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Author : Ashley Carr
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (133 download)
Download or read book Bedside reporting: role in patient education written by Ashley Carr and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Alicia Tegan
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (974 download)
Download or read book Impact of an Education Module on Nursing Staff Perceptions on Bedside Reporting written by Alicia Tegan and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The Joint Commission (TJC) evaluated sentinel events in healthcare and reported communication failure of care providers during patient handoffs as the most frequently cited root-cause. To improve patient outcomes and to avoid costly mistakes, it is recommended that the change of shift report should take place at the patient's bedside. Foreground: Studies regarding nursing shift reports indicate that information given is inconsistent among nurses. Despite attempts at creating standardized reporting sheets and implementing reporting methods to guide nurses, a lack of consistency remains, which can be a detriment to patient safety. Bedside reporting is recommended by TJC, but is not currently part of the nurse to nurse shift handoff report at a local, rural hospital. Framework: The Johns Hopkins Nursing Evidence-Based Practice Model was utilized as a guide to find the best evidence to implement and in translating the studies into practice. Method: Pre and post surveys were used to collect data on nursing staff perceptions on bedside reporting. After completing a pre survey, an education module on bedside reporting was shared with participants. Survey results obtained from nursing staff after participating in education were compared to the survey results of nursing perceptions before completing the education module. Descriptive data was obtained by comparing perceptions before and after education. Results: The findings show a positive change in nursing stadd perceptions on bedside reporting as evidenced by an improvement in pretest to posttest survey scores. Post education, there was an increase from 45% to 68% of the participants perceiving bedside reporting as more comprehensive than current reports held in a break-room. One-hundred percent of the participants perceive that bedside reporting was a beneficial form of communication, compared to eighty percent pre education. Conclusion: Educating the nursing staff on bedside reporting has led to an increase in buy-in. This can result in the success and sustainability of bedside reporting on the nursing unit, after full implementation. Tools, such as the ready-to-use Studer Group Bedside Reporting Tool Kit, can provide nurse managers with a valuable resource that may foster the support and sustainability of bedside reporting in their departments.
Author : Lindsay Packard
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Bedside Reporting: Impact on Patient Care written by Lindsay Packard and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Communication breakdown, between nurses, during shift reports is a leading cause of sentinel events in America. A growing body of evidence shows that bedside reporting improves patient safety and satisfaction. Through this new reporting process, nurses are more prepared to care for the patients at the beginning of their shifts, increasing nurse, as well as physician communication and satisfaction. The report utilizes the current Situation, Background, Assessment, Recommendation (SBAR) format and a safety check is added which assesses environmental safety, as well as medication administration, and documentation. In the past, report was communicated at the nurses' station. The new process requires communication to begin at the patients' bedside and then move to the nurses' station to discuss more sensitive information. Implementation, led by a champion team, focuses on education and a patient-centered approach to care. Evaluation of the process, using measurable data, ensures that challenges are addressed and overcome. Dissemination of the evidence is essential for expanding the knowledge and benefits of the implementation to a larger population of nurses, increasing the opportunity for safer, patient-centered care.
Author : Caitlin Garmon
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Significance of Bedside Reporting on Patient Safety and Staff Satisfaction written by Caitlin Garmon and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ineffective communication at change of shift can put the safety of patients at risk. The purpose of this study is to show bedside shift report increases patient safety as well as staff satisfaction. This study found bedside report lead to less falls and medication errors. Communication breakdowns are the cause of a significant number of sentinel events. Staff was satisfied with shorter report times and improved communication between shifts. Nurses were better prepared and were able to better assess patient needs after implementation of bedside shift report. Nurses were held more accountable and patients became more involved in their care. This new process gave the oncoming nurse the opportunity to visualize the patient and ask questions. Finding of this report confirmed how important having a standardized report system is in reducing errors. Accurate and consistent communication was improved after the implementation of bedside reporting. Effective communication at shift change is a fundamental component of nursing and the culture of safety. This study was conducted within a large hospital on medical and surgical units. A survey was obtained before the implementation of bedside report and several times over the first year post. Along with the use of surveys visual observations were done as well as in person interviews. Results of this study show that bedside report increased nurse's satisfaction, helped in the prioritization of patients which increased work flow, and decreased the amount of time for handoff.
