NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Improvement Plan Tool Kit

The improvement toolkit is designed to offer genuine articles focused on enhancing diagnostic accuracy to healthcare professionals. In the world of healthcare, ensuring accurate diagnoses and delivering high-quality care to patients are paramount objectives. To address the challenges inherent in achieving these goals, the Improvement Plan Toolkit has been meticulously crafted. Comprising 12 annotated articles, this toolkit focuses on enhancing diagnostic accuracy for healthcare professionals.
Also Check:
NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

It explores various facets of quality improvement efforts in diagnostics, including identifying root causes of errors, implementing accuracy enhancement strategies, and recognizing the pivotal role of nurses in coordinating healthcare. Through practical insights and evidence-based recommendations, the toolkit aims to empower healthcare professionals to boost quality, reduce costs, and address emerging challenges associated with diagnostic errors effectively. This assessment prompts professionals to engage in an essential activity to determine the relevance and usefulness of resources, thereby refining strategies for improved patient care outcomes. 

Elements of a Successful Quality Improvement Initiative

Singh, H., Bradford, A., & Goeschel, C. (2020). Operational measurement of diagnostic safety: State of the science. Diagnosis, 8(1), 51–65. https://doi.org/10.1515/dx-2020-0045

This resource highlighted the growing concern about diagnostic errors in healthcare and the need for systematic measurement to address this issue. Despite the challenges in measuring diagnostic safety, recent research offers practical guidance for healthcare organizations to initiate measurement efforts using existing data sources. The study emphasized the importance of defining diagnostic errors and understanding the multifactorial context in which they occur. Stakeholders have launched initiatives to advance the development of diagnostic safety measures, and healthcare organizations are expected to prioritize measurement and improvement efforts in this area increasingly.

The concept of a learning health system is underscored, emphasizing the continuous feedback loop necessary for improvement. The resource suggested leveraging Electronic Health Record (EHR) data as a feasible approach for measuring diagnostic performance and offers guiding principles for effective measurement practices. Overall, the study provides valuable insights and recommendations to support healthcare organizations in identifying and learning from diagnostic errors.

Russeng, S. S., Wahiduddin, Saleh, L. M., Diah, T. A. T., & Achmad, H. (2020). The effect of workload on emotional exhaustion and its impact on the performance of female nurses at the hospital Dr. Tadjuddin Chalid Makassar. Journal of Pharmaceutical Research International, 1661(JPRI/article/view/1661), 46–51. https://doi.org/10.9734/jpri/2020/v32i2430808

This study investigated the impact of workload on emotional exhaustion and its subsequent effect on the performance of female nurses at Dr. Tadjuddin Chalid Makassar Hospital. Through an analytic observational approach with a cross-sectional design, the research analyzed data from 96 married female nurses sampled using a simple random sampling method. Questionnaires were employed to gather workload, performance, and emotional exhaustion data.

Utilizing SPSS and Smart PLS for data analysis, the study found significant correlations: workload significantly influences emotional exhaustion, emotional exhaustion significantly affects performance, and workload directly impacts performance. In essence, the study concludes that high workload contributes to emotional exhaustion among female nurses, which subsequently impacts their performance negatively. These findings underscored the importance of managing workload effectively to maintain optimal performance and well-being among healthcare professionals.

English, M., Ogola, M., Aluvaala, J., Gicheha, E., Irimu, G., McKnight, J., & Vincent, C. A. (2020). First, do no harm: Practitioners’ ability to “diagnose” system weaknesses and improve safety is a critical initial step in improving care quality. Archives of Disease in Childhood, 106(4), 326–332. https://doi.org/10.1136/archdischild-2020-320630

This article emphasized prioritizing patient safety in healthcare systems, particularly in low-resource settings (LRS), where challenges can be more pronounced. It underscored the need for healthcare workers, especially department leaders, to possess diagnostic abilities to identify local safety concerns and develop strategies to address them effectively. Drawing upon concepts from safety sciences, the article highlights the complexity of factors influencing patient care and outcomes, including resources, organizational tasks, and cultural norms.

It advocates for a shift towards a blame-free culture that fosters trust and encourages continuous improvement. The article also stressed the importance of incorporating system diagnostic skills into healthcare worker education and calls for leadership from professional associations to provide necessary resources, support, and mentorship for sustained safety initiatives. Overall, it provides insights into leveraging safety science techniques to enhance patient safety in resource-constrained healthcare environments.

