Scenario
The specific safety concern identified in your previous assessment pertaining to medication administration safety concerns.
Instructions
The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern of medication administration safety based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.
Use the Root-Cause Analysis and Improvement Plan [DOCX] template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.
Additionally, be sure that your plan 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.
Analyze the root cause of a patient safety issue or a specific sentinel event pertaining to medication administration in an organization.
Identify organizational resources that could be leveraged to improve your plan for safe medication administration.
Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your Assessment 2 will focus on safe medication administration.
Assessment 3 Instructions: Improvement Plan In-Service Presentation (Powerpoint
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.
ScenarioFor this assessment it is suggested you take one of two approaches:
InstructionsThe final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service 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 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.
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.
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 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.
Reducing Medication
Errors
Presented by Samantha Hillskotter
Capella University
NHS-FXP 4020: Improvement Quality Care Patient Safety
Dr. Sandra Arnold
December 11th, 2022
In Service goals
• Understanding how common medication errors are in the healthcare
system
• Risks of medication errors to both patient and healthcare system
• Understand the causes of medication errors
• Understand our safety improvement plan to reduce errors
• Understand how we will implement our plan and timeline of plan
• Your role in the plan
Review medication errors, rates of occurrence and the
importance of reducing errors
What is our facilities improvement plan
In Service
agenda
How we be implementing our plan
Your role in all of this
Scenario practice
Questions and close
Why do we need to reduce medication errors?
• Up to 9,000 deaths annually in the United States
• A leading cause of death in the United States
• Poses a serious threat to public safety
• Approx 400,000 hospitalized patients experience preventable harm event each year
• Cost the medical facilities ($4 to $20 billion dollars depending on research)
Safety improvement plan
• Quiet space free from interruptions for placing medication
orders
• Electronic prescription ordering software
• Complete all required sections in the electronic order
• Safety Alerts when ordering outside a standard parameter
• Consult with a secondary provider/pharmacist following
system alert
• Reference back to the chart when contacted with questions
• Remain available by phone or pager
Implementation
of the plan
• Publishing the new policy standards and expectations
• Software training program for prescribing providers
• Software training program for pharmacists
• Provide additional training for superusers
• Provide a phone/pager for prescribing providers
• Designate a quiet space reserved for medication orders
• Increase computers across the system
• Provide 24/7 IT support via phone
• Soft rollout after three months of training and time to practice
prior to needing to order medications for real patients
it starts with who? You!
• First and foremost, foster a workplace that supports SAFETY
• Always utilize a quiet area to submit medication orders
• NEVER override the the built-in safety system
• If you feel you need to, obtain a second opinion and review the orders
• Follow up with the pharmacist or another advanced provider
• Do not abbreviate when writing orders or when administering
• Use barcode system and patient identification system
• Cross check high alert medications
• Always call pharmacist when in doubt!
Let us practice
• You are attempting to fill out an electronic prescription on the computer.
• You are attempting to order Prednisone 20mg tablets.
• You type the drug name and select Prednisone.
• You select 20mg strength tablets and you enter the quantity as “50” tablets
• You select the PO box for route and request the pharmacy to fill this STAT
• Upon reviewing your order, you hit submit and receive an alert box to review the
tablet amount.
• Upon dismissing the alert box, you receive a best practice alert telling you this
prescription is out of typical practice
What happens now?
• You are now forced to go back and review your order before submitting it to the
pharmacist.
• Upon reviewing your order, you are required to reenter the amounts to verify the
amount you want to order
• Upon entering “50” tablets, the computer gives you another alert box stating this
is an abnormally high value
• You are required to stop and review your order. You are required to consult a
second provider or pharmacist
• You realize that 50 tablets is a lot to order and call the pharmacist to discuss this
• The pharmacist asks if you meant for this patient to receive the medication via IV
route instead
• You realize this is best practice and glad that the computer system caught the error
prior to submitting to be filled
Questions, comments, or concerns?
• Any questions? Comments? Ideas? Concerns? Funny Jokes?
Anything?
• Email us at shillskotter@capellauniversity.edu with future
questions
• Fill out the survey with QR code located at the door
• Monthly email surveys will be sent out to assess
implementation of this safety plan. Please fill these out!
