...Bedside Report: Improving hand-off Shift Report in Hospital Settings Eastern International College Evelyn Terreros & Meron Gebrezgi April 26, 2013 End of shift reports between nurses has been an important process in clinical nursing practice. Allowing nurses to exchange vital patient information to ensure continuity of care and patient safety. Therefore, the chance of potential communication gaps causing an error is high. According to the Joint Commission, communication is the primary cause of medical errors, with handoffs accounting for 80% of these errors [ (Zhani, 2012) ]. The most commonly practiced model of report takes place in the staff room, at the nurses’ station, or other locations away from the patient’s bedside. However, more institutions are implementing the Bedside Report hand-off model to communicate patient care information. Research articles has identified the benefits of bedside report in conjunction with structured reporting tool (e.g. SBAR) as: (1) improvements in patient-centered care and nursing services, (2) less chance of medical errors, (3) decreasing the length of stay in patients [ (Chaboyer W, 2009) ]. Upon observing the shift to shift report in SMMC, it was evident that some nurses failed to provide effective communication and did not utilized the SBAR format tool as stated in the hospital’s guidelines. Hand-off reports were being done in the nurse’s station and along the unit’s hallways. Fatigue and...
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...Change Paper Bedside Shift Report University of South Carolina - Upstate Bedside Shift Report Miscommunication and missed information, resulting in potential errors, have been on the rise at Pelham Medical Center. In the past, the primary nursing staff was giving verbal report to oncoming nurses at the nursing stations. There are many disadvantages to this practice. Verbal report at the nursing station is distracting with so many nurses talking at the same time and is frequently interrupted by other staff, call bells, and family members. There are also potential HIPPA violations when reporting on patients within earshot of other people who are not involved in that patient’s care. The patients and their family members or care givers are not directly involved in the report and hand off process (Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014). Pertinent information was being reported incorrectly or not reported at all. Physician orders were being missed and not completed. All of these events, collectively, have adversely affected patient safety and overall patient satisfaction. Patients and their families do not like to feel that the primary nurse does not know the “whole picture” or has an incorrect understanding of the plan of care. In an effort to reduce potential errors, increase communication between staff and with patients and their care givers, and increase patient and nursing satisfaction, the nursing administration of Pelham Medical Center decided...
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...Bedside handoff has been known to improve patient outcomes and safety, reduce medical errors, improve cost savings, and reduce the mortality rates of patients (Mardis et al., 2017). According to Vines, Dupler, Vanson, and Guido (2014), bedside shift reporting in a standardized format can also increase staff satisfaction by reducing communication errors, promoting accountability, enhancing teamwork, and fostering collaboration and respect. There is an abundance of evidence to support organizational implementation of shift-to-shift bedside handoff. All healthcare team members who contribute to the patient’s care should perform handoff at the bedside and encourage patient involvement in some capacity in order to give holistic patient-centered...
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...perceptions of bedside handoff; the need for a culture of always. Journal of Nursing Care Quality, 29(4), 371-378. A2. Graphic Background Information | The purpose of this article was to identify patient perceptions of bedside handover through directly asking patients about their care. The study was done on a two in-patient medical-surgical departments at Borgess Medical Center in Michigan. They had implemented bedside handoff at shift change 18 months prior to this study. Then a sample of patient participants was chosen from the two nursing departments for the study. They had to meet certain criteria to be a participant and they had to experience three handoffs. Then they were given a survey to fill out after the beside handovers. Participants were positive about the RN bedside handoff process. The overall mean from the survey was 3.32 on a scale of 1 (strongly disagree) to a 4 (highly agree). | Review of Literature | There were multiple references that provided statistics and facts during this study. Most of these studies have focused on implementing bedside handoffs and nurse perceptions of the handoff. Published studies that focused on patients’ perceptions of beside handoff have been mainly qualitative. Recently, researchers have published studies that seek to measure bedside handover quantitatively. Whether qualitative or quantitative, all studies report an increase...
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...Bedside Shift Repot Gina Siebdrath College of the Desert Change-of-shift report is the time when responsibility and accountability for the care of a 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 giving. While many nurses already recognize the value of bringing report to the patient's bedside and have practiced in this manner, this remains relatively uncommon. Typically, nurse change-of-shift report has occurred at a nurses' station, conference room, or hallway. When report is given away from the bedside, the opportunity to visualize the patient and include the patient and family in an exchange of information and care planning is lost. I interviewed a few different nurses at Eisenhower Medical Center about bedside shift report and patient handoff. All of the nurses had the same response when I asked them about giving a bedside shift report. They really like the beside patient hand off, where they can point out needs for the patient, medications for the patient, status of IV’s, and continuum plan of care. While, they all agreed that giving a verbal report in front of the patient can lead to a HIPPA violation. Most common patients are not in private rooms and their neighbor will hear all of the patient’s issues. Also, there are times when a patient was agitated and combative during their shift and that is something that you do not want to say in front of the patient...
