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1. Discussion: Nurse Safety Improvement Care Plan & Processes In Service
Presentation
Discussion: Nurse Safety Improvement Care Plan & Processes In Service
PresentationORDER HERE FOR ORIGINAL, PLAGIARISM-FREE PAPERS ON Discussion:
Nurse Safety Improvement Care Plan & Processes In Service PresentationFor this
assessment, you will develop an 8-14 slide PowerPoint presentation with thorough
speaker’s notes designed for a hypothetical in-service session related to the safe medication
administration improvement plan you developed in Assessment
2.assessment_3_instructions.docxeffectiveppt__1_.pptxnurs_fpx4020_murfernaUnformatted
Attachment PreviewAssessment 3 Instructions: Improvement Plan In-Service Presentation
For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough
speaker’s notes designed for a hypothetical in-service session related to the safe medication
administration improvement plan you developed in Assessment 2. As a practicing
professional, you are likely to present educational in-services or training to staff pertaining
to quality improvement (QI) measures of safety improvement interventions. Such in-
services and training sessions should be presented in a creative and innovative manner to
hold the audience’s attention and promote knowledge acquisition and skill application that
changes practice for the better. The teaching sessions may include a presentation, audience
participation via simulation or other interactive strategy, audiovisual media, and participant
learning evaluation. Discussion: Nurse Safety Improvement Care Plan & Processes In
Service PresentationThe use of in-services and/or training sessions has positive
implications for nursing practice by increasing staff confidence when providing care to
specific patient populations. It also allows for a safe and nonthreatening environment
where staff nurses can practice their skills prior to a real patient event. Participation in
learning sessions fosters a team approach, collaboration, patient safety, and greater patient
satisfaction rates in the health care environment (Patel Wright, 2018). As you prepare to
complete the assessment, consider the impact of in-service training on patient outcomes as
well as practice outcomes for staff nurses. Be sure to support your thoughts on the
effectiveness of educating and training staff to increase the quality of care provided to
patients by examining the literature and established best practices. You are encouraged to
explore the AONE Nurse Executive Competencies Review activity before you develop the
Improvement Plan In-Service Presentation. Discussion: Nurse Safety Improvement Care
Plan & Processes In Service PresentationThis activity will help you review your

2. understanding of the AONE Nurse Executive Competencies – especially those related to
competencies relevant to developing an effective training session and presentation. This is
for your own practice and selfassessment, and demonstrates your engagement in the
course. Demonstration of Proficiency By successfully completing this assessment, you will
demonstrate your proficiency in the following course competencies and assessment
criteria: • • • • • • • • Competency 1: Analyze the elements of a successful quality
improvement initiative. Explain the need and process to improve safety outcomes related to
medication administration. Create resources or activities to encourage skill development
and process understanding related to a safety improvement initiative on medication
administration. Competency 4: Explain the nurse’s role in coordinating care to enhance
quality and reduce costs. List clearly the purpose and goals of an in-service session focusing
on safe medication administration for nurses. Explain audience’s role in and importance of
making the improvement plan focusing on medication administration successful.
Discussion: Nurse Safety Improvement Care Plan & Processes In Service
PresentationCompetency 5: Apply professional, scholarly, evidence-based strategies to
communicate in a manner that supports safe and effective patient care. Communicate with
nurses in a respectful and informative way that clearly presents expectations and solicits
feedback on communication strategies for future improvement. Reference Patel, S., Wright,
M. (2018). Development of interprofessional simulation in nursing education to improve
teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic,
Neonatal Nursing, 47(3), s16-s17. Professional Context As a baccalaureate-prepared nurse,
you will often find yourself in a position to lead and educate other nurses. This colleague-to-
colleague education can take many forms, from mentoring to informal explanations on best
practices to formal inservice training. In-services are an effective way to train a large group.
