifying safety issues, implementing evidence-based practices, and monitoring outcomes (Osei-Asibey et al., 2021). Nurses contribute their clinical expertise and frontline insights to drive continuous quality improvement efforts aimed at enhancing patient safety.


Diagnostic errors represent a significant patient safety issue worldwide. NURS FPX 4020 Assessment 1 Enhancing Quality and Safety addressing these factors necessitates a multifaceted approach, emphasizing improved training, communication, stress reduction, workflow optimization, and technology utilization to enhance patient safety in healthcare settings. Solutions such as Clinical Decision Support Systems (CDSS) and quality improvement initiatives with decision support have been shown to decrease errors. Nurses are pivotal in ensuring proper checks during diagnostic administration and educating patients on diagnostic safety. Collaboration with various stakeholders is essential in addressing this issue effectively. By implementing NURS FPX 4020 Assessment 1 Enhancing Quality and Safety & evidence-based practices, healthcare organizations can improve patient safety and potentially reduce costs associated with diagnosis-related complications.


NURS FPX 4020 Assessment 1 Enhancing Quality and Safety: Organization, W. H. (2021). Global patient safety action plan 2021-2030: towards eliminating avoidable harm in health care. In Google Books. World Health Organization.

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety: Al-Worafi, Y. M. (2020, January 1). Chapter 6 – Medication errors (Y. Al-Worafi, Ed.). ScienceDirect; Academic Press.

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety: Manias, E., Kusljic, S., & Wu, A. (2020). Interventions to reduce medication errors in adult medical and surgical settings: A systematic review. Therapeutic Advances in Drug Safety, 11(1), 1–29.

Simsekler, M. C. E., & Qazi, A. (2020). Adoption of a Data‐Driven Bayesian Belief Network Investigating Organizational Factors that Influence Patient Safety. Risk Analysis, gov/33070320/(33070320).

MacDowell, P., Cabri, A., & Davis, M. (2021, March 12). Medication administration errors. Agency for Healthcare Research and Quality.

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety: Strube‐Lahmann, S., Müller‐Werdan, U., Klingelhöfer‐Noe, J., Suhr, R., & Lahmann, N. A. (2022). Patient safety in home care: A multicenter cross‐sectional study about medication errors and medication management of nurses. Pharmacology Research & Perspectives, 10(3).

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety: Ravi, P., Pfaff, K., Ralph, J., Cruz, E., Bellaire, M., & Fontanin, G. (2022). Nurse-pharmacist collaborations for promoting medication safety among community-dwelling adults: A scoping review. International Journal of Nursing Studies Advances, 4(pii/S2666142X22000182), 100079.

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety: Shaikh, U. (2020). Improving Patient Safety and Team Communication through Daily Huddles., primer/improving-patient-safety-and-team-communication-through-daily-huddles (improving-patient-safety-and-team-communication-through-daily-huddles).

NURS FPX 4020 Assessment 1 Enhancing Quality and Safety: Osei-Asibey, D., Ayarkwa, J., Adinyira, E., Acheampong, A., & Amoah, P. (2021). Roles and Responsibilities of Stakeholders towards Ensuring Health and Safety at Construction Site. Journal of Building Construction and Planning Research, 09(01), 90–114.

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