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WGU C229: Assessment 4 Improvement Plan Tool-Kit | 2026 Update

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WGU C229: Assessment 4 Improvement Plan Tool-Kit | 2026 Update

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Improvement Plan Tool-Kit




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Improvement Plan Tool-Kit

The aim of this improvement plan toolkit is to enable nursing practitioners to implement

recommended changes, measure their impact, and ensure their sustainability in the emergency

department unit. It has three categories with three sources. Each category provides sources that

can aid in implementing the recommended changes. The categories include implementing

standardized hand-off communication, improving adherence to protocols, and measuring impact

of quality improvement projects.

Annotated Bibliography

Implementing Standardized Hand-Off Communication

Appelbaum, R. D., Farrell, M. S., Hoth, J. J., Jung, H. S., Pathak, A., Nassar, A. K., Cuschieri, J.,

Stein, D. M., & Agapian, J. V. (2025). Handoffs and transitions of care in the intensive

care unit: An American Association for the Surgery of Trauma Critical Care Committee

clinical consensus document. Trauma Surgery & Acute Care Open, 10(1), e001677.

https://doi.org/10.1136/tsaco-2024-001677

In this paper, the committee provides practical guidance in the best practices for patient

handoffs and transitions of care. It is based on a consensus of members of a working group,

where members of the group develop recommendations. According to the article, provider

handoffs should involve standard and verbal communication that allow for flexibility in case

discussion. Such handoffs should be conducted at dedicated times, involve all practitioners

providing care to the patient, and be inclusive of all patients. Moreover, it should include

opportunities for clarification for both receiving and transferring teams. Those participating in

handoffs should ensure that they comply with protocols and avoid omitting critical information.

The resource can assist nursing in understanding best practices during handoffs, including how

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