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NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

Student Name

Capella University

NURS-FPX 4020 Improving Quality of Care and Patient Safety

Prof. Name:


Improvement Plan In-Service

Hi, I am Julymar. Today’s Inservice session is for the audience to address the misidentification issue during healthcare delivery. 

This Improvement Plan In-Service is designed to correct patient misidentification errors occurring after sentinel incidents in the clinical setting. Using RCA, we were able to pinpoint the factors contributing to this mishap such as inconsistency, a heavy workload and disjointedness among healthcare professionals. Staff training is one of our evidence based strategies.

Barcoding systems, standardized patient identification methods and encouraging safety culture and communication are examples of technological solutions that we have come up with. For instance, this includes training the staff on how to use different technologies such as bar coding systems that would help identify individual patients accurately. We will execute our plan by utilizing resources available in the organization which include IT department, quality improvement department and patient safety committee among others.

Our aim is to develop, implement and manage a system which shall reduce all sorts of errors in relation to the patient identification process; enhance protocol adherence across various departments; and achieve high levels of patient satisfaction within one year period. This approach demonstrates our commitment towards improving health service delivery through enhanced patient security measures.

Agenda and Outcomes: The Purpose and Goals of an In-Service Session


In this inservice, the issue of incorrect patient identification and the need for improved safety outcomes within this realm will be critically appraised. Severe consequences have been reported in numerous studies and statistics with regards to drug mix-ups, wrong surgeries, and patients losing faith in health facilities thus indicating that patient identification errors are a serious threat to patient’s lives (Maul & Straub, 2022).

By looking at specific figures and facts we endeavor to explain how important this issue is for both patient care and reputation of an organization. Based on research findings and healthcare standards, a full assessment of the causes of patient identification problems will be covered in our agenda. The aim is to show that patient identification errors have many sides including no standard protocols, overburdened staffs or human mistakes. This knowledge can be used to come up with strategies to reduce risks and enhance patients’ security at home. 


Our session will also discuss ways to use evidence to address patient identification mistakes. As a result, a closer look will be taken at the efficiency of standardized patient identification protocols; technology such as barcoding systems; and staff training and education in decreasing the error rate. Therefore, by using some specific data and evidence that supports these interventions we can demonstrate their potential in improving safety outcomes and preventing future incidents (Song & Kim, 2023).

An ideal outcome for this in-service training is to give our audience enough knowledge and resources that would enable them initiate meaningful change regarding patient identification practices within the healthcare organization. By creating a safe atmosphere with clearly defined responsibilities, we can all contribute towards reducing errors of patient identity, improving care given to patients and maintaining the highest possible standards of safety as well as quality in the health services delivered.

Safety Improvement Plan: The Need and Process to Improve Safety Outcomes

Need of the Safety Improvement Plan

Patient safety is a critical issue within healthcare settings caused by patient identification errors, therefore requiring a focused and systematic intervention to improve this (Mistri et al., 2023). Currently, misidentification of patients poses significant dangers to their health and can have unfavorable consequences, such as giving drugs to the wrong people or performing operations on the wrong people (Romano et al., 2021).  First patient safety is our priority hence any error during the identification process jeopardizes care recipients’ health (Fukami et al., 2020).

Second, there may be legal consequences associated with errors in identification and this puts our reputation as an organization into jeopardy (Popescu et al., 2022). Moreover, there is evidence that through the reduction of error rates and improving the quality of healthcare at large healthcare facilities, programs designed to improve patient identification systems might enhance safety outcomes.

Because of this, the healthcare organization must react by taking measures in order to address wrong patient identifications and developing a well-structured Safety Improvement Plan (Afaya et al., 2021). This way, we will ensure that we are providing our patients with the best possible care that will keep our promise to secure customers and protect the good name and reputation of our business among medical practitioners.

Process of the Safety Improvement Plan

The suggested approach seeks to address this issue by implementing evidence-based tactics that will improve patient identification procedures and lower the number of errors that occur. Additionally, there are various elements that include but not limited to; uniformity of procedures for the identification of patients, utilization of technologies such as use of bar-coding techniques, staff training, providing a secure environment and improvement in communication skills.

Consequently, we expect some of these interventions to address causal factors behind introduction errors such as lack of confirmation stages, job delivery burden among other items which are accidentally connected with human fatigue and cognitive disability (Riplinger et al., 2020). The healthcare organization requires addressing the present scenario for several valid reasons.

Audience’s Role and Importance

Keeping the junior nurses, who are supposed to be the recipients of the plan on track will make sure that all endeavors made to enhance patient safety and mend the vital problem of patient misidentification errors succeed. Their regular interactions with patients as well as adherence to laid out policies are instrumental in appropriately identifying patients and providing safe care (Adane et al., 2019). Recognizing one’s role in this plan is not only important but also an opportunity for growth both professionally and personally since it aids in delivery of high-quality health care (Ahmed et al., 2023).

In this respect, nurses are required to be proactive in the implementation of standardized patient identification processes, effective use of technology, continuous training and education programs as well as enhance team based safety and communication. Consequently, they will have an opportunity to efficiently control these measures in order to decrease the number of patients’ misidentification cases and hence improve safety outcomes.

Employees must adhere to the improvement strategy and actively participate in it (Vaismoradi et al., 2020). They should be on alert and attentive while dealing with patients so as to avoid errors or properly identifying them. Additionally, a sense of ownership about safety through accepting one’s place in a plan builds a culture of ongoing improvement within the health delivery system (Cosolo et al., 2023).