References
Albarrak, A. I., Al Rashidi, E. A., Fatani, R. K., Al Ageel, S. I., & Mohammed, R. (2022). Assessment of legibility and completeness of handwritten and electronic prescriptions. Saudi
Pharmaceutical Journal, 22(6), 522–527.
Center for Drug Evaluation and Research. (2019, August 23). Working to Reduce Medication Errors. U.S. Food And Drug Administration. Retrieved December 10, 2022,
from https://www.fda.gov/drugs/information-consumers-and-patients-drugs/working-reduce-medication-errors
One Dose, Fifty Pills (AHRQ). (n.d.). Institute for Healthcare Improvement. Retrieved December 10, 2022, from
https://www.ihi.org/education/IHIOpenSchool/resources/Pages/Activities/AHRQCaseStudyOneDoseFiftyPills.aspx
Rodziewicz, T., Houseman, B., & Hipskind, J. (2022, May 1). Medical Error Reduction and Prevention. National Library of Medicine; StatPearls Publishing. Retrieved December 11, 2022,
from https://www.ncbi.nlm.nih.gov/books/NBK499956/
Tariq, R., Vashisht, R., Sinha, A., & Scherbak, Y. (2022, July 3). Medication Dispensing Errors and Prevention. National Library of Medicine. Retrieved December 10, 2022,
from https://www.ncbi.nlm.nih.gov/books/NBK519065/
Vaghasiya, M. R., Penm, J., Kuan, K. K. Y., Gunja, N., Liu, Y., Kim, E. D., Petrina, N., & Poon, S. (2021). Implementation of an Electronic Medication Management System in a large tertiary hospital: a case
of qualitative inquiry. BMC medical informatics and decision making, 21(1), 226. https://doi.org/10.1186/s12911-021-01584-w
Whitney Rooper
NHS-FPX4020: Improving Quality of
Care and Patient Safety
Ami Bhatt | May 2023
WHAT ARE MEDICATION ERRORS?
• Why do they occur?
SAFETY IMPROVEMENT PLAN (SIP)
• Implementation of the SIP
Q&A, FEEDBACK & ENGAGEMENT
05/ 15/ 2023
P REVENTI O N OF MEDICA T I O N ERRORS
2
LACK OF MEDICATION
KNOWLEDGE
In the ED a wide variety of medications
in varying dosages are given based on
patient acuity. So instead of just
needing to know a certain class of
medications, ED nurses need to be
NURSE : PATIENT RATIOS
The American Academy of Emergency
Medicine (AAEM) asserts a nurse to
patient ratio of no more than 1:3.
familiar with a wider variety of drugs.
HIGH SPEED CHAOTIC
WORK ENVIRONMENT
One challenge that is specific to the
ED are, “the increased number of
verbal orders, a chaotic environment
with rapidly changing census, and a
variable patient type and load”
(Owens, et al., p. 884).
05/ 15/ 2023
P REVENTI O N OF MEDICA T I O N ERRORS
3
5 RIGHTS OF
MEDICATION
ADMINISTRATION
BAR-CODE
MEDICATION
ADMINISTRATION
Keep it simple. Slow down,
do yourself the favour and
double check yourself.
Scan ALL of your medications.
ONGOING
MEDICATION
EDUCATION
Implementation of the
Medication of the Week
When overrides are necessary
save the medication packaging
to scan later.
WHEN IN DOUBT?
CALL PHARMACY!
We’re all on the same team.
Take advantage of your
available resources.
05/ 15/ 2023
P REVENTI O N OF MEDICA T I O N ERRORS
4
WHERE TO FIND
THE SIP
Break Room
Employee Intranet
Your email
HOW TO USE THE
SIP
Education Section
Q&A Section
“If this occurs, THEN…” Section
WHAT TO DO WHEN
AN ERROR OCCURS
What defines an error?
How to report the error
Follow up on the error
05/ 15/ 2023
P REVENTI O N OF MEDICA T I O N ERRORS
5
Q&A SESSION
What questions do you
have for me?
Did you find this training
helpful?
05/ 15/ 2023
FEEDBACK
QUESTIONNAIRE
Please fill out either the paper
questionnaire provided here on
whether this education material
was helpful, or the online
questionnaire that will be
emailed to you.