Implementing Quality and Safety Improvements with Diagnostic Errors

Schmiedhofer, M., Derksen, C., Keller, F. M., Dietl, J. E., Häussler, F., Strametz, R., Koester-Steinebach, I., & Lippke, S. (2021). Barriers and facilitators of safe communication in obstetrics: Results from qualitative interviews with physicians, midwives, and nurses. International Journal of Environmental Research and Public Health, 18(3), 915. https://doi.org/10.3390/ijerph18030915

This qualitative study aimed to explore barriers and facilitators affecting safe communication in obstetrics from the subjective perspective of healthcare workers. Conducted at two university hospitals in Germany, the study involved 20 semi-structured interviews with physicians, midwives, and nurses of varying professional backgrounds. Findings revealed a structural conflict between midwives and physicians at the professional interface, with suggestions for improvement including mandatory interprofessional meetings, acceptance of subjective mistakes, mutual understanding, and conflict debriefings. Participants also highlighted the importance of emergency and communication training, as well as addressing issues such as time constraints and understaffing to enhance patient safety. Overall, the study emphasized the interconnectedness of safety culture and organizational management, advocating for strategies targeting various levels, particularly communication training.

Karande, S., Marraro, G., & Spada, C. (2021). Minimizing medical errors to improve patient safety: An essential mission ahead. Journal of Postgraduate Medicine, 67(1), 1. https://doi.org/10.4103/jpgm.jpgm_1376_20

This comprehensive review discussed the definition and prevalence of medical errors, highlighting their impact on patient safety and the healthcare system. It explored various interventions and initiatives aimed at reducing medical errors, such as medical error reporting systems, technology-based solutions, and medication reconciliation processes.

The review emphasized the importance of behavioral modifications and the implementation of evidence-informed practices, such as care bundles and the World Health Organization (WHO) surgical safety checklist. Additionally, it addressed challenges in accurately documenting medical errors and called for a concerted effort to establish a culture of safety and accountability within healthcare institutions. Finally, the review advocated for investments in technology, government incentives, and the promotion of a “no blame” safety culture to effectively address and mitigate medical errors and improve patient safety.

Abugabah, A., Nizamuddin, N., & Abuqabbeh, A. (2020). A review of challenges and barriers to implementing RFID technology in the Healthcare sector. Procedia Computer Science, 170(1), 1003–1010. https://doi.org/10.1016/j.procs.2020.03.094

This research examined that the healthcare sector has increasingly embraced RFID (Radio Frequency Identification) technology to enhance the quality of patient care. This technology, widely utilized across various industries, has significantly improved service delivery within healthcare. RFID offers the capability to track medical assets, interact with medical devices, manage pharmaceutical materials, monitor IT equipment, and even track individual patients within hospital settings worldwide.

This paper aims to explore the benefits and challenges associated with implementing RFID technology in healthcare, as documented in existing literature. Additionally, it seeks to identify potential strategies and technologies to overcome implementation barriers effectively. By delving into these aspects, this study aims to provide valuable insights for healthcare organizations seeking to leverage RFID technology to optimize their operations and improve patient care outcomes.

Analyzing Valuable Resources for Patient Safety and Quality Improvement

In today’s healthcare landscape, ensuring patient safety and enhancing quality of care are paramount objectives. This analysis delves into the identification and evaluation of valuable resources that hold the potential to mitigate patient safety risks and enhance overall quality within healthcare settings. Enhancing quality and reducing costs through nurse-led care coordination and organizational initiatives are most effective in addressing specific patient safety concerns and facilitating continuous quality improvement initiatives.

Promoting Patient Safety through Organizational Initiatives – NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The Health Care Manager, 39(3), 128–132. https://doi.org/10.1097/hcm.0000000000000298

This article emphasized the critical need for healthcare organizations to prioritize effective communication to address the increasing incidence of sentinel and adverse events. Organizations can significantly enhance communication efficiency and effectiveness by implementing structured communication protocols such as situation-background-assessment-recommendation and acknowledge-introduce-duration-explain-thank, alongside comprehensive training and educational programs. This, in turn, leads to improvements in patient safety, satisfaction, and overall quality of care, aligning with the evolving evaluation criteria set by regulatory bodies like the Centers for Medicare and Medicaid Services.

