NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

Improvement Plan In-Service Presentation

Slide 01: Greetings, everyone! I’m Samrawit, and I’m excited to lead today’s educational session focusing on NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation & our safety enhancement strategy for minimizing diagnostic errors. My goal is to empower our nursing staff with the necessary knowledge, expertise, and insight to deliver care that is safe, efficient, and impactful. Through this plan, my aim to ensure that each nurse comprehends their specific duties, receives ample opportunities to hone their skills, and contributes feedback crucial for refining our safety initiatives. 
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Slide 02: Purpose and Goals of an In-Service Session

Before detailing the purpose and goals of this in-service session, I want to discuss the study conducted by the Johns Hopkins Armstrong Institute Center for Diagnostic Excellence and partners aimed to derive the first rigorous national estimate of permanent disability and death from diagnostic errors (Cassidy Davis, 2023). Using novel methods, the researchers found that an estimated 795,000 Americans die or are permanently disabled by diagnostic error each year, confirming the pressing nature of the public health problem. Vascular events, infections, and cancers were identified as the primary causes of serious harms, with stroke being the top cause of serious harm from misdiagnosis.

The study emphasizes the need for a disease-focused approach to diagnostic error prevention and mitigation, with a focus on diseases accounting for the greatest number of serious misdiagnosis-related harms and with high diagnostic error rates. Implementing systematic solutions tailored to these priority targets has the potential to significantly reduce permanent disabilities and deaths associated with diagnostic errors. However, the study (Cassidy Davis, 2023) highlights the need for increased funding to support efforts to achieve diagnostic excellence and address this critical public health crisis. Now, I will outline the objectives and purposes of this in-service session (NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation).

Purpose – NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

  • To raise awareness of the prevalence and impact of diagnostic errors in healthcare.
  • To equip participants with strategies to identify and mitigate diagnostic errors in clinical practice.

Goals – NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

  1. Understand the definition and scope of diagnostic errors.
  2. Identify common causes and contributing factors of diagnostic errors.
  3. Learn methods for improving diagnostic accuracy and reducing errors.
  4. Discuss the importance of teamwork, communication, and collaboration in preventing diagnostic errors.
  5. Develop individual action plans to address diagnostic errors within your practice setting.

Need and Process to Improve Safety Outcomes

Slide 03: In today’s healthcare landscape, diagnostic errors represent a critical patient safety issue that demands our urgent attention. Studies have shown that diagnostic errors are prevalent, with an estimated 12 million adults in the United States experiencing diagnostic errors annually (Rodziewicz & Hipskind, 2020). These errors can lead to significant harm, including delayed or incorrect treatment, unnecessary procedures, and even death.

Addressing diagnostic errors is essential for several reasons. First and foremost, it is our ethical obligation as healthcare providers to ensure the accuracy and reliability of diagnoses for our patients. Moreover, diagnostic errors contribute to increased healthcare costs, as patients may undergo unnecessary tests and procedures due to incorrect or delayed diagnoses(Rodziewicz & Hipskind, 2020). Additionally, these errors erode patient trust and confidence in the healthcare system, leading to decreased patient satisfaction and engagement.

The Process to Improve Safety Outcomes

Slide 04: The Proposed Plan – NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

Our proposed improvement plan (NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation) involves several key components. Firstly, we will provide education and training to healthcare providers on best practices for diagnostic reasoning and clinical decision-making. This will include workshops, case studies, and simulations to enhance diagnostic accuracy and reduce errors.

Secondly, we will implement technological solutions, such as decision support tools and Electronic Health Record (EHR) enhancements, to support clinicians in the diagnostic process. These tools can help identify potential diagnostic pitfalls, provide real-time feedback, and facilitate information sharing among members of the healthcare team.

Finally, we will establish a culture of transparency and accountability, where healthcare providers feel comfortable reporting diagnostic errors and near misses without fear of retribution. This will enable us to identify systemic issues and implement targeted interventions to prevent future errors.

Overall, our improvement plan aims to enhance patient safety by reducing diagnostic errors and improving diagnostic accuracy. By addressing this critical patient safety issue, we can ensure better outcomes for our patients, reduce healthcare costs, and strengthen trust in our healthcare system.