P REVENTI O N OF MEDICA T I O N ERRORS
FUTURE IDEAS
What topics would you be
interested in having future
education sessions
regarding?
7
05/ 15/ 2023
P REVENTI O N OF MEDICA T I O N ERRORS
8
Whitney Rooper
NHS-FPX4020: Improving Quality
of Care and Patient Safety
Ami Bhatt | May 2023
05/ 15/ 2023
P REVENTI O N OF MEDICA T I O N ERRORS
9
1
Root-Cause Analysis and Improvement Plan
Your Name
School of Nursing and Health Sciences, Capella University
NURS-FPX4020: Improving Quality of Care and Patient Safety
Instructor Name
Month, Year
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
2
Root-Cause Analysis and Improvement Plan
According to Spath (2011), root-cause analysis is a methodical approach that aims to
discover the causes of adverse events and near misses for the purpose of identifying
preventive measures (as cited in Charles et al., 2016). A root-cause analysis of falls in
geropsychiatric patients was conducted at an inpatient mental health unit. The paper describes
and analyzes falls and discusses evidence-based strategies to reduce falls and determine a
safety improvement plan based on the utilization of existing organizational resources to
address these falls.
Root-Cause Analysis of Falls in Geropsychiatric Inpatients
According to Murphy, Xu, and Kochanek (2013), the Centers for Disease Control and
Prevention reported that falls were a leading cause of unintentional injury death in adults
aged 65 and above (as cited in Powell-Cope et al., 2014). Fall-related injuries that can lead to
serious head trauma are common among older adults. Injury falls are serious and could lead
to fractures, head injury, and intracranial bleed. According to the National Quality Forum
(2011), injury falls in older adults are almost always preventable (as cited in Powell-Cope et
al., 2014). Fall-related injuries prolong the stay of patients at the hospital and aggravate their
health conditions (Powell-Cope et al., 2014).
Considering the adverse implications of falls in such patients, a root-cause analysis
was conducted on the 20 cases of falls reported over a period of one year at a geropsychiatric
inpatient facility. The aim of the analysis was to understand the causes of falls in
geropsychiatric patients at the unit. The analysis was conducted by a team of five experts
including clinicians, supervisors, and quality improvement personnel. The cases reported had
been registered by a team of nurses who collated the data related to the falls. All the falls
were described as cases of slipping or tripping, and patients mostly sustained injuries
involving pain, mild swelling, and abrasions, with only two of the cases involving minor
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
3
fractures. It was also observed that all the falls occurred near the beds of patients and during
the evening or night shifts when nursing teams were more likely to be understaffed.
Geropsychiatric patients are known to be susceptible to falls under the influence of
drugs such as antidepressants and antipsychotics. Orthostatic hypotension (decrease in blood
pressure within three minutes of standing), ataxia (lack of voluntary muscular control caused
by injury to the central nervous system), and extrapyramidal slowing (impaired motor
functions) due to the use of drugs such as antidepressants, antipsychotics, sedatives,
hypnotics, alpha-blockers, and non-benzodiazepines are often found to be linked to these
kinds of falls (Powell-Cope et al., 2014). The team of experts reviewed the reports of falls
and noted that in over 50% of the cases, patients had been ambulating under the influence of
drugs. It was also noted that 80% of the patients who fell while ambulating under the
influence of drugs had been prescribed zolpidem.
At least 40% of the falls could be attributed to generalized weakness, disorientation,
and difficulty with mobility. Fall and injury risks are often complicated by behavioral
circumstances such as anger, anxiety, hyperarousal, and the inability to call for help or to
remember to call for help. Physical conditions that occur with substance abuse (such as
malnourishment and dehydration) co-exist with psychiatric disability and cause further
complications (Powell-Cope et al., 2014).
Another factor that plays a role in patient safety is infrastructure in hospitals. This was
particularly noteworthy as all the falls studied had occurred when patients ambulated near
their beds. The use of beds with adjustable height, bed- and chair-exit alarms, and nonskid
footwear are known to prevent fall-related injuries in psychiatric patients (Powell-Cope et al.,
2014).