Author : Kimberly K. Gormley
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Bedside Shift Report written by Kimberly K. Gormley and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change-of-shift report is the time when responsibility and accountability of the patient is transferred from one nurse to another. The communication that ensues during this process is linked to both patient safety and continuity of care. This type of reporting method allows patients to participate in their plan of care, reduce errors from oversight and to allow visualization of the patient's condition at change of shift. Shift change was included in The Joint Commission's 2009 National Patient Safety Goals, which requires that shift hand off must include up-to-date information about the care, treatment, current condition and recent or anticipated changes in the patient. Bedside reporting addresses The Joint Commission's goal 13, a safety strategy that encourages a patient's active involvement in care. A review of literature of both staff and patient's perceptions of bedside hand off describes studies using qualitative, anecdotal and/or indirect measurement along with quantitative and direct measurement. Statistical implications show that bedshand offdoff is most effective when completed consistently.
Author : Angela C. Miller
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Shift Reporting Improvement written by Angela C. Miller and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: To delivery patient/family-centered care, effective communication is a must for shift reporting. Bedside reporting (bedside handover/handoff) has proven to be direct and practical method to achieve high quality safe care. Joint Commission announced that communication breakdowns are the rooted cause to sentinel events. Therefore, the impact of poor shift reporting can result in unsafe patient outcomes as well as in the work environment. In some studies, nurses perceived poor communication in report methods such as traditional reporting due to receiving impertinent information and wasted time. Time is limited with patients due to the length of stays. Lewin's theory of change can be utilized to help transform to bedside reporting. Through many research studies, bedside reporting exhibited evidence-based practices that cultivate patient involvement by fostering patient/nurse trust/bonds, integrates patient in the care team, and promotes accountability for all and prioritizing care. The purpose of this project is to guide the nurse leader/nurse manager and staff nurses an educational plan consisting of visuals on bedside reporting. The implementation plan includes scripts to aid nurses for the optimal report. By visualizing the patient during report, nurses will be able to address patient's needs, perform safety scans and involve patient/family in the plan of care. In a study, there were increased nurses' satisfactions, accountability, patient involvement as well as decrease in 35% in falls and 50% decrease in medication errors. Pre/post implementation surveys are given to nurses in order to pinpoint barriers and revise the process. Nurse managers, administration and staff nurses are the recipients of disseminating evidence to enhance bedside reporting and continue ongoing evaluations.
Author : Marcella Mulligan
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Bedside Shift Report and Patient Satisfaction written by Marcella Mulligan and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change of shift report refers to communication that occurs between an outgoing and incoming nurse regarding the patients in his or her care. It is a time to review the plan of care, reconcile medications and infusions and answer questions. Traditionally, this has occurred in a central area such as a conference room or the nurses' station, away from the patient and family. Moving shift report to the bedside has been proven to improve communication between caregivers and the patient. Critical information can be exchanged and the bedside location allows for direct visualization of the patient along with verification of infusions, equipment settings and patient acuity. When this communication occurs at the bedside, patients and families are brought into the conversation and become active participants in the plan of care. Research has shown that conducting shift report at the bedside can significantly improve both patient and nurse satisfaction, leading to a more patient centered care approach, which in turn, may translate into better patient outcomes (Anderson and Mangiano, 2006). Bedside shift report (BSR), is a nursing intervention that may also assist with the Joint Commission directive to' involve both the patient and his or her family to develop a treatment plan that is tailored to the patient's unique needs. Staff should encourage the patient and family to ask questions throughout the course of care and provide opportunities for them to participate in care discussions' (The Joint Commission, 2010 pg. 18). To examine the effect of implementing BSR, a pilot study will be conducted in a 25-bed unit within an acute care hospital in the northeast United States. Presently, handoff report is conducted at the nurses' station; it is not uncommon for there to be questions later when the nurse actually visualizes the patient and the previous caregiver is gone. The process can also leave the patient unattended for up to an hour while report is taking place. This may result in delay of care or potentially, missed opportunities to avert crises. Based on the results of this pilot study, a decision will be made regarding hospital wide implementation.