Preparing to run an in-service may be daunting, as the facilitator must develop his or her
message around the topic while designing activities to help the target audience learn and
practice. By improving understanding and competence around designing and delivering in-
service training, a BSN practitioner can demonstrate leadership and prove him- or herself a
valuable resource to others. ScenarioFor this assessment it is suggested you take one of two
approaches: 1. Build on the work that you have done in your first two assessments and
create an agenda and PowerPoint of an educational in-service session that would help a
specific staff audience learn, provide feedback, and understand their roles and practice new
skills related to your safety improvement plan pertaining to medication administration, or
2. Locate a safety improvement plan through an external resource and create an agenda and
PowerPoint of an educational in-service session that would help a specific staff audience
learn, provide feedback, and understand their roles and practice new skills related to the
issues and improvement goals pertaining to medication administration safety. Instructions
The final deliverable for this assessment will be a PowerPoint presentation with detailed
presenter’s notes representing the material you would deliver at ;an inservice session to
raise awareness of your chosen safety improvement initiative focusing on medication
administration and to explain the need for it. Additionally, you must educate the audience as
to their role and importance to the success of the initiative.This includes providing
examples and practice opportunities to test out new ideas or practices related to the safety

3. improvement initiative. Be sure that your presentation addresses the following, which
corresponds to the grading criteria in the scoring guide. Please study the scoring guide
carefully so you understand what is needed for a distinguished score. • • • • List the purpose
and goals of an in-service session focusing on safe medication administration for nurses.
Explain the need for and process to improve safety outcomes related to medication
administration. Explain to the audience their role and importance of making the
improvement plan focusing on medication administration successful. Create resources or
activities to encourage skill development and process understanding related to a safety
improvement initiative on medication administration. • Communicate with nurses in a
respectful and informative way that clearly presents expectations and solicits feedback on
communication strategies for future improvement. There are various ways to structure an
in-service session below is just one example: • Part 1: Agenda and Outcomes. Explain to
your audience what they are going to learn or do, and what they are expected to take away.
Part 2: Safety Improvement Plan. Give an overview of the current problem focusing on
medication administration, the proposed plan, and what the improvement plan is trying to
address. Explain why it is important for the organization to address the current situation.
Part 3: Discussion: Nurse Safety Improvement Care Plan & Processes In Service
PresentationAudience’s Role and Importance. Discuss how the staff audience will be
expected to help implement and drive the improvement plan. Explain why they are critical
to the success of the improvement plan focusing on medication administration. Describe
how their work could benefit from embracing their role in the plan. Part 4: New Process and
Skills Practice. Explain new processes or skills. Develop an activity that allows the staff
audience to practice and ask questions about these new processes and skills. In the notes
section of your PowerPoint, brainstorm potential responses to likely questions or concerns.
Part 5: Soliciting Feedback. Describe how you would solicit feedback from the audience on
the improvement plan and the in-service. Explain how you might integrate this feedback for
future improvements. Remember to account for activity and discussion time. • • • • • • • • •
• • • • • • For tips on developing PowerPoint presentations, refer to: • • Capella University
Library: PowerPoint Presentations. Guidelines for Effective PowerPoint Presentations
[PPTX]. Additional Requirements • Presentation length: There is no required length; use
just enough slides to address all the necessary elements. Remember to use short, concise
bullet points on the slides and expand on your points in the presenter’s notes.If you use 2 or
3 slides to address each of the parts in the above example, your presentation would be 10–
15 slides. • • • Speaker notes: Speaker notes should reflect what you would actually say if
you were delivering the presentation to an audience. Another presenter would be able to
use the presentation by following the speaker notes. APA format: Use APA formatting for in-
text citations. Include an APA-formatted reference slide at the end of your presentation.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to
support your assertions. Resources should be no more than 5 years old. Portfolio Prompt:
Remember to save the final assessment to your ePortfolio so that you may refer to it as you
complete the final Capstone course. Guidelines for Effective PowerPoint Presentations
Introduction One concern about visual presentations is that the technology used to create
them can be used in such a way that it actually detracts from the message rather than

4. enhances it. To help you consider carefully how your message is presented so that it reflects
care, quality, and professionalism, consider the information provided in the remaining
slides. NOTE: This presentation serves as an example in itself, by utilizing all of the
guidelines mentioned. Outline The following topics will be covered: ▪ Writing ▪ Bullets ▪
Organization ▪ Tables ▪ Audience ▪ Font ▪ Design ▪ Speaker Notes ▪ Images Writing ▪
Present ideas succinctly with lean prose. ▪ Use short sentences. ▪ Use active, rather than
passive voice. ▪ Avoid negative statements, if possible. ▪ Avoid double negative entirely. ▪
Check spelling and grammar. ▪ Discussion: Nurse Safety Improvement Care Plan &
Processes In Service PresentationUse consistent capitalization rules. Organization ▪
Develop a clear, strategic introduction to provide context for the presentation. ▪ Develop
an agenda or outline slide to provide a roadmap for the presentation. ▪ Group relevant
pieces of information together. ▪ Integrate legends and keys with charts and tables. ▪
Organize slides in logical order. ▪ Present one concept or idea per slide. ▪ Use only one
conclusion slide to recap main ideas. Audience ▪ Present information at language level of
intended audience. ▪ Do not use jargon or field-specific language. ▪ Follow the 70% rule—
If it does not apply to 70% of your audience, present it to individuals at a different time.