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
4
Application of Evidence-Based Strategies to Reduce Falls
Considering that all the falls reported occurred near the patients’ beds, infrastructural
changes such as the installation of bed- and chair-exit alarms are recommended. Falls from
beds are common in patients with cognitive impairments. Installing electronic alarm systems
was found to be a feasible and effective fall prevention strategy in such cases (Wong Shee,
Phillips, Hill, & Dodd, 2014).
Strategies such as team engagement and proactive planning to avoid falls can be
implemented in inpatient geropsychiatric wards. Forming a quality and patient safety team
can serve as an essential safety net and drive a proactive approach rather than a reactive one
toward reducing sentinel events. Such a team could include existing staff in the unit that are
selected based on their skills and experience. The primary focus of the team would be to
identify, evaluate, measure, and improve processes and activities related to patient safety
within the unit (Serino, 2015).
Better management of medication must be implemented to reduce falls that occur
under the influence of drugs. Administering melatonin instead of zolpidem reduces the level
of sedation. Lower levels of sedation reduce the frequency of patients’ visits to the bathroom
at night as well as the aftereffects of sedatives in the morning (Powell-Cope et al., 2014).
Improvement Plan
The improvement plan involves a two-pronged approach: improving staff
effectiveness and coordination and implementing environmental modifications. The first part
of the plan focuses on increasing the effectiveness of patient monitoring and staff
coordination through intentional rounding, one-to-one observation of patients, and increased
communication among staff. Intentional rounding is a system wherein the nursing staff
conduct structured routine checks on patients at regular intervals. The duration of intervals is
decided based on the needs of patients in the unit. Intentional rounding is known to be
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
5
particularly effective in reducing falls (Morgan et al., 2016). One-to-one observation is
recommended for high-fall-risk patients. One-to-one observation of patients by moving them
close to the nurse’s station aids effective monitoring and reduces the risk of falls. Sentinel
events can be prevented by promoting interdisciplinary collaboration in health care. Good
communication and collaboration between physicians, therapists, kinesio therapists, and
occupational therapists are essential in monitoring patient activity (Powell-Cope et al., 2014).
The second part of the improvement plan focuses on environmental modifications to
existing infrastructure in the unit to reduce falls. Installing chair- and bed-exit alarms to alert
staff when a patient attempts to leave the chair or bed has proven to be effective in reducing
falls. These alarms can be attached to the patient directly or to the chair or bed the patient
uses (Wong Shee et al., 2014). Other recommended environmental modifications include
using creative display signage beside patients’ beds. This could be magnets next to the name
of a fall-risk patient on a white board or the sign of a leaf on a patient’s bedroom door. Such
displays alert staff and visitors of the risk involved with each patient. The use of nonslip
strips on floors (especially in bathrooms) and the installation of geriatric-friendly sanitary
ware such as handrails, assist bars, shower chairs, and raised toilet chairs enhance patient
safety (Powell-Cope et al., 2014). The attending staff in the unit would have to be trained to
facilitate and monitor the use of environmental modifications such as electronic alarms to
ensure their successful implementation.
It is crucial to identify and leverage existing organizational resources when
implementing the improvement plan. The first part of the improvement plan involves
utilizing the skills and expertise of existing staff members rather than hiring new members to
assist in fall prevention. To improve monitoring of patients, the staff members are trained on
intentional rounding techniques and one-to-one observation. The environmental interventions
suggested in the second part of the plan involve the installation of additional components to
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
6
existing hospital fixtures such as chairs, beds, doors, and floors. Leveraging existing
resources reduces the overall cost and effort involved in implementing the plan and ensures
minimal disruption to ongoing patient routines and staff-led fall-prevention practices within
the unit.
Conclusion
Falls are the leading cause of unintentional injury deaths in geropsychiatric patients
and are largely preventable. A root-cause analysis of falls in such patients was conducted at
an inpatient mental health unit. Infrastructural gaps and ambulation under the influence of
drugs were found to be primary factors that precipitated the falls reported in the unit. The
paper discusses evidence-based strategies such as medication management, installation of
electronic alarms, and formation of a quality and patient safety team that would help reduce
falls. A two-pronged improvement plan was formed to systematically reduce falls in the unit.
The plan involved improving staff effectiveness and coordination and implementing
environmental modifications.
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
7
References
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., . . . Hake, M. E.