Author : Heather Gleason
Publisher :
ISBN 13 :
Total Pages : 164 pages
Book Rating : 4.:/5 (966 download)
Download or read book Nursing bedside shift report written by Heather Gleason and published by . This book was released on 2014 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: For healthcare organizations, patient safety and satisfaction are major priorities and are impacted by many different professional disciplines. Nurses can influence this greatly through the relationships built with patients and the information provided ot them regarding care while in the hospital. Communication errors are the leading cause of sentinel events for patients, reiterating the importance of having a safe transfer of care between nurses at shift change. Beside shift report not only creates transparency of patient information but results in impoved patient safety and hospital satisfaction scores. Completing nursing shift report at the bedside promotes patients' and families' contribution to reporting discussion and optimizes patient safety through a nurse's visualization of a patient's condition. Watson's Caring Theory and the concept of relationship building provide the framework for implementing bedside shift report. A conceptual metaphor integrating caring intentionality and relationships into bedside shift report, as well as patient and staff responses, provides a visual for the goals of the bedside shift report, as well as patient and staff responses, provides a visual for the goals of the bedside shift report implementation. The use of a standardized reporting tool into bedside shift report will be evaluated trhough patient and staff surveys. Nurses who implement bedside shift report into their practice will produce positive patient outcomes while demonstrating greater commitment to the caring acts that encompass nursing practice.
Author : Rosamond Hancock
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Significance of Bedside Shift Reporting in an Acute Care Setting with an Emphasis on Patient Satisfaction written by Rosamond Hancock and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective nursing hand-of is an essential part of nursing care delivery. In an acute care setting the quality and effectiveness of shift report is crucial to the accurate and effective delivery of patient care. Shift report that is done at the bedside improves patient satisfaction by improving the quality of nursing care, focusing on a patient centered care delivery system, and improving nursing satisfaction. This paper will define bedside shift reporting as the preferred and most effective method of nursing hand-off. A review of literature provided confirms that nursing hand-off done at the bedside improves patient and nursing satisfaction and is considered the best practice for nurses in an acute care setting. A detailed review and explanation of two nursing studies done on acute care hospital units indicated that bedside reporting is beneficial to nurses and patients because it improves the quality of nursing hand-off and increase patient and nursing satisfaction. This paper will discuss bedside reporting in relation to Hildegtard E. Peplau's Theory of Interpersonal Relationships and the importance of therapeutic nurse to patient relationships. In addition, provide a detailed method of implementation, evaluation, and dissemination of bedside report in an acute care setting. Provided are resources including PowerPoint sides, handouts, and questionnaire to aid and identify the key personal involved in the implementation, evaluation, and dissemination of standardized bedside reporting on an acute care unit.