Rich personal and professional benefits increase for staff who actively take part in the improvement schedule as well as helping their organization enhance patient safety in line with its wider goals. Just accepting a position in it, on the other hand, makes one feel gratified, happy or even fulfilled because it is a way of bringing positive changes to people’s lives thus promoting job satisfaction. Second, they will be able to cut down on errors and increase efficiency by adhering to existing practices and employing new technologies at workstations (Ren et al., 2022).

New Process and Skills Practice: Resources or Activities

Patients’ identification techniques should be standardized because such a new approach can lead to mistakes in patient identification. These include but not limited to; barcoding systems, electronic health records (EHRs), using two positive patient identifiers and a culture of open communication and collaboration between healthcare professionals (Khubone et al., 2020).

Nurses need to have the ability of using technology correctly, following standard protocols, and maintaining open communication so as to ensure accurate patient identification and improve safety outcomes. Regular updates on these skills are necessary for reducing errors as well as creating an environment that promotes patient safety within the organization (Lahti et al., 2022).

Activity: Patient Identification Simulation Exercise

I will develop a simulation scenario where employees would face several cases of failure to properly identify patients which they are likely to face in real life. I will create some scenarios that involve patient admissions, medication administration and procedures where patients need correct identification matching their corresponding medical records or treatment plans.

The use of such things as personalized patient wristbands, medicine labels along with EHR interfaces among others make healthcare settings look realistic. Simulation exercise should engage staff members actively so that they may practice newly acquired skills and processes during training sessions. Based on the outcome of this simulation exercise, while emphasizing key concepts and best practices relating to patient identification, provide your employees with constructive feedback and guidance.

For nurses, the simulation exercise offers an opportunity for practical training while practicing the newly introduced techniques and competencies related to identification of patients. With this, those who work as employees can develop certainty in how they can best identify patients correctly within such challenges of wrong identity errors. In addition, this kind of activity which is interactive allows everyone to engage actively in it and learn from one another; hence, sharing some insight, asking questions and problem-solving through collaboration among the staff.

Through guided debriefing sessions, the workers have an opportunity to think over their experiences, which help them identify areas that need some improvement as well as receive useful feedback about what has been done by those who are either organizing or facilitating the process thus enhancing learning and skill acquisition (Akselbo & Aune, 2022).

Soliciting Feedback

The audience’s input should be gathered by the use of questionnaires or structured feedback forms which are filled. This is useful in determining how well the improvement plan and in-service session relate to the audience. Feedback, such as strengths, weaknesses and suggestions for future improvements, can be analyzed and integrated into iterative updates and refinements of the improvement plan and training materials (Kaur et al., 2022).


The Improvement Plan In-Service suggests proof-based ways of solving wrong patient identification errors by stressing standardized protocols, technology solutions and employees’ training. It is intended to ameliorate safety of patients, reduce errors and uphold reputation. To succeed in its execution as well as continuous improvement regarding patient care and safety, it is necessary for staff engagement and feedback on the plan’s implementation. By fostering a culture of accountability and continuous learning, the organization can effectively address patient misidentification errors and uphold its commitment to delivering high-quality, safe patient care.


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Afaya, A., Konlan, K. D., & Kim Do, H. (2021). Improving patient safety through identifying barriers to reporting medication administration errors among nurses: An integrative review. BMC Health Services Research21(1), 1–10. https://doi.org/10.1186/s12913-021-07187-5 

NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

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Cosolo, L., Leahey, A., Elmi, S., & Homeward, T. (2023). Development of a nurse-initiated proactive telephone nursing assessment guideline for new cancer patients. Canadian Oncology Nursing Journal = Revue Canadienne de Nursing Oncologique33(1), 116–121. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9894369/ 

Fukami, T., Uemura, M., Terai, M., Umemura, T., Maeda, M., Ichikawa, M., Sawai, N., Kitano, F., & Nagao, Y. (2020). Intervention efficacy for eliminating patient misidentification using step-by-step problem-solving procedures to improve patient safety. Nagoya Journal of Medical Science82(2), 315–321. https://doi.org/10.18999/nagjms.82.2.315 

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Khubone, T., Tlou, B., & Thompson, T. P. M. (2020). Electronic health information systems to improve disease diagnosis and management at point-of-care in low and middle income countries: A narrative review. Diagnostics10(5), 327. https://doi.org/10.3390/diagnostics10050327 

Lahti, C. L., Kivivuori, S.-M., Lehtonen, L., & Schepel, L. (2022). Implementing a new electronic health record system in a university hospital: The effect on reported medication errors. Healthcare10(6), 1020. https://doi.org/10.3390/healthcare10061020 

Maul, J., & Straub, J. (2022). Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare10(12), 2440. https://doi.org/10.3390/healthcare10122440 

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Ren, Q., Chen, F., Zhang, H., Tu, J., Xu, X., & Liu, C. (2022). Effects of a standardized patient-based simulation in anaphylactic shock management for new graduate nurses. BMC Nursing21(1). https://doi.org/10.1186/s12912-022-00995-y 

Riplinger, L., Jiménez, J. P., & Dooling, J. P. (2020). Patient identification techniques – approaches, implications, and findings. Yearbook of Medical Informatics29(1), 81–86. https://doi.org/10.1055/s-0040-1701984 

Romano, R., Marletta, G., Sollami, A., La Sala, R., Sarli, L., Artioli, G., & Nitro, M. (2021). The safety of care focused on patient identity: An observational study. Acta Bio Medica : Atenei Parmensis92(Suppl 2), e2021038. https://doi.org/10.23750/abm.v92iS2.11328 

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NURS FPX 4020 Assessment 3 Improvement Plan in Service Presentation

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