(2016). How to perform a root cause analysis for workup and future prevention of
medical errors: A review. Patient Safety in Surgery, 10.
http://dx.doi.org.library.capella.edu/10.1186/s13037-016-0107-8
Morgan, L., Flynn, L., Robertson, E., New, S., Forde‐Johnston, C., & McCulloch, P. (2016).
Intentional rounding: A staff‐led quality improvement intervention in the prevention
of patient falls. Journal of Clinical Nursing, 26(1-2), 115–124.
http://dx.doi.org/10.1111/jocn.13401
Powell-Cope, G., Quigley, P., Besterman-Dahan, K., Smith, M., Stewart, J., Melillo, C., …
Friedman, Y. (2014). A qualitative understanding of patient falls in inpatient mental
health units. Journal of the American Psychiatric Nurses Association, 20(5), 328–339.
https://doi.org/10.1177/1078390314553269
Serino, M. F. (2015). Quality and patient safety teams in the perioperative setting. AORN
Journal, 102(6), 617–628. https://doiorg.library.capella.edu/10.1016/j.aorn.2015.10.006
Wong Shee, A., Phillips, B., Hill, K., & Dodd, K. (2014). Feasibility, acceptability, and
effectiveness of an electronic sensor bed/chair alarm in reducing falls in patients with
cognitive impairment in a subacute ward. Journal of Nursing Care Quality, 29(3),
253–262. http://dx.doi.org/10.1097/NCQ.0000000000000054
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
1
Root-Cause Analysis and Safety Improvement Plan
Your Name
School of Nursing and Health Sciences, Capella University
NURS4020: Improving Quality of Care and Patient Safety
Instructor Name
Month, Year
2
Root-Cause Analysis and Safety Improvement Plan
Introduce a general summary of the issue or sentinel event that the root-cause analysis
(RCA) will be exploring. Provide a brief context for the setting in which the event took place.
Keep this short and general. Explain to the reader what will be discussed in the paper and this
should mimic the scoring guide/the headings.
Analysis of the Root Cause
Describe the issue or sentinel event for which the RCA is being conducted. Provide a
clear and concise description of the problem that instigated the RCA. Your description should
include information such as:
•
What happened?
•
Who detected the problem/event?
•
Who did the problem/event affect?
•
How did it affect them?
Provide an analysis of the event and relevant findings. Look to the media simulation, case
study, professional experience, or another source of context that you used for the event you
described. As you are conducting your analysis and focusing on one or more root causes for your
issue or sentinel event, it may be useful to ask questions such as:
•
What was supposed to occur?
o Were there any steps that were not taken or did not happen as intended?
•
What environmental factors (controllable and uncontrollable) had an influence?
•
What equipment or resource factors had an influence?
•
What human errors or factors may have contributed?
•
Which communication factors may have contributed?
3
These questions are just intended as a starting point. After analyzing the event, make sure you
explicitly state one or more root causes that led to the issue or sentinel event.
Application of Evidence-Based Strategies
Identity best practices strategies to address the safety issue or sentinel event.
•
Describe what the literature states about the factors that lead to the safety issue.
o For example, interruptions during medication administration increase the risk of
medication errors by specifically stated data.
o Explain how the strategies could be addressed in safety issues or sentinel events.
Improvement Plan with Evidence-Based and Best-Practice Strategies
Provide a description of a safety improvement plan that could realistically be
implemented within the health care setting in which your chosen issue or sentinel event took
place. This plan should contain:
•
Actions, new processes or policies, and/or professional development that will be
undertaken to address one or more of the root causes.
o Support these recommendations with references from the literature or professional
best practices.
•
A description of the goals or desired outcomes of these actions.
•
A rough timeline of development and implementation for the plan.
Existing Organizational Resources
Identify existing organizational personnel and/or resources that would help improve the
implementation or outcomes of the plan.
o A brief note on resources that may need to be obtained for the success of the plan.
4
o Consider what existing resources may be leveraged to enhance the improvement
plan?
Conclusion
5
References
Reference page should be double spaced throughout without extra spaces between entries.
Each reference page entry should be formatted according to APA 7 guidelines with a hanging
indent as is seen here.