Author : Gilbert Young
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (11 download)
Download or read book Standardizing the Bedside Shift Report Process to Improve Communication and Promote Patient Safety written by Gilbert Young and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Title: Standardizing the Bedside Shift Report Process to Improve Communication and Promote Patient Safety. Author: Gilbert Young, RN, BSN Setting: Unit 1 North is a 32-bed cardiovascular specialty unit that specializes in the care of post-cardiac surgery and complex telemetry patients. The typical length of stay is between 5-7 days. Patients are admitted to the unit from the ICU, ED, or other medical facility for cardiac surgery. Rationale: The quality gaps are nurse communication HCAHPS scores not being consistent with performance goals, the unit had 16 documented patient falls in 2016, and patient surveys and staff handoff observations supported the need for this project. The project aim is to (1) improve nurse communication, (2) increase the nurses' consistency and satisfaction with handoff (3) implement the clinical report tool, and (4) reduce patient falls by 25% on cardiovascular specialty unit by August 2017. Return on Investment: Reducing four patient falls or 25% of last year's total will be an annual cost avoidance of $120,000 once this performance improvement plan is implemented. The initial annual savings is estimated at $110,300 Literature Review: The studies assert the importance of bedside report as a means to include the patient, eliminate information gaps, visualize the patient and surroundings for patient safety, and improve team communication. Additional studies examined the use of a standardized nursing handoff tool and saw improvement in patient satisfaction and a reduction in nursing errors. Methodology: Institute of Healthcare Improvement model for improvement and Lewin's change management model. Collaborated with unit council to develop clinical handoff tool. Educational plan includes PowerPoint presentation and simulation sessions. Project implemented in February 2017 and guided by PDSA (plan-do-study-act) cycle. Nurse leaders to observe use of clinical handoff tool during shift handoff. Results: Since implementation in February, average daily census of 32 patients and averaged 66 survey responses each month. Nurse communication scores have been consistently 4 Stars since implementation of this QI project. Current HCAHPS scores up to May 2017. There was a 12.5% reduction in patient falls compared to the same time period last year. Nurse leader observation of NKE using the handoff competency checklist demonstrated successful use of the handoff tool by all nurses, including remediation for some staff. Patient and staff surveys revealed positive improvements in seeking patient input and staff experiencing more satisfaction with the quality if information they receive at shift handoff.
Author : Ginger McEarl
Publisher :
ISBN 13 :
Total Pages : 114 pages
Book Rating : 4.:/5 (113 download)
Download or read book The Impact of Bedside Reporting on Patient Safety Events, Patient Satisfaction, and Nurse Accountability in a Pediatric Unit written by Ginger McEarl and published by . This book was released on 2019 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the fundamental elements of nursing practice is the transfer of patient information from one provider to another known as a bedside report. However, an unstructured bedside report that occurs away from the bedside, places patient safety, quality of patient care, and patient satisfaction in jeopardy. The purpose of this quality improvement (QI) project is to determine if the implementation of bedside reporting in an acute care pediatric unit will: decrease preventable errors reported through an event reporting system known as Safety Tracker, increase patient satisfaction in provider communication, and improve nurse accountability. The study included a convenience sample of 65 inpatient bedside nurses on a 30-bed, acute care pediatric unit in a large urban hospital. The participants were recruited on a voluntarily basis and informed consent was obtained prior to the study. Data were collected through pre-and post-questionnaires. Each questionnaire included, demographic data and two open-ended questions relating to the new Situation, Background, Assessment, Recommendation (SBAR) bedside handoff reporting tool. Education regarding the pre-and post-questionnaires and the new SBAR handoff reporting tool was provided by the primary investigator. Fifty-five participants, or (85%) completed both questionnaires for comparison. Results of this QI project indicated participants liked the consistency and structure of the new SBAR reporting tool; however, barriers identified were arousing and discussing sensitive information at the patient’s bedside. Patient satisfaction scores increased from 68.4% to 75%.
