NURS FPX 4035 Assessment 1 Enhancing Quality and Safety
NURS FPX 4035 Assessment 1 Enhancing Quality and Safety Student Name Capella University NURS-FPX4035 Enhancing Patient Safety and Quality of Care Professor Name Submission Date Enhancing Quality and Safety One of the most current problems in patient safety is poor patient education, as poor knowledge about the disease, treatment plans, and patient care upon discharge could lead to negative events, medication errors, and re-admission. Poor health literacy, time wasted while delivering nursing care, and ineffective communication strategies are the factors that have contributed to poor patient education in medical-surgical units, which will be evaluated. Evidence-based solutions that will be discussed in the analysis include: structured teaching protocols, teach-back techniques, and incorporation of interdisciplinary education tools. The baccalaureate prepared nurses will play a vital role in coordinating care and educating patients on a patient-centered approach to promote knowledge, compliance, and safety in overall patient outcomes. Based on this analysis, it is concluded that an intervention with a patient-centred, team approach is required to improve patient education and reduce unnecessary complications as well as to increase quality and safety in hospital medical-surgical departments. Scenario Mr. Robert Miller was a 62-year-old patient who presented to Silver Oak Medical Center as a patient in the medical-surgical unit, due to bowel surgery. The patient received inadequate and unclear education about his medications, wound care, and discharge, with no active approach implemented to ensure patient understanding, due to high patient load and time. After discharge, Mr Miller got confused with his medication regimen and was not able to take care of his wound, leading to a surgical site infection and readmission. It shows that preventable complications develop, that the cost of health care is high, and thatpatient securityt is not ensured, due to insufficient patient education, bad communication, and unstructured teaching in medical-surgical units. Causes of Low-Quality Patient Education: Hospital Medical-Surgical Unit Poor level of patient education and lack of the right knowledge of disease processes, treatment plan, and discharge instructions are seen as one of the patient safety issues with a significant impact in the high-acuity units –hospital medical-surgical units (Patrician et al., 2022). The study has shown that inadequate patient education is a risk factor that increases the risk of medication errors, non-adherence to treatment, preventable readmission, and adverse events, as in Mr Miller. These factors are: lack of health literacy, lack of time in nursing care, incoherence in communication between health care team members, and ad hoc education while being hospitalized. These issues are also caused by higher patient turnover and workloads, and patients are put at risk of misunderstanding crucial information. Systemic factors are not to be overlooked either. Insufficient education for patients, the inconsistent implementation of the teach-back method, and the absence of interprofessional teams compromise successful teaching. To mention only one example: if a patient is discharged after the surgical procedure without receiving information about wound care and medication usage, then he or she may be susceptible to preventable complications and be readmitted or slowed in their recovery (Bonilla et al., 2025). This has led to high morbidity, low levels of patient satisfaction, and high costs of healthcare. One of the quality checks, which is also considered by the regulatory bodies like The Joint Commission and Centers for Medicare and Medicaid Services (CMS), regards associates’ lack of education and the risk of them being punishable and harming the reputation of the hospitals. Evidence-Based and Best-Practice Solutions Systematic teaching, improved communication, as well as interdisciplinary help, is the basis of evidence-based interventions that could improve patient education. Recent studies show that the use of structured discharge education plans, and in particular a teach-back strategy, is associated with significant improvement in patient knowledge, reduction in the incidence of post-discharge complications and readmission rates (Gullet & Tastan, 2025). In a similar way, literature by Chishtie et al (2023) showed that the information delivered to patients via patient education modules and reminders created by the electronic health records (EHR) in a medical-surgical unit could be useful at regular intervals to patients like Mr. Miller. Patient education has also been proven to empower this med-surgical unit into a position of avoiding unnecessary readmission and unnecessary service provision, which has resulted in a huge reduction in costs incurred. Team models enhance patient knowledge and safety, too. With the nursing staff, physicians, pharmacists, and case managers, education rounds can be implemented to answer the patients’ questions, help with instructions, and plan care (Bechir & Anja, 2025). The concept of quality and safety education in nurses (QSEN) accentuates the fact that communication, collaboration, and informatics skills, focusing on the patient, are necessary to induce understanding and adherence (Altmiller and Pepe, 2022). Mr. Miller’s case demonstrated that a low education level can result in complications, avoidable hospital readmission, longer hospital stay, and increased costs, and can contribute to thousands of dollars per avoidable hospital readmission (Wójcik et al., 2022). Increased communication using structured communication tools (e.g., teach-back strategies, written discharge instructions, follow-up calls) may decrease the error rate, improve patient outcomes, and decrease unnecessary healthcare spending (Mashhadi et al., 2021). These methods make sure that the patient is empowered, motivated, and assured that he or she can choose to manage his or her health outside of the hospital. Nursing Role in Coordinating Care Educated nurses with a Bachelor of Nursing degree can easily arrange care and to encourage educational activities with patients in the medical-surgical unit. Nurses first conduct a detailed evaluation and determine the patients’ lack of understanding or knowledge. For instance, if the nurse detects that Mr Miller does not comprehend the drug regimen or the care of the wound, then a nurse may give him/her a little specialized training which will help him/her to continue the treatment program correctly (Hyland et al., 2021). Secondly, the role of the nurse should be to encourage the continuity of information through to patients by ensuring there are structured methods and devices for communicating the information between patients, from nurse to patient, and between nurses during transfer or shift,