6/27/23, 1:07 AM
Improvement Plan In-Service Presentation Scoring Guide
Improvement Plan In-Service Presentation Scoring Guide
CRITERIA
NON-PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
List clearly the
purpose and goals
of an in-service
session focusing on
safe medication
administration for
nurses.
Does not list the
purpose and goals of an
in-service session
focusing on safe
medication
administration for
nurses.
Lists with insufficient
clarity the purpose and
goals of an in-service
session on safe
medication
administration for
nurses.
Lists clearly the
purpose and
goals of an inservice session
on safe
medication
administration for
nurses.
Lists clearly the
purpose and goals of
an in-service session
on safe medication
administration for
nurses, with purpose
and goals that are
relevant and
achievable within the
in-service session.
Explain the need
and process to
improve safety
outcomes related to
medication
administration.
Does not describe the
need and process to
improve safety
outcomes related to
medication
administration.
Describes a safety
improvement outcome
for medication
administration, but the
described need for the
improvement or
process to achieve
improvement is unclear
or irrelevant.
Explains the need
and process to
improve safety
outcomes related
to medication
administration.
Explains the need and
process to improve
safety outcomes
related to medication
administration, with
reference to specific
data, evidence, or
standards to support
the explanation.
Explain audience’s
role in and
importance of
making the
improvement plan
focusing on
medication
administration
successful.
Does not describe the
audience’s role in and
importance of making
the improvement plan
focusing on medication
administration
successful.
Describes the
audience’s role in the
improvement plan
focusing on medication
administration but does
not clearly address how
the audience is
important to the
success of the
improvement plan.
Explains
audience’s role
and importance of
making the
improvement plan
focusing on
medication
administration
successful.
Explains audience’s
role and importance of
making the
improvement plan
focusing on medication
administration
successful, using
persuasive and
transparent
communication to
improve buy-in.
Create resources or
activities to
encourage skill
development and
process
understanding
related to a safety
improvement
initiative on
medication
administration.
Does not list resources
or activities related to
safe medication
administration.
Lists resources or
activities related to safe
medication
administration, but their
relevance to skill
development or
process understanding
related to a safety
improvement initiative
is unclear.
Creates resources
or activities to
encourage skill
development and
process
understanding
related to a safety
improve initiative
on medication
administration.
Creates resources or
activities to encourage
skill development and
process understanding
related to a safety
improve initiative on
medication
administration,
explaining their value.
Slides are easy to
read and error free.
Detailed speaker
notes are provided.
Speaker notes are
clear, organized, and
professionally
presented.
Slides are difficult to
read with multiple
editing errors. No
speaker notes provided.
Slides are easy to read
with few editing errors.
Speaker notes are
sufficient to support the
slides.
Slides are easy to
read and error
free. Detailed
speaker notes are
provided.
Slides are easy to read
and clutter free. Slide
background is
“visually” pleasing with
a contrasting color for
the text and may utilize
graphics. Detailed
speaker notes are
provided.
Organize content
with clear purpose
or goals and with
relevant and
Does not organize
content with clear
purpose or goals.
PowerPoint slides do
Organizes content with
clear purpose or goals.
PowerPoint slides do
not consistently support
Organizes content
with clear purpose
or goals and with
relevant and
Organizes content with
clear purpose or goals.
PowerPoint slides
support main points,
https://courserooma.capella.edu/bbcswebdav/institution/NURS-FPX/NURS-FPX4020/220700/Scoring_Guides/a03_scoring_guide.html
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6/27/23, 1:07 AM
Improvement Plan In-Service Presentation Scoring Guide
CRITERIA
NON-PERFORMANCE
BASIC
PROFICIENT
DISTINGUISHED
evidence-based
sources (published
within 5 years).
not support main points,
assertions, arguments,
conclusions, or
recommendations.
Sources are not
relevant or evidencebased (published within
5 years).
main points, assertions,
arguments,
conclusions, or
recommendations with
relevant and evidencebased sources
(published within 5
years).
evidence-based
sources
(published within
5 years).
assertions, arguments,
conclusions, or
recommendations with
relevant and evidencebased sources
(published within 5
years).
https://courserooma.capella.edu/bbcswebdav/institution/NURS-FPX/NURS-FPX4020/220700/Scoring_Guides/a03_scoring_guide.html
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Formatting
Title Page
Citation
Outline