Slide 05: It is important for the organization to address the current situation related to diagnostic errors (Katie Bronk, 2022). For organizations, addressing diagnostic errors is imperative for several reasons. Firstly, it aligns with our commitment to providing high-quality, safe care to our patients. Every patient deserves an accurate and timely diagnosis to receive appropriate treatment and achieve the best possible outcomes. Secondly, diagnostic errors can lead to increased healthcare utilization, including unnecessary tests, procedures, and hospitalizations, resulting in higher costs for both patients and the healthcare system. Thirdly, diagnostic errors can erode trust between patients and healthcare providers, potentially leading to patient dissatisfaction, complaints, and litigation (Katie Bronk, 2022).

Audience Role and Importance in Making the Improvement Plan

Slide 06: As members of our healthcare team, nurses play a crucial role in the success of our improvement plan (NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation) to address diagnostic errors and enhance patient safety. Their active participation and commitment are essential to driving positive change and improving outcomes for our patients.

First and foremost, they will be expected to actively engage in the implementation of the improvement plan by incorporating new strategies and practices into their daily work. This may include attending training sessions, utilizing decision support tools, and following standardized diagnostic processes and protocols. Their willingness to embrace these changes and integrate them into their practice is vital to the success of the plan.

Slide 07: The role of nurses in this improvement plan is critical for several reasons (Dang et al., 2021). As frontline healthcare providers, they are often the first point of contact for patients and play a central role in the diagnostic process. Their clinical expertise, critical thinking skills, and attention to detail are invaluable in identifying and preventing diagnostic errors. By actively participating in the improvement plan, they can help ensure that accurate diagnoses are made in a timely manner, leading to improved patient outcomes and satisfaction.

Furthermore, embracing their role in the improvement plan can benefit their work in several ways. By implementing best practices for diagnostic reasoning and clinical decision-making, they can enhance the quality of care you provide to your patients and reduce the likelihood of errors. Additionally, utilizing decision support tools and standardized processes can streamline their workflow, leading to increased efficiency and productivity (Dang et al., 2021). Finally, by contributing to a culture of safety and accountability, they can help foster a positive work environment where open communication and collaboration are valued.

The nurse’s role in driving the success of the improvement plan is paramount (Hofmeyer & Taylor, 2020). By actively participating in its implementation, they can make a meaningful impact on patient safety and contribute to the overall quality of care we provide. Their dedication and commitment are essential as we work together to address diagnostic errors and improve outcomes for our patients.

New Process and Skills Practice

Slide 08: Simulation-based training is an effective way to encourage skill development and enhance understanding of new processes related to a safety improvement initiative, such as addressing diagnostic errors (Abildgren et al., 2022). In this activity, participants will engage in a simulated clinical scenario where a diagnostic error may occur. Through hands-on practice, participants will have the opportunity to apply new processes and skills in a realistic environment, allowing them to gain confidence and proficiency.

During the simulation, participants will assume various roles, such as healthcare providers, nurses, and support staff, mirroring their respective responsibilities in a clinical setting. By actively participating in the simulation, participants will have the opportunity to apply new processes and skills, such as standardized diagnostic protocols and decision support tools, in real time (Abildgren et al., 2022).

This experiential learning approach allows participants to practice critical thinking, communication, and collaboration skills essential for identifying and addressing diagnostic errors. Following the simulation, a debriefing session will be conducted to facilitate reflection, discussion, and feedback. Participants will have the opportunity to share their experiences, discuss challenges encountered, and identify areas for improvement. The facilitator will provide feedback and clarification as needed, ensuring that participants gain valuable insights and takeaways from the simulation.

Additionally, a dedicated Q&A session will be provided to allow participants to ask questions and seek clarification on the new processes and skills introduced during the simulation (Brazil et al., 2023). This interactive component ensures that participants have the opportunity to deepen their understanding and address any lingering doubts or uncertainties.

Soliciting Feedback

Slide 09: To effectively solicit feedback from nurses on the improvement plan and the in-service session, it’s essential to create a safe and open environment where they feel comfortable sharing their thoughts and opinions (Rim & Shin, 2020). Here’s how I would approach soliciting feedback and integrating it for future improvements:

Firstly, I would utilize open-ended questions to encourage nurses to share their overall impressions of the improvement plan and the in-service session. By asking questions such as “What did you find most helpful about the improvement plan and the in-service session?” or “What suggestions do you have for improving the effectiveness of the improvement plan moving forward?” I can gather valuable insights into their experiences and perspectives.