Design ▪ Use a consistent design throughout the presentation. ▪ Keep layout and other
features consistent. ▪ Use the master slide design feature to ensure consistency. ▪ Use
consistent horizontal and vertical alignment of slide elements throughout the presentation.
▪ Leave ample space around images and text. Images ▪ When applicable, enhance text-only
slide content by developing relevant images for your presentation. ▪ Do not use gratuitous
graphics on each slide. ▪ Use animations only when needed to enhance meaning. If selected,
use them sparingly and consistently. Bullets ▪ Use bullets unless showing rank or sequence
of items. ▪ If possible, use no more than five bullet points and eight lines of text total per
slide. Tables ▪ Use simple tables to show numbers, with no more than 4 rows x 4 columns.
▪ Reserve more detailed tables for a written summary. Font ▪ Keep font size at 24 point or
above for slide titles. ▪ Keep font size at 18 or above for headings and explanatory text. ▪
Use sans serif fonts such as Arial or Verdana. ▪ Use ample contrast between backgrounds
and text. Speaker Notes ▪ Summarize key information. ▪Provide explanation. ▪ Discuss
application and implication to the field, discipline or work setting. ▪ Document the
narration you would use with each slide. Running head: ROOT-CAUSE ANALYSIS AND
SAFETY IMPROVEMENT PLAN Root-Cause Analysis and Safety Improvement Plan Yailin
Mur Fernandez NURS-FPX4020 Capella University October, 2020 1 ROOT-CAUSE ANALYSIS
AND SAFETY IMPROVEMENT PLAN 2 Root-Cause Analysis and Safety Improvement Plan
Nurses play a central role in addressing quality improvement in healthcare and one of the
approaches is through identifying root-causes of medication errors and proposing methods
of addressing them. The incident of concern is a medication error whereby the nurse
administered the wrong dosage to a patient leading to temporary harm. This error occurred
in a large urban hospital in the medical wards. The event triggered the need for a root-cause
analysis of the factors leading to wrong dosage. This paper presents a root-cause analysis of
the event, discusses some evidence-based and best-practice strategies to address it, and
proposes a safety improvement plan to address the root-causes with the support of the
available organizational resources. Analysis of Root-Cause The identified event is a

5. medication error whose root cause could be one or more factors. Medication errors are
common the health care industry and they cause harm and death to numerous patients each
year. Medication errors cause adverse drug events and every year, 5% of patients in the
hospital experience an adverse drug event (Giardina et al., 2018).In addition to adverse
drug events, medication errors generally reduce the quality of care and safety of patients
hence affecting the reputation of the organization. Some events may attract litigation
against the health care organization and the nurse involved and hence medication errors
are costly. The incident described in the introduction led to an overdose of the prescribed
drug leading to poor health outcomes and extended hospital stay. The event was detected
by another nurse when the patient started exhibiting symptoms of drug overdose. A review
of the patient records showed that the attending nurse had administered two times the
required dose. The patient developed ROOT-CAUSE ANALYSIS AND SAFETY
IMPROVEMENT PLAN 3 acute confusion, anxiety, and hyperventilation. The event can be
related to human error and systems failure and hence this analysis seeks to correct these
two categories of causal factors. The incident was investigated by a team of four, including
the nurse manager, charge nurse, quality manager, and attending physician. The review of
patient records revealed that the indicated dosage in the prescriptions was doubled in the
nurse’s entry of the administered dosage. Therefore, the nurse administered the wrong
dosage and entered in the patient records. This overview presented an opportunity to
discuss the issue with the involved nurse. The nurse stated that the error occurred as a
genuine mistake and there must have been some confusion. The analysis then included
environmental and system factors. An overview of medication errors and the organizational
environment shows that the error can be attributed to high nurse workload and burnout. A
review of the medical ward showed that there was a serious shortage of staffing hence