Rangachari, P., & L. Woods, J. (2020). Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers. International Journal of Environmental Research and Public Health, 17(12), 4267. mdpi. https://doi.org/10.3390/ijerph17124267

This research highlighted the critical importance of providing comprehensive support to healthcare workers during the COVID-19 pandemic, especially in the face of acute shortages of Personal Protective Equipment (PPE) and increased emotional distress and burnout. The study focused on the potential consequences of adopting a “stoic approach” to worker support, which offers no additional assistance beyond existing federal and state policy protections. It emphasized that such a limited approach could compromise organizational resilience, adversely affecting patient safety and staff retention in hospital intensive care units (ICUs). By using the organizational resilience framework, the paper aimed to shed light on these challenges and provide recommendations for healthcare organizations to address them effectively.

Hunt, J., Gammon, J., Williams, S., Daniel, S., Rees, S., & Matthewson, S. (2022). Patient safety culture as spaces of social struggle: Understanding patient safety culture within hospital isolation settings. A qualitative study. https://doi.org/10.21203/rs.3.rs-1733735/v1 

This research explored the relationship between organizational culture, infection prevention practices, and patient safety within healthcare settings, particularly focusing on isolation settings. Through focus group interviews conducted at two hospital sites, the study reveals varying perspectives and understandings among nursing staff and healthcare workers regarding patient safety culture and infection prevention practices. The findings suggested that the organizational context, including factors such as healthcare restructuring and broader economic and political influences, significantly influences attitudes and practices related to patient safety. Drawing on Bourdieu’s theoretical framework, the paper argued that patient safety should be viewed as a product of social struggle, situated within its social and cultural context rather than solely as an epidemiological concern.

Enhancing Quality and Reducing Costs through Nurse-Led Care Coordination

Lee, H. Y., & Lee, E.-K. (2021). Safety climate, nursing organizational culture and the intention to report diagnostic errors: A cross-sectional study of hospital nurses. Nursing Practice Today, 8(4). https://doi.org/10.18502/npt.v8i4.6704

The article showed to decrease the frequency of diagnostic errors documented in the United States and mitigate the overall financial burden of healthcare, nurses must remain vigilant in identifying early indicators of potential errors, devising strategies to mitigate their impact, and implementing measures to prevent their recurrence. Nurses play a crucial role in fostering a patient-centered culture that prioritizes patient safety and promptly addresses diagnostic errors. Utilizing their expertise, nurses can develop programs aimed at reducing error occurrence and unnecessary healthcare utilization. Additionally, nurses can advocate for more stringent legislation and standards to minimize the financial impact of diagnostic errors. Moreover, they should focused on educational initiatives to enhance awareness of diagnostic errors and preventive measures among healthcare professionals.

Cagliostro, J. (2020, July 23). The Role of Nurses in Cost Savings & Efficiency. VIE Healthcare. https://viehealthcare.com/the-role-of-nurses-in-cost-savings-efficiency/

In this study, the crucial role of nurses in healthcare systems was examined, particularly in addressing financial strain and improving patient care. It highlighted the challenges faced by hospitals, such as decreasing revenues and increasing debt, and emphasized the potential of nurses to drive positive change. The study discussed various aspects of nursing practice, including triage nursing, telehealth, and the role of nurse practitioners, in delivering cost-effective and high-quality care. Additionally, the importance of nursing in care coordination, patient experience, and the expansion of non-traditional roles was underscored, positioning nurses as central figures in healthcare delivery and patient outcomes.

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1), 1–21. https://doi.org/10.5334/ijic.5518

This research demonstrated the pivotal role that registered nurses play in coordinating care for patients with complex health and social care needs in primary healthcare settings. Through a thorough review of empirical studies, the synthesis highlighted three main categories of nursing care coordination activities: those directed at patients, families, and caregivers; those targeting health and social care teams; and those facilitating collaboration between patients and professionals. Key components identified include interpersonal communication, information transfer, increased intensity and frequency of activities, relational continuity of care, and home visits. The findings underscored the importance of enabling primary healthcare systems to effectively coordinate care for patients with complex needs through multidisciplinary teamwork, integrated care delivery, and efficient care coordination models.