In addition, providing nurses with structured feedback forms can offer a systematic approach to collecting feedback (Rim & Shin, 2020). These forms can allow nurses to rate different aspects of the improvement plan and the in-service session, such as content relevance, clarity of communication, and effectiveness of learning activities. Including space for written comments enables nurses to provide specific feedback and suggestions for improvement.

Facilitating small group discussions can further encourage nurses to share their thoughts and experiences related to the improvement plan and the in-service session. By dividing nurses into smaller groups and ensuring active participation, everyone has an opportunity to contribute their perspective, fostering a collaborative and inclusive environment.

Offering the option for anonymous feedback can provide nurses with a confidential avenue to share their thoughts if they feel more comfortable doing so (Rim & Shin, 2020). This can be achieved through anonymous surveys or suggestion boxes placed in a convenient location, allowing nurses to express their opinions without fear of judgment or reprisal.

Finally, utilizing technology such as real-time polling software during the in-service session can enable me to gather immediate feedback from nurses. By asking nurses to rate their understanding of key concepts or provide feedback on specific aspects of the presentation as it unfolds, I can gauge their engagement and comprehension in real-time, allowing for timely adjustments and improvements.

Slide 10: Future Improvements

Once feedback has been collected, it’s important to carefully review and analyze it to identify common themes, trends, and areas for improvement (Birjali et al., 2021). I would then develop an action plan to address the feedback received, incorporating suggestions for improvement into future iterations of the improvement plan and the in-service session. Additionally, I would communicate with nurses to acknowledge their feedback and reassure them that their input is valued and taken seriously. By actively soliciting and integrating feedback from nurses, we can continuously improve our communication strategies and ensure that future in-service sessions are even more effective and impactful.


The in-service session on minimizing diagnostic errors has provided valuable insights into the prevalence and impact of this critical patient safety issue. Through interactive discussions, case studies, and simulation-based training, we have equipped our nursing staff with the knowledge and skills necessary to identify, mitigate, and prevent diagnostic errors in clinical practice. By embracing our roles as frontline healthcare providers and actively participating in the improvement plan, we can drive positive change and improve outcomes for our patients. Moving forward, it is essential to continue soliciting feedback, refining our processes, and fostering a culture of safety and accountability.


NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation: Cassidy Davis. (2023, July 17). Report Highlights Public Health Impact of Serious Harms From Diagnostic Error in U.S.

NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation: Rodziewicz, T., & Hipskind, J. (2020). Medical error prevention (pp. 1–37).

NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation: Katie Bronk . (2022, October 25). Safety recommendations to address diagnostic errors | The Joint Commission.

NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation: Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals: Model and Guidelines, Fourth Edition. In Google Books. Sigma Theta Tau.

NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation: Hofmeyer, A., & Taylor, R. (2020). Strategies and resources for nurse leaders to use to lead with empathy and prudence so they understand and address sources of anxiety among nurses practicing in the era of COVID‐19. Journal of Clinical Nursing, 30(1-2), 298–305.

Abildgren, L., Lebahn-Hadidi, M., Mogensen, C. B., Toft, P., Nielsen, A. B., Frandsen, T. F., Steffensen, S. V., & Hounsgaard, L. (2022). The effectiveness of improving healthcare teams’ human factor skills using simulation-based training: a systematic review. Advances in Simulation, 7(1).

Brazil, V., Purdy, E., & Bajaj, K. (2023). Simulation as an Improvement Technique. Elements of Improving Quality and Safety in Healthcare, 27E6D4C656EAB32476EE582186072551(/27E6D4C656EAB32476EE582186072551).

Rim, D., & Shin, H. (2020). EFFECTIVE INSTRUCTIONAL DESIGN TEMPLATE FOR VIRTUAL SIMULATIONS IN NURSING EDUCATION. Nurse Education Today, 96(abs/pii/S026069172031474X), 104624., M., Kasri, M., & Beni-Hssane, A. (2021). A comprehensive survey on sentiment analysis: Approaches, challenges and trends. Knowledge-Based Systems, 226(1), 107134.

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