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...Bedside reporting is a process of communication between the nurses. At the end of the shift, the off going nurse is responsible to give a detail report on the patient to the incoming nurse who will be caring for the patient, so that they are up-to-date on the patient treatment needed for the shift. Change of shift report is the time when responsibility and accountability for the care of a patient is transferred from one nurse to another. The hand over process of communication between nurses to nurses with the intention of transferring essential information for safe, and holistic care of patients. Traditionally, this shift report has been done away from the patient’s bedside, at the nurse’s station, or other place like staff’s room. In addition,...
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...The New Trend of Bedside Reporting Versus Traditional Taped Report Methods Community Health Nursing Lewis Clark State College The change from taped report to a bedside report is essential to increasing patient safety and satisfaction, nursing satisfaction, physician satisfaction, and a savings to the health-care facility. The Joint Commission found that the breakdown in communication during the shift report is a leading cause of sentinel events in the United States (Laws & Amato, 2010). We will explore benefits to the patient, nurse, facility and physician. The patient and family benefit by becoming a part of their own treatment. They will participate in decisions and know at all times the plan for their care. This autonomy helps the patient to have a confidence in the health-care facility and staff. They provide essential information that is not available otherwise to assist in providing the best care possible for the patient. With the family and patient being informed about the plan of care, they are less anxious. This promotes more compliance with care and willingness to start treatments earlier. These patients have a higher level of satisfaction and are less likely to litigate (Anderson & Mangino, 2006). In a study at Sharp Grossmont Hospital in San Diego County, a 481-bed community hospital, the patient benefits included a reduction of unanswered call lights and a reduction in patient falls. With the bedside report, patients are able...
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...Organizational Change Plan- Part II Betty Martinez HCS/587 Creating Change Within Organizations Donna Ferguson To achieve anticipated outcomes, monitoring the change process throughout the implementation is vital. Problems not anticipated or other potential solutions that affect the outcomes could become visible during this phase. Feedback from the individuals affected by the change during this step helping the change agents to stay the loop on how the implementation is going and how it is affecting the individuals themselves. Another important issue to address is the relationship between the organizational related processes, personal or professional roles and their affect on the proposed change. This paper, Organizational Change Plan- II, discusses the issues presented in the previous paragraph in addition it will include identification of communication techniques used to address any issues that arise during implementation. Methods to Monitor Implementation Monitoring the level of the implementation plan is as vital as distinguishing the tactical points and objectives. Making certain that the organization or unit, as in this proposed change plan, is going in the direction set during the planning stage is an asset of monitoring the implementation as well as evaluation (McNamara, n.d.). Some questions to ask while monitoring implementations are: 1) Are the objectives on target? If so, acknowledge...
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...interprofessional communication as a means for enhanced patient care and quality. This goal will be specific to all those dealing with the patients care, from doctors all the way to Certified Nursing Assistants. This includes all specialties that are consulted to work with the patient (physical/occupational therapy, speech therapy, psychiatry, etc.). My GOAL is to improve communication within the team and with the patient by providing bedside rounding once per shift. This gives a chance for questions to be answered, both from staff and patient, concerns, and opportunities for suggestions on improvement of patient care. This will take place within the unit at the bedside of the patient. By educating staff of the importance of communication within the team and with the patient, hopefully, staff will be willing and helpful to assist in making shift-by-shift bedside rounding a norm within the unit. Daily bedside rounding sheets will be logged into the patient chart for those unable to attend. This will not only improve communication at the bedside, but rounding reports will be available for all specialties working with the patient. This can work as a quick reference point and should include main topic areas such as: diagnosis, medications, pending tests/procedures, patient questions/concerns,...
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...Improving Nursing Shift Changes Introduction Nursing hand-offs rank high in situations where errors occur, often due to how shift changes are structured as much as mistakes by individual nurses (Halm, 2013). Wooldridge Place, for example, has a number of systemic deficiencies that contribute to communication breakdown between shifts and compromise patient care. It is anticipated that switching to a bedside handoff and addressing factors that contribute to negative outcomes from shift changes will allow Wooldridge to increase its patient safety and standards of care, and to meet National Patient Safety Goals and reduce overall costs to the organization. Background Significance While medical record-keeping is vital to patient care, nurses also...