Conclusion – NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

The Improvement Plan Tool Kit offers a robust strategy to enhance diagnostic accuracy and patient safety in healthcare. It addresses challenges like workload management and communication barriers while highlighting the crucial role of nurses in quality improvement. By promoting structured communication and inter-professional collaboration, healthcare organizations can mitigate patient safety risks and optimize outcomes. Emphasizing nurse-led care coordination and technology integration, the toolkit aims to reduce costs, improve patient satisfaction, and drive continuous quality enhancement.

References

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Singh, H., Bradford, A., & Goeschel, C. (2020). Operational measurement of diagnostic safety: State of the science. Diagnosis, 8(1), 51–65. https://doi.org/10.1515/dx-2020-0045

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Russeng, S. S., Wahiduddin, Saleh, L. M., Diah, T. A. T., & Achmad, H. (2020). The effect of workload on emotional exhaustion and its impact on the performance of female nurses at hospital Dr. Tadjuddin Chalid Makassar. Journal of Pharmaceutical Research International, 1661(JPRI/article/view/1661), 46–51. https://doi.org/10.9734/jpri/2020/v32i2430808

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: English, M., Ogola, M., Aluvaala, J., Gicheha, E., Irimu, G., McKnight, J., & Vincent, C. A. (2020). First do no harm: Practitioners’ ability to “diagnose” system weaknesses and improve safety is a critical initial step in improving care quality. Archives of Disease in Childhood, 106(4), 326–332. https://doi.org/10.1136/archdischild-2020-320630

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Schmiedhofer, M., Derksen, C., Keller, F. M., Dietl, J. E., Häussler, F., Strametz, R., Koester-Steinebach, I., & Lippke, S. (2021). Barriers and facilitators of safe communication in obstetrics: Results from qualitative interviews with physicians, midwives and nurses. International Journal of Environmental Research and Public Health, 18(3), 915. https://doi.org/10.3390/ijerph18030915

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Karande, S., Marraro, G., & Spada, C. (2021). Minimizing medical errors to improve patient safety: An essential mission ahead. Journal of Postgraduate Medicine, 67(1), 1. https://doi.org/10.4103/jpgm.jpgm_1376_20

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Abugabah, A., Nizamuddin, N., & Abuqabbeh, A. (2020). A review of challenges and barriers implementing RFID technology in the Healthcare sector. Procedia Computer Science, 170(1), 1003–1010. https://doi.org/10.1016/j.procs.2020.03.094

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The Health Care Manager, 39(3), 128–132. https://doi.org/10.1097/hcm.0000000000000298

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Rangachari, P., & L. Woods, J. (2020). Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers. International Journal of Environmental Research and Public Health, 17(12), 4267. Mdpi. https://doi.org/10.3390/ijerph17124267

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Hunt, J., Gammon, J., Williams, S., Daniel, S., Rees, S., & Matthewson, S. (2022). Patient safety culture as spaces of social struggle: Understanding patient safety culture within hospital isolation settings. A qualitative study. https://doi.org/10.21203/rs.3.rs-1733735/v1 

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit: Lee, H. Y., & Lee, E.-K. (2021). Safety climate, nursing organizational culture and the intention to report diagnostic errors: A cross-sectional study of hospital nurses. Nursing Practice Today, 8(4). https://doi.org/10.18502/npt.v8i4.6704

https://doi.org/10.1186/s12913-020-05594-8

Cagliostro, J. (2020, July 23). The Role of Nurses in Cost Savings & Efficiency. VIE Healthcare. https://viehealthcare.com/the-role-of-nurses-in-cost-savings-efficiency/

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing care coordination for patients with complex needs in primary healthcare: A scoping review. International Journal of Integrated Care, 21(1), 1–21. https://doi.org/10.5334/ijic.5518

Leave a Comment

Your email address will not be published. Required fields are marked *

Please Fill The Following to Resume Reading

    Please Enter Active Contact Information For OTP

    Verification is necessary to avoid bots.
    Please Fill The Following to Resume Reading

      Please Enter Active Contact Information For OTP

      Verification is necessary to avoid bots.
      Scroll to Top
      × How can I help you?