Author : Maricela Ortiz
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Implementation of Nursing Bedside Reporting written by Maricela Ortiz and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing reporting is an event that takes place multiple times a day on any acute care facility. Surveys and studies have shown that there is little nurse satisfaction with current methods of nurse reporting while patients have been excluded from the process all together (Sherman, Sand- Jecklin, and Johnson, 2013). It has also been reported that important patient information may be left out at times during handoff; affecting nurse communication and patient care (Sherman and others, 2013). There is also little to no patient participation during current commonly used reporting methods. The implementation of bedside reporting has been documented in previous research studies as beneficial to nurse and patient satisfaction (Sherman and others, 2013). It has the ability to improve nurse communication and include patient participation during handoff of care. Nurse's report feeling more informed about their patients while patients achieve a sense of relief and understanding about their plan of care when using bedside reporting (Sherman and others, 2013). The implementation of bedside reporting on a 24 bed inpatient unit concluded of a well-established plan which incorporated stakeholder education and preparation, guidelines, and pre and post patient and nurse surveys. Approval for the change in process was received from appropriate parties and the proposed change was introduced to all stakeholders. Meetings, guidelines, and educational material were made available to all nurses and stakeholders in conjunction with a support team to help encourage a seamless transition. To evaluate progress, affects, and issues with the new implementation, a nurse questionnaire was developed to assess feelings about the current method of reporting and the method of bedside reporting. To monitor the progress of bedside reporting, a questionnaire was developed to assess the impact on patient satisfaction. In conclusion, nurse reporting at the bedside has a positive impact on nurse communication and accountability. It also encourages patient participation in care, while becoming more informed and involved with their care.
Author : Saly J. Punnen
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Incorporation of Bedside Report to Improve Handoff written by Saly J. Punnen and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: As of 2006, the Joint Commission has made standardization of report one of its top National Patient Safety Goals, due to its role in patient wellbeing. Research over the last two decades has indicated that the way medical professionals give and receive handoff communication still needs improvement and continues to be a leading cause of medical miscommunication and errors. Sources of error include misidentification of the patient, mistaken medication administration, and lack of proper patient education. Improving report will increase staff preparedness in dealing with the complexities of care and the challenges of complicated diagnosis. Incorporation of bedside report into handoff communication has been found to improve ownership and accountability amongst nurses, improve the nurse/patient relationship and increase patient safety. Implementation will take place beginning on one unit in a busy regional medical center with plans for wide spread hospital application at a later date. Implementing standardized SBAR forms to act as a template during bedside report and allowing the patient to become an active participant and decision maker in care will increase both staff and patient accountability in terms of health. Gaining the support of administration and education of staff through a 4 week training process will be critical in incorporating bedside report safely into practice. Building staff confidence on their abilities to do bedside report will improve compliance. Evaluation will take place after a 6-week implementation phase through detailed comparison of before and after surveys, questionnaires, and interviews from the perspective of nursing staff as well as patients. This new form of report allows for better communication, respect and dignity, information sharing, participation and collaboration between nursing staff and patients.
Author : Karen L. Lewis
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Increasing Patient Safety with Bedside Shift Report written by Karen L. Lewis and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change of shift report in acute care facilities is a unique activity where nurses transfer critical information to promote patient safety and best practices. Traditionally, nurse shift report takes place at the nurse's station before patients have been visualized, in a process that lacks effective communication and is contrary to patient-centered care. A review a literature indicates an effective strategy to overcome these patient safety issues is a standardized process of bedside shift report. This paper details the implementation plan of a pilot program on a 28 bed medical surgical unit. Direct observation and surveys are the evaluation methods used, and a dissemination plan for findings will be discussed. Bedside shift report can be an effective strategy to increase safety for best patient outcomes.
Author : Perla Alday
Publisher :
ISBN 13 :
Total Pages : 32 pages
Book Rating : 4.:/5 (19 download)
Download or read book Implementation of Bedside Shift Report in the Medical Surgical Unit written by Perla Alday and published by . This book was released on 2015 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change of shift report is a critical time when nurses transfer information about the patient. Failure to communicate efficiently can cause medical errors. A typical nurse-to-nurse report does not allow the visualization of the patient or patient/family concerns to be addressed. This can cause vital information to be missed, therefore placing the patient at risk. In order to provide safe patient care, the adequate transfer of information needs to be provided. To decrease the frequency of medical errors, the implementation of a standardized communication tool is required. The use of bedside shift report is essential to nursing practice. Bedside repot is a method of nurse to nurse handoff communication performed at the patient's bedside. Nurses are able to assess the patient in person while obtaining vital information. A nurse's accountability can be higher while including the patient in their plan of care and patient satisfaction improved. Any issues and concerns can be addressed at the moment, increasing patient safety. As concerns arise with the traditional method of nursing handoff tool, the need for bedside shift report is needed to increase patient safety, therefore decreasing the number of medical errors and sentinel events. Bedside shift report is implemented to a medical surgical unit with the main goal of increasing patient safety using an improved method of nurse-to-nurse handoff communication. This paper will describe the problem, solution to the process of the issue, implementation plan, evaluation, and dissemination plan. It will also describe studies before and after the implementation with nurse and patient's perception of the process. Results from the review of studies shown reveal how other clinical settings have benefited from bedside shift report, improving patient's safety.
