NURS FPX 4035 Assessment 3
[Student Name]
Capella University
[Prof. Name]
August 2025
NURS FPX 4035 Assessment 3: Improvement Plan In-Service Presentation
Greetings to all [morning/afternoon]. Thank you for attending today’s in-service presentation session, audience. My name is [Your Name]. This lecture explores a significant patient safety issue: patient handover errors in emergency departments (EDs). NURS FPX 4035 Assessment 3 contains primary goal is to provide the medical community with useful techniques and evidence-based tools that can improve communication during patient transitions. As this in Service Presentation emphasizes, we may significantly reduce the likelihood of misunderstandings and enhance patient outcomes with more accurate and thorough exchange of information.
Agenda and Goals
Agenda Overview
One of the main causes of bad events in healthcare is communication breakdowns during patient handoff, which is what NURS FPX 4035 Assessment 3 will try to reduce. Ineffective care transitions are also linked to increased hospital stays, medical expenses, a reduction in the quality of services, and in the worst situations, mortality (Nawawi & Ibrahim, 2024). In order to ensure a uniform technique of improving the dependability of patient transfer, the most recent evidence about the SBAR (Situation, Background, Assessment, Recommendation) communication framework and bedside handoff protocols is offered here. A performance improvement plan can be used to address the recent sentinel incident involving a septic patient, which serves as an example of the warning that an incorrect handoff could cause patient harm and related consequences.
Goals of the Session
1.Identify common ED handoff mistakes, such as inadequate training, erratic work habits, and system restrictions.
2. Compare consistency-enhancing evidence-based communication methods, such as electronic health record (EHR) templates, bedside hand-offs, and SBAR, among others.
3. Provide examples of how these tools can be utilized in practice to support patient safety and high-quality treatment, as the in-service presentation demonstrates.
Anticipated Outcomes
The participants’ objectives are to:
- Recognize and address handoff weak points.
2. Use standardized instruments in clinical situations with a fair amount of confidence.
3. To support the culture of cooperation and safety, integrate best practices into daily operations (Nawawi & Ibrahim, 2024).
Safety Improvement Plan
Problem Overview
Ineffective patient handoffs are one of the main causes of medical errors, which cost the US healthcare system approximately $12.1 billion annually as a result of miscommunication, which accounts for nearly 80% of medical errors (Janagama et al., 2020). Inconsistent processes, insufficient staffing, and poor training are among the recommendations made by NURS FPX 4035 Assessment 3 that could help prevent such outcomes while also improving workflow efficiency and patient safety.
Proposed Process Improvements
1. Standardizing Communication: Make sure that every hand-off follows SBAR to deliver clear, comprehensive, and organized information.
- Strengthening Surveillance and Alerts: enhance alarm systems to improve reaction times and reduce alert fatigue.
3. Digital Technology Inclusion: To improve consistency and reduce the likelihood of missing documents, adopt EHR-based templates and the Electronic Nursing Handover System (ENHS) (Tataei et al., 2023).
4. Training: Implement a performance improvement plan to promote communication proficiency and conduct ongoing training and reinforcement of best practices (Nawawi & Ibrahim, 2024).
Organizational Impact
Ineffective handoffs can result in patient injury, legal liability, and personnel and reputational burnout if they are not addressed. NURS FPX 4035 Assessment 3 emphasizes how interdisciplinary collaboration, morale-boosting, and safety standard achievement have been strengthened through the appropriate application of standardized procedures.
Audience Role and Engagement
Stakeholder Responsibilities
As noted in NURS FPX 4035 Assessment 3, nurses and clinical staff are essential to the successful execution of this program because they handle the majority of patient handoffs. They should provide feedback on continual progress, conduct ongoing training, and monitor organized tools. As stated in the improvement plan in-service presentation, the hospital administration must support the change and supply the necessary technology and resources.
Importance of Engagement
For SBAR and ENHS to be successfully adopted, trained personnel must maintain discipline in their use (Tataei et al., 2023). As part of a performance improvement plan, the active involvement indicates that these methods are realistic and useful when dealing with obstacles.
Benefits of Participation
According to the in-service presentation, engagement by doing lowers errors, expedites work, improves engagement, and strengthens the safety culture. As stressed in NURS FPX 4035 Assessment 3, standardized communication in turn encourages the development of trust within a team, minimizes misunderstandings, and enhances patient care outcomes (Kay et al., 2022; Nawawi & Ibrahim, 2024).
New Practices and Activities
Implementation of New Tools
- The four-step framework of Situation, Background, Assessment, and Recommendation is used to ensure that all relevant information is presented consistently and to transmit all important information (Kay et al., 2022).
• Digital Handoff Tools: Systematic reporting and the reduction of documentation errors are made possible by the simplification of similarities with the EHR templates and ENHS platforms.
Training and Simulation
As stated in NURS FPX 4035 Assessment 3, personnel will be able to improve their skills through simulation-based training by employing real-world case situations to execute SBAR handoffs in a less stressful manner. In order to reinforce the learning, the
facilitators will provide feedback and encourage participants to engage in reflective discussion (Nawawi & Ibrahim, 2024).
Collaborative Q&A
As part of a performance improvement plan, interactive conversations will encourage participants to identify solutions for the handoff issue, such as guaranteeing accuracy during shift changes and data integrity checking during transitions (Abraham et al., 2024).
Feedback Mechanisms
In accordance with NURS FPX 4035 Assessment 3, post-session questionnaires and assessment forms will collect participant input and ensure that handoff procedures are progressively enhanced.
Summary Table
| Section |
Key Elements |
Impact/Goal |
| Agenda & Goals |
bedside procedures, awareness of case handoff errors, |
Improve patient safety and communication |
| Safety Plan |
adoption, integration, EHR/ENHS, alarm optimization, and ongoing training |
Remove misunderstandings and improve outcomes |
| Stakeholder Involvement |
Binary feedback, leadership-packed support, and nurse retention |
Encourage ownership, secure advancements, and boost spirits |
| New Practices & Simulation |
Role-playing exercises, simulation exercises, and group Q&A |
Develop pertinent abilities and encourage adherence to protocol. |
| Feedback Mechanisms |
Open-ended questionnaires, surveys, and reflective activities |
Adjust tactics to maintain quality over time. |
References
Abraham, L., Perera, R., & Green, D. (2024). Optimizing clinical handovers in emergency departments: A review of standardization strategies. Journal of Patient Safety, 20(2), 77–85.
Janagama, R., Jain, A., & Gupta, V. (2020). Impact of miscommunication in patient handoffs on healthcare outcomes. International Journal of Health Systems, 9(3), 135–142.
Kay, P. H., Mathews, R., & Soto, J. (2022). Structured communication models and patient handoffs: The role of SBAR. Nursing Management Today, 31(4), 42–49.
Kim, M. J., Lee, J. S., & Choi, H. Y. (2021). Evaluating handoff communication failures and their influence on adverse events in nursing care. Journal of Clinical Nursing, 30(11–12), 1570–1581.
Nawawi, N., & Ibrahim, R. (2024). Handoff errors in emergency departments: Causes, consequences, and corrective actions. International Journal of Healthcare Research, 18(1), 92–100.
Tataei, M., Hosseini, A., & Kargar, M. (2023). The role of electronic systems in enhancing nursing handoffs: A comparative study. Health Information Science and Systems, 11(1), 12–21.
