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Shift Reporting Improvement
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Book Synopsis Shift Reporting Improvement by : Angela C. Miller
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.
Book Synopsis Standardizing the Bedside Shift Report: Improving Communications and Promoting Patient Safety by : Chona C. Alforque
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.
Book Synopsis Bedside Shift Report by : Kimberly K. Gormley
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.
Book Synopsis Qualitative Interviewing by : Herbert J. Rubin
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.
Book Synopsis Bedside shift reporting: Role in improving shift report process among ICU/CCU Nurses by : Kaye L. Saludares
Download or read book Bedside shift reporting: Role in improving shift report process among ICU/CCU Nurses written by Kaye L. Saludares and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Transitioning to Bedside Report by : Irene Briggs
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.
Book Synopsis The Future of Nursing by : Institute of Medicine
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Book Synopsis Standardizing the Bedside Shift Report Process to Improve Communication and Promote Patient Safety by : Gilbert Young
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.
Book Synopsis Improving Patient Care Outcomes by Standardizing Change of Shift Report by : Marie Gutierrez (MSN, BSN, RN)
Download or read book Improving Patient Care Outcomes by Standardizing Change of Shift Report written by Marie Gutierrez (MSN, BSN, RN) and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The change of shift is one of the most crucial times during a nurse's day. It is a time where vital patient information is passed off from one nurse to the next. There is evidence that the root cause of many sentinel events and poor patient outcomes in related to communication breakdown during the change of shift report process. The Joint Commission has identified communication as the primary cause for preventable medical errors with handoffs accounting for 80% of these instances. Change of shift is an elaborate communication process that involves the transition of care between nurses as well as other clinicians. The objective of the clinical nurse leader CNL internship project is to improve patient care outcomes and improve nurse to nurse communication by provide a standardized change of shift report sheet. Educational sessions were performed at change of shift huddles and nurses were provided with a best practice tip sheet to reiterate the key point of good communication. This project was conducted on the medical surgical telemetry unit in a hospital in Daly City, CA. The patient population includes a diverse geriatric population with the average age being around sixty five years old. Although this project was time limited it found to already have a 10% improvement in patient safety outcomes and 15% increase in patient satisfaction scores. Recommendations going forward include encouraging staff to utilize the electronic healthcare record while giving report so that the information that is being exchanged is the most accurate and up to date. It is important for all members of the nursing staff to take ownership in this project for sustainability.
Book Synopsis Improving Bedside Shift-to-shift Nursing Report Process by : Nina Herceg
Download or read book Improving Bedside Shift-to-shift Nursing Report Process written by Nina Herceg and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of the bedside shift-to-shift nursing report project is to increase patient satisfaction, improve patient safety and strengthen team work by improving the process of communication during shift change on the orthopedic unit. The goal is to put in place a standardized approach to hand-over communication between the staff at the change of shift. The project includes staff education sessions consisting of video, role playing, various print materials such as articles and a guide that includes key components of the bedside report. It will be implemented on a 48 bed orthopedic unit in a West Los Angeles hospital. Microsystem assessment was performed which included SWOT analyses, Cause & Effect analyses and observation of several change of shift reports. Data related 5% compliance with bedside shift-to-shift report and each shift with three to four nurses with over time. This project is planned to be implemented in mid-January of 2015. My expected results are an increase in patient satisfaction scores due to patients being informed and included in their treatment plan, decrease number of falls, reduction in nurse overtime and increase in nurse satisfaction. Although the project is still in the planning stage, there is an increase in the patient satisfaction score related to nursing communication from 65% in August, 2015 to 78.2% in October, 2015. Comparative data will be collected post implementation to verify the effectiveness of the project.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Book Synopsis Promoting Patient Safety by Implementing Bedside Shift Report by : Maroof A. Olanigan
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.
Book Synopsis Change-Of-Shift Report a Clear and Concise Reference by : Gerardus Blokdyk
Download or read book Change-Of-Shift Report a Clear and Concise Reference written by Gerardus Blokdyk and published by 5starcooks. This book was released on 2018-06-10 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: Does Change-of-shift report analysis isolate the fundamental causes of problems? Do we monitor the Change-of-shift report decisions made and fine tune them as they evolve? Can Management personnel recognize the monetary benefit of Change-of-shift report? In what ways are Change-of-shift report vendors and us interacting to ensure safe and effective use? Risk factors: what are the characteristics of Change-of-shift report that make it risky? Defining, designing, creating, and implementing a process to solve a challenge or meet an objective is the most valuable role... In EVERY group, company, organization and department. Unless you are talking a one-time, single-use project, there should be a process. Whether that process is managed and implemented by humans, AI, or a combination of the two, it needs to be designed by someone with a complex enough perspective to ask the right questions. Someone capable of asking the right questions and step back and say, 'What are we really trying to accomplish here? And is there a different way to look at it?' This Self-Assessment empowers people to do just that - whether their title is entrepreneur, manager, consultant, (Vice-)President, CxO etc... - they are the people who rule the future. They are the person who asks the right questions to make Change-of-shift report investments work better. This Change-of-shift report All-Inclusive Self-Assessment enables You to be that person. All the tools you need to an in-depth Change-of-shift report Self-Assessment. Featuring 683 new and updated case-based questions, organized into seven core areas of process design, this Self-Assessment will help you identify areas in which Change-of-shift report improvements can be made. In using the questions you will be better able to: - diagnose Change-of-shift report projects, initiatives, organizations, businesses and processes using accepted diagnostic standards and practices - implement evidence-based best practice strategies aligned with overall goals - integrate recent advances in Change-of-shift report and process design strategies into practice according to best practice guidelines Using a Self-Assessment tool known as the Change-of-shift report Scorecard, you will develop a clear picture of which Change-of-shift report areas need attention. Your purchase includes access details to the Change-of-shift report self-assessment dashboard download which gives you your dynamically prioritized projects-ready tool and shows your organization exactly what to do next. Your exclusive instant access details can be found in your book.
