Root-Cause Analysis And Safety Improvement Plan Discussion Paper

Root-Cause Analysis And Safety Improvement Plan Discussion Paper

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Patient safety is of critical concern in healthcare settings. One of the integral aspects of patient safety is patient education. During this evaluation, the focus is addressing the root cause of the issue of inadequate patient education and having an evidence-based improvement plan that would help in ending this problem. Inadequate patient education can create misunderstandings, lack of compliance, and adverse situations. Patient safety is required to avert lawsuits and for bettered patient outcomes. As Ropero-Padilla et al. (2022) argued, comprehensive and targeted measures are needed to improve patient safety. Therefore, the following sections comprise of the root causes of the identified problem, evidence-based techniques, and a feasible improvement plan that involves adequate use of organizational resources for bettered patient outcomes.


Root Cause Analysis of Inadequate Patient Education

Healthcare is an integral aspect of life and there is a need to analyze and understand the root causes of common patient complaints. Various factors are responsible for inadequate patient education. One of the factors leading to inadequate patient education is lack of communication and collaboration between health providers and patients. As Cardoso et al. (2021) posits, communication is the cornerstone for effective communication in healthcare. Any breakdown of communication can lead to diverse patient safety concerns, including limited education. Mostly, communication gaps manifests between health personnel working in teams. Importance information on the treatment plan or even a patient’s condition may be inadequately communicated from one health personnel to the other. In the sequel, this leads to misunderstandings and omissions in patient education. Such communication gaps could cause inconsistent or incomplete information that is delivered to patients, thus subsequently limiting their ability to comprehend their conditions and treatment options. The issue leads to misunderstandings, delayed patient care, and lowered patient satisfaction.

Further, lack of consistencies in the protocols and procedures followed in a health organization can lead to inadequacy in patient education. Health providers may not adhere to standardized protocols and there is a risk of providing conflicting information to patients. Educational approaches that lack uniformity would cause confusion among patients and this would make it challenging to follow treatment plans or allow patients make informed decisions about their health situation. According to Cardoso et al. (2021), standardizing protocols would ensure that information provided to patients is consistent and accurate. As a result, this would create cohesive and effective educational process.

Additionally, lack of enough resources could impede effective patient education. Resources such as educational materials, technology, and staff members are needed for the comprehensive delivery of patient education. Limited resources could impede health personnel from conducting interactive sessions with patients for educational purposes. For effective patient education, there is a need to ensure that resources are available. Mainly, this could be through securing additional funding for the materials, investment in education, and optimization of staffing levels help to ensure that health providers have the time and resources to prioritize education.

Lastly, when staff working in a healthcare organization have limited training, they are likely to fail in providing effective patient education. Health providers play a critical role in patient education and deficiencies in staff training can affect the quality of education provided. When health professionals are not trained in effective communication strategies and how to educate patients, they could struggle in imparting information in a way that patients can understand. Deficiencies in staff training could lead to perpetuation of ineffective educational practices and hinder implementing evidence-based strategies. Addressing the deficiencies required training programs designed to ensure that health providers have the skills to provide high-quality education to patients.

Application of Evidence-Based Strategies

There are several strategies obtained from literature that could be implemented to improve patient education. One of these techniques is development of multimedia resources into the patient education framework (Abu-Baker et al., 2021). These resources can help in ensuring that the different learning preferences of patients are catered to and effective education is relayed. Multimedia resources such as videos, animations, and interactive presentations can provide visual and auditory reinforcement catering to different learning styles and increases the likelihood of retention of information. The improvement plan places a strong emphasis on the creation of patient-friendly materials. Informational materials will be designed to ensure they are easily understandable, culturally-sensitive, and tailored to the literacy levels of different patient populations. Mainly, these materials could use of plain language, visual aids, and translations where needed, hence fostering an inclusive and patient-centered view of education.

Recognition of the essence of engagement in the learning processes is integral for effective patient education (Abu-Baker et al., 2021). Incorporating interactive education can be done through workshops, group discussions, and technology-assisted platforms that encourage active participation. The sessions allow for a two-way communication flow and empower patients to seek clarification thus creating a collaborative approach. These strategies can create a platform where knowledge is shared effectively between healthcare providers and patients.

Improvement Plan

For this issue of inadequacy of patient care, there are certain recommended solutions that can be implemented structured through an improved plan that would bring forth positive changes in the healthcare facility. As part of the improvement plan, standardized protocols should be employed within the health organization on matters concerning patient education. As mentioned earlier, lack of standardization is one of the causes of inadequate patient education. By standardizing the protocols, issues such as misinformation of patients will be eliminated. Besides, nurses and health personnel will incorporate patient education as a critical aspect of the treatment process. Further, staff training programs will be considered to improve patient education. The staff working at the health facility should consider undergoing training that will help them to appreciate the importance of patient education in the treatment process. More so, with effective training, staff will get to understand ways and means of educating patients for improved knowledge on their health situation and treatment options. Lastly, integrating technology is needed for enhanced educational delivery. Regular evaluations and feedback loops should be included in the improvement plan for continued improvements and adaptability to the changing patient needs. When training patients, there is a need to include recent research and evidence-based practice findings (Abu-Baker et al., 2021). For this to be effective, technological resources are needed to ensure that health personnel gain access to the needed data and information that will help in fostering advancement in patient education.



Patient education is a critical aspect of healthcare that helps to bolster patient safety. A root-cause analysis done on this problem shows that lack of standardized protocols, inefficient communication, lack of staff training, and unavailability of resources are some of the factors caused inadequacy of patient education. Evidence-based strategies show that patient education can be aided through interactive sessions with patients and use of multimedia resources. The improvement plan recommends standardizing protocols, training of staff members, and incorporating technology to increase patient education and ensure issues of misinformation and under-information are addressed amicably.


Abu-Baker, N. N., AbuAlrub, S., Obeidat, R. F., & Assmairan, K. (2021). Evidence-based practice beliefs and implementations: A cross-sectional study among undergraduate nursing students. BMC Nursing20(1).

Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., Coutinho, V., Pinto, D., Ramis, M., Rodrigues, M. A., & Apóstolo, J. (2021). The effectiveness of an evidence-based practice (EBP) educational program on undergraduate nursing students’ EBP knowledge and skills: A cluster randomized control trial. International Journal of Environmental Research and Public Health18(1), 293.

Ropero-Padilla, C., González-Chordá, V. M., Mena-Tudela, D., Roman, P., Cervera-Gasch, Á., & Rodriguez-Arrastia, M. (2022). Root cause analysis for understanding patient safety incidents in nursing student placements: A qualitative content analysis. Nurse Education in Practice65, 103462. Root-Cause Analysis And Safety Improvement Plan Discussion Paper

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