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Author : Agency for Healthcare Research and Quality
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (13 download)
Download or read book Nurse bedside shift report implementation handbook written by Agency for Healthcare Research and Quality and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
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 : Maroof A. Olanigan
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (992 download)
Download or read book Promoting Patient Safety by Implementing Bedside Shift Report written by Maroof A. Olanigan and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT Patient safety is a very broad and general term used to ensure that all aspects of patient care, from medical and nursing services to social and spiritual, are provided with the best interest of the patient. The aim statement for the project is improving patient safety by ensuring the implementation of bedside shift report by 80% of nurses by August 2016. Kurt Lewin's change theory is going to be used to effect the change. There were in-services given to nurses on the floor and the project was also discussed in staff meetings. Flyers were posted around the units to help build up and maintain enthusiasm for the implementation of BSR. Implementation was initiated behind schedule due to conflict in schedules and bureaucratic hoops. The implementation was started on April 28, 2016 and so there are no exact numbers at this time because there is a two week trial period. But I have had conversations with the some nurses that have started the project since initiation. So far they seem to be very receptive of the change. Most of the patients have been neutral at this time but we'll see if that's going to be the case in two weeks. There are numerous publications that support the efficacy of bedside shift report in relation to patient care and safety. Publications from the Agency for healthcare research & quality (AHRQ), MEDSURG Nursing, American nurse today, Journal of Clinical Nursing and the Nursing journal are some of the articles that were used to investigate and develop ideas and policies for the project. Patient experience with the bedside shift report (BSR) will be tracked and the data collected will be used to improve the process in order to enhance the patient experience. Patient experience would include if the patient felt more engaged in their care, if they felt safer and had more confidence in the personnel helping out with the care. Also nurse satisfaction is another benchmark that would be measured by sending out surveys periodically in an effort to gauge the opinions of the staff members. The data collected from the surveys will be used to develop improvements to the process and increase the comfort level of the nurses in giving BSR. We would also track if the nurses feel more accountable for the care they delivered during the shift and if the accountability translates to nurses being more responsible in the care that they deliver. Periodic collection of data will be used to monitor patient satisfaction and nursing compliance. The data would be monitored by the appointed BSR champions because they would be able to monitor and collect data on compliance of the floor nurses in real time and compare it with data collected from patient satisfaction surveys. There are going to be bi-weekly meetings to analyze and improve the process by applying PDSA cycle. Analysis of the data can also help to recognize fallouts earlier and provide opportunity to make corrections. In conclusion, sustainability is what is important. One of the ways I recommend to ensure continuity of the project by making sure that the new employees, regardless of experience, are trained during their eight to twelve week floor orientation. After conducting a failure mode effect analysis coupled with experience, I concluded that continuity is also dependent on proper training of new employees. I concluded this because nursing is a high turnover profession and if the current nurses don't teach the new nurses before they leave the facility then the whole process will have to be restarted.
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 : Mandy Vandeveer
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Bedside Shift Report Implementation written by Mandy Vandeveer and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly two-thirds of all adverse sentinel events in hospitals are related to communication errors. Handoffs occur during busy times of the shift with many distractions making shift to shift report a time of highest potential for adverse events related to communication (Novak, 2012). The proposed change for this project is to implement bedside shift report on each nursing unit with a standardized approach to the process and format of the handoff report after an extensive literature review of evidence based practice (EBP) articles was performed. EBP proves bedside shift report reduces adverse events, increases patient and nurse satisfaction, and reduces nurse overtime by improving and standardizing communication while at the bedside. Following Lewin's change theory stages to unfreeze, move, and refreeze as a guide will be beneficial in making this proposed change into nursing practice. The continuity of care document (CCD) within the electronic medical record (EMR) system will be developed and utilized into a standard SBAR (situation, background, assessment, recommendations) format for the bedside report. Leadership and staff nurses are the key stakeholders involved in the process and their buy-in is vital for the success of this project. Implementation will occur on the pilot unit and slowly rolled out to other units every two weeks. Several methods will be used to evaluate the effectiveness of bedside report including nursing and patient surveys and Press Ganey results for long term monitoring to name a few. The results will be disseminated to nursing staff on a regular basis and to nurse leadership monthly.
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 : Cynthia Conroy
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Bedside Report written by Cynthia Conroy and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurse to nurse handoff has been known as a sacred time in nursing communication and has had a long standing in performing this task without the patient. Recent research has shown an increase in patient safety, nurse satisfaction and patient satisfaction when nurse-to-nurse handoff occurs at bedside and includes the patient. Bedside report has been shown to increase the perception of safety in the patient, identify potential medication errors before they occur, and influence a sense of satisfaction among nurses. The nurses that practice this style of reporting are facilitating a connection between the patient and the nursing staff. A review of the literature seeking studies reflective of a change to bedside report has been conducted. With the use of Lewin09́s Change Theory an implementation, evaluation and dissemination plan has been established to support an Adult Medical Unit09́s change to bedside shift report. Each phase of the plan utilized evidence based best practice to support the change to bedside report. In implementing a standardized report process, this unit09́s goal was to improve patient safety, patient satisfaction, and nurse satisfaction. Surveys were conducted before and after implementation of the change along with real time audits to provide feedback to staff. Additional tools were provided to staff to further support their transition to bedside report. Through the literature review conducted, other near miss situations were noted that further supported the implementation of bedside shift report. These included medication errors, infiltrated intravenous sites, and incorrect laterality of scheduled surgeries. It is also noted that bedside report is supported by the Institute of Medicine and The Joint Commission who aim to support health care to be provided in the safest manner.