nurses handled more acuity than they should. According to Johnson et al. (2017), a leading
cause of medication errors is nurse burnout and distraction.In this case, a high workload for
the nurse led to confusion of the medication dosage. Distractions also occur when the nurse
is interrupted when in the process of medication preparation and administration. Staff
workload led to low concentration in the process of medication administration and resulted
in the medication error. Another cause of medication errors such as the identified incident
is the standard processes implemented in the health unit. Systemic medication errors are
those caused by the design of the system as well as equipment and technology used. The
medication administration process allows nurses to prepare medication at the patient’s
bedside. Bedside medication preparation presents inherent risks in nurse distraction by the
patient, other patients in the ward, and other staff. In general, the stated event was caused
by human error contributed by workload ROOT-CAUSE ANALYSIS AND SAFETY
IMPROVEMENT PLAN 4 and distractions as well as the standard processes of medication
administration in the medical ward. Application of Evidence-Based Strategies Medication
errors have been linked to both interruptions and nurse workload. A study conducted in
Australia showed that 99% of all medication events had interruptions (Johnson et al., 2017).
These interruptions were mostly from other nurses and often non-care related. The
frequency of interruptions was associated with procedural failures and clinical errors.
Similarly, research showed that as nurse-patient-ratio increases, there is a decrease in

6. quality of care and number of medication errors related to nursing workload (Qureshi et al.,
2017).These causes of medication error show the need for interventions to reduce
distractions and nurse workload. The proposed strategies will address these two root
causes. Various strategies may be used to reduce nurse distractions and workload. First,
distractions and interruptions may be reduced through design of a process to ensure that
nurses are not interrupted during the medication preparation process. This process will
ensure that nurses can acquire a private space where they can prepare medication away
from the patient’s bedside and then go to the patient for administration. Regarding nurse
workload and process for medication administration, staffing and nurse training could be
implemented to reduce workload and increase the competence of nurses in offering care.
The two proposed strategies can be consolidated into a safety improvement plan using the
existing organizational resources to improve patient safety by limiting medication
administration errors. Safety Improvement Plan The proposed improvement plan presents
two major approaches to the medication administration challenge. The first approach is to
implement the ‘sterile cockpit’ concept to the ROOT-CAUSE ANALYSIS AND SAFETY
IMPROVEMENT PLAN 5 process of medication preparation to reduce nurse interruptions.
This concept is borrowed from the aviation industry whereby nonessential activities are
eliminated from the cockpit during critical phases of the flight (Ruby, 2016). Applied to
medication administration, this strategy avails a safe space for nurses to go and prepare
medications away from all nonessential activities. Previous research shows that the strategy
led to 42% reduction in medication errors (Ruby, 2016). The objective of this strategy is to
limit interruptions as much as possible and create an environment where the nurse can
concentrate on the crucial task at hand. This strategy will be implemented by creating a
medication preparation room whereby nurses will only be allowed if they are carrying out
this specific activity and interactions will be kept at minimum. The second strategy to be
used for this root cause is to implement staff recruitment and training in reducing
medication errors. Since staffing levels have been established as low in the organization and
contribute to medication errors, increasing the number of staff in the organization can
effectively reduce the number of errors. Regular staff awareness and training in patient
safety have also been established as causing a significant decrease in the rates of medication
errors (Di Simone et al., 2018). This strategy thus aims to increase the number of competent
nurses to reduce human error emanating from knowledge deficit. Wrong dosage could
emanate from the nurse’s inexperie