Author : Eileen Mahoney
Publisher :
ISBN 13 :
Total Pages : 36 pages
Book Rating : 4.:/5 (832 download)
Download or read book Switch to Shift Report at the Bedside written by Eileen Mahoney and published by . This book was released on 2013 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research has been performed to show that bedside nursing increases patient care by allowing better communication between nurses at change of shift. Bedside handoff is more beneficial for patients and nurses rather than the current practice happening in hospitals. Through a literature review of articles it has been determined that there is no standard for nursing shift handoffs. The Joint Commission has made a patient safety goal and proposed that there be a standardized handoff communication in hospitals. Performing shift change at the bedside with a standard template to be used at the change can be the new standard and will increase patient care and help nurses feel more empowered with the communication received and given. The results showed that the information being reported previously to bedside shift change was often poor, and that much of the information was easily accessed in the chart and did not need to be part of report. They also found that the inefficiencies in communication is a factor associated with sentinel events. Making the switch to bedside shift reporting and making it the standard in hospitals around the world can make a safer, smarter tomorrow. This project will outline the problem of the current shift change process, how to implement the change, the theory that goes into the change, how to evaluate the implementation, and how dissemination can be done. There is a literature review, an appendix and a complete reference list that are all included.
Author : Chona C. Alforque
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (126 download)
Download or read book Standardizing the Bedside Shift Report: Improving Communications and Promoting Patient Safety written by Chona C. Alforque and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: PROBLEM: Nursing shift reports are integral to nursing as they allow for the transfer of critical information and responsibility of patient care from one nurse to another. Ineffective communication during shift-to-shift reports can contribute to gaps in patient care and breaches in patient safety, including medication errors, falls, and sentinel events. The greatest risk of communication breakdown is during transitions in care. CONTEXT: St. Louise Regional Hospital, a small community hospital, consisting of an eight-bed medical-surgical intensive care unit lacked structure in how handoff should occur and had variances in shift handoffs. Observation of the shift handoff at the nurses' station revealed many communication gaps that have shown negative impacts on patient safety and outcomes. The improvement project described in this paper focused on evidence-based practices that support the benefits of bedside shift and implementations of standardized handoff tools. INTERVENTION: Intervention included an education in-service for unit managers, educational coordinators, and staff nurses to emphasize the important benefits of bedside shift report. MEASURES: The three components for evaluating improvement include outcome, process, and balancing measures to determine whether the improvement project has had the desired impact. The outcome measure expected to yield the following: direct observation of nurses during bedside report to calculate how often is being done, monitor for decrease in overtime due to more efficient shift-to-shift bedside reports, and a review of risk management reports observing for effect on the number and severity of medication errors. RESULTS: The outcome measure is to increase the nurses' compliance with bedside shift report in the intensive care unit to at least 80% within six months of implementation. CONCLUSION: With the proposed change, bedside shift report will addresses all the safety hazards by reducing adverse events, such as medical errors, patient falls at shift change, and sentinel events. Bedside shift report improves patient safety, enhances the quality of care, improves patient and nurse satisfaction, decrease unnecessary healthcare expenditure, and saves time.