Book Synopsis Using Bedside Hand Off Nurse Shift Report to Improve Staff Communication and Patient Safety by : Kim Mills
Download or read book Using Bedside Hand Off Nurse Shift Report to Improve Staff Communication and Patient Safety written by Kim Mills and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Communication failures are a leading cause of sentinel events in the United States. In the 24 hour work context of the acute care hospital, accurate and effective nurse shift report is essential to the continuity of safe patient care, where the patient care extends beyond a single nurse or nursing team. Current traditional nurse shift report consists of verbal or taped report relaying information to the entire oncoming shift, regardless of patient group assignment. This type of report is often lengthy, lacks standardization and does not provide opportunities to ask questions or seek clarifications, leaving staff feeling poorly prepared to assume responsibility for care of the patient. A review of literature was conducted with several themes emerging that indicated the value of bedside hand off report in improving staff communication and patient safety.
Book Synopsis Standardizing the Bedside Shift Report: Improving Nurse-to-nurse Communication by : Deepi Sahota
Download or read book Standardizing the Bedside Shift Report: Improving Nurse-to-nurse Communication written by Deepi Sahota and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: PROBLEM: The Community Living Center (CLC) reveals an immense concern on shift-to-shift handoff report. Shift-to-shift report is done in the report room, often times unclear information is given and critical information is not appropriately conveyed. CONTEXT: The project was implemented on a 50-bed unit at the Veterans Affairs. The improvement project was focused on collaborative partnerships, standardized bedside shift report, and utilization of the SBAR tool. in the prevention of communication errors. INTERVENTIONS: The SBAR tool was utilized to provide a framework for effective communication between nurses. The CNL facilitated an hour in-service on bedside shift report to nurses with a mix of PowerPoint slides, video, and practice exercises using strategies from TeamSTEPPS. MEASURES: The outcome measure for this project was defined as the number of handoffs performed on the CLC2 unit per month. The improvement goal is to achieve an 80% compliance rate. RESULTS: The metrics show significant improvement in bedside shift report compliance from 78% to 83% in April 2020 and sustained through June 2020. 37.5% of nurses strongly agreed with the information given in the report is relevant to the care of their patients CONCLUSION: Bedside shift report was successful by reducing miscommunication errors, increased nurse satisfaction, and maintaining compliance. The collaboration of the leadership team and frontline nurses was the key to success.
Book Synopsis Improve Communication and Promote Patient Safety During Bedside Shift Report (BSSR) by : Christa Shine
Download or read book Improve Communication and Promote Patient Safety During Bedside Shift Report (BSSR) written by Christa Shine and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A requirement for bedside shift report is effective communication. Improving handoff report between nurses in a clinical environment that will promote patient and family center care. Poor communication will lead to medical errors, negative effect on patient safety and outcomes. Bedside shift report is the exchange of responsibility of patient care from one nurse to another. The exchange of information typically occurs in the present of the patient. Many times, report between nurses happens at the nurses' station, hallway, or break area, away from the patient. The purpose of this quality improvement project is to improve communication and to promote patient safety during bedside shift report on the medical-surgical unit in 3 months. Reestablishing the microsystem current standard of practice on the first-floor inpatient unit. A 34-bed unit divided into three units. Having a daily huddle with the nurses about the use of the SBAR communication tool, with a laminated card that will be handed out to each nurse to keep during change of shift report. There is a survey sent to patients at the end of their hospital stay: At the change of shift how often did the off-going nurse and on-coming nurse discussed your plan of care at the bedside? The first floor HCAPHS scores for Q1-20 52.4%, Q2-20 52.3%, Q3-20 56.4%, and Q4-20 72.3%. Reestablishing the current standard will have a positive impact on patient satisfaction scores, nurse satisfaction and patient safety.
Author :Lippincott Williams & Wilkins Publisher :Lippincott Williams & Wilkins ISBN 13 :1975160150 Total Pages :2933 pages Book Rating :4.9/5 (751 download)
Book Synopsis Nursing2022 Drug Handbook by : Lippincott Williams & Wilkins
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