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 : 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 : Kristiana Blankenship
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Importance of Implementing Bedside Shift Rounding in Facilities written by Kristiana Blankenship and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The acuity and complexity of inpatients' conditions have increased, therefore, effective communication among caregivers is of utmost importance in order to meet patient safety goals. A key aspect of communication among nurses is during their handoff or shift change report. By providing accurate patient information during their shift change report, nurses can prevent adverse events from happening to their patients. Information can be lost with traditional shift reports that are recorded or given at the nurses' station that provide for many distractions. There may also be problems with the patient that was not provided in the shift report such as infiltrated IV sites, missed medication, and a change in the patients' condition. Therefore, a solution needs to be made in order to correct the inaccuracies with traditional reports. The Joint Commission have also identified the need to improve effective communication among caregivers. The Joint Commission has implemented National Patient Safety Goals (NPSG) that discuss issues such as effective communication, handoffs, and encouraging patients to be involved in their own health care. Facilities have had to look at their current communication and handoff procedures in order to meet all of the Joint Commission guidelines. Does implementing bedside shift rounding improve patient satisfaction, patient safety, nurse satisfaction, and nurse accountability compared with traditional oral shift change reports given at the nurses' station? This PICO question and provided literature and evidence based practice is the basis for stressing the importance of implementing bedside shift rounding in facilities. This paper will discuss the importance of implementing bedside shift rounding in facilities, theory and literature supporting bedside shift rounding, the implementation, dissemination, and evaluation of the plan, and getting approval for the proposed plan. The key stakeholders will also be addressed and the importance of communication between the implementation team and the stakeholders.
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.
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 : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975160150
Total Pages : 2933 pages
Book Rating : 4.9/5 (751 download)
Download or read book Nursing2022 Drug Handbook written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2021-03-04 with total page 2933 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE #1 Drug Guide for nurses & other clinicians...always dependable, always up to date! Look for these outstanding features: Completely updated nursing-focused drug monographs featuring 3,500 generic, brand-name, and combination drugs in an easy A-to-Z format NEW 32 brand-new FDA-approved drugs in this edition, including the COVID-19 drug remdesivir—tabbed and conveniently grouped in a handy “NEW DRUGS” section for easy retrieval NEW Thousands of clinical updates—new dosages and indications, Black Box warnings, genetic-related information, adverse reactions, nursing considerations, clinical alerts, and patient teaching information Special focus on U.S. and Canadian drug safety issues and concerns Photoguide insert with images of 439 commonly prescribed tablets and capsules
Author : Herbert J. Rubin
Publisher : SAGE
ISBN 13 : 9780761920755
Total Pages : 306 pages
Book Rating : 4.9/5 (27 download)
Download or read book Qualitative Interviewing written by Herbert J. Rubin and published by SAGE. This book was released on 2005 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2nd edition of this work has been completely rewritten to add new examples & to better integrate the presentation of topics. Readers will see how the choice of topic influences question wording & how the questions asked influence the analysis.
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 : Kimberly Jones Cooper
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.:/5 (133 download)
Download or read book Nurse Bedside Shift Report and the Reduction of Medication Errors written by Kimberly Jones Cooper and published by . This book was released on 2021 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medication errors remain a pervasive issue in healthcare. Medication error rates were increasing at the project site so an evidence-based solution was sought. The purpose of this quantitative quasi-experimental quality improvement project was to determine if the implementation of the Agency for Healthcare Research and Quality's (AHRQ) Nurse Bedside Shift Report Implementation Handbook would impact medication errors when compared to current practice among adult medical-surgical patients in an acute care hospital in rural Arkansas over four weeks. The theoretical foundation for the project utilized Peplau's theory of interpersonal relationships and Kurt Lewin's change model. The total sample size was 63, n = 29 in the comparative group and n = 34 in the implementation group. Data was obtained from the electronic medical record. A chi-squared test was used to analyze the data which indicated no statistically significant difference in reducing medication errors X2 (1, N = 63) = 2.42, p = 0.120. Despite the lack of statistical significance in reducing rates of medication errors, there was a clinical significance in reducing medication errors from 6.9% in the comparative group to 0% in the implementation group. Therefore, the implementation of the AHRQ's Nurse Bedside Shift Report Implementation Handbook could aide in reducing medication errors in this population and setting. Recommendations include sustaining the project and data reanalyzed over six months to determine if the small sample size and short project timeline impacted achieving both statistical and clinical significance.
Author : Irene Briggs
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (135 download)
Download or read book Transitioning to Bedside Report written by Irene Briggs and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses continue to perform the traditional style of nurse shift report at the nurses' station without input from the patient. Patient and or families are not involved in the process and input is not encouraged. This type of nursing shift report does not promote communication between nurse and patient, and can lead to errors of communication. Research has identified a better process in bedside report that does include patient and or family. This method has also been found to have other benefits both to nurses and patients. Implementing bedside report is found to increase patient safety, while promoting improved communication and collaboration between nurses. Through an education and implementation plan nurse shift report will be brought to the bedside. This process will allow nursing staff to be well prepared for the change. Tools will be in place to evaluate pre and post education and implementation to increase acceptance and success of this process improvement plan.