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...Bedside Report from the Emergency Department. Translational Research March 31, 2016 The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted. A1. The current practice in the emergency department that I work in when admitting a patient to the medical floor goes something like this. 1. Emergency department doctor enters orders for a consulting doctor to come and look at the patient to determine if an admission is warranted. 2. The consulted admission doctor assesses the patient and determines admission diagnosis. 3. Orders are written for admission. 4. Admission orders and chart is assessed to determine if the patient meets inpatient or observation criteria by case management registered nurses. 5. Once inpatient vs. observation status is determined, case management puts up an indicator on patient chart that bed can be ordered. 6. Primary RN requests bed from bed board using computerized bed request form. 7. Bed board assigns room to patient and places an indicator on patient chart with room number. 8. Primary nurse calls floor that patient is assigned to and asks to speak to...
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...Analysis and Implications for Practice of Quantitative Research Report Introduction: It is very essential to avoid miscommunication among the health care providers since it leads to decreased staff and patient satisfaction. In health care now it is a challenge to create an environment in which open and free communication takes place. For this purpose, by using communication tools such as the situation background-assessment-recommendation (SBAR) method, interpersonal messages among the team members are clear even in stressful situations. At Went-Douglass Hospital, the management team decides to create a Transforming Care at the Bedside (TCAB) to help the nursing staff solve their problems in adapting the changes. The TCAB team consists of 20 nurses, pharmacists, care managers, physicians, clinical coordinators, educators, and supervisors. The main aim was to improve communications and hence improve satisfaction among health care employees and patients. Also, the TCAB planned to find a comfortable environment that best suits the patients, families and the health care providers. They implemented three major factors: moving the change of shift report to the bedside, initiating the safety huddle, and establishing nurse-physician “intentional” rounds at the bedside. The trial took place in a 28 bed medical/surgical unit, with the staff members participating in the trial. The results helped to improve the communication between staff and patient in a medical facility, and created...
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...Evidence Based Practice Task 1 Western Governors University Evidence Based Practice and Applied Nursing Research The nursing topic of interest is bedside handover, which is the concept of conducting shift handover at the patient’s bed instead of doing it at the front desk. Part A The article being analysed is: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal of Clinical Nursing, 22, 192-200. The analysis of the primary research report is done in the form of a graph (figure 1). Each of the four analysis areas is rated within a scale of 1-10; 1 denotes extremely weak while 10 denotes very strong. Table 1 then gives justifications for the rating by explaining why each area of analysis was rated that way in the analysis chart. [pic] Figure 1 Table 1 |A1 Article: Tobiano, G., Chaboyer, W. & Murray, A. (2012). Family Members’ Perceptions of the Nursing Bedside Handover. Journal | |of Clinical Nursing, 22, 192-200. | |A2 Background or introduction |The researchers provided an in depth introduction of the research topic outlining | | |important issues, previous research on the topic and their findings. The introduction | | ...
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...Learner’s Dictionary of Current English 2005)”. In healthcare and clinical context, the term “handover” applies to the transferring of a patient’s information between two health care providers, when the patient receives care in a different location, or when another healthcare provider is responsible of the patient (ACSQHC 2005). The American word “handoff” also signifies the same meaning. Nursing handovers are often being described as a ritual, which stemmed from the medical concept preliminarily in the 1880s, whereby the nursing sister would direct the nurses on duty after hearing reports from the night shift nurses and the doctors’ rounds (Walsh and Ford 1989). The repetitive characteristic of the traditional handover does not encourage nurses to think critically or share different views, therefore depicted as a “ritual” (Kerr et al 2011). 1.1 BACKGROUND OFTHE STUDY The aim of a nursing shift handover is to precisely inform the patient’s general condition, care plan, treatment and expectations in a timely manner (Runy 2008). The process, if made without a systematic standardized method, would lead to errors and jeopardizes patient’s safety (ACSQHC 2010). Reported adverse events from handovers include unnecessary procedure and investigations, delayed diagnosis or treatments, prolonged hospitalization, increased cost, and dissatisfied patients (Patterson and Wears 2010). Therefore The Joint Commission (2009) and the WHO (2008) have emphasized on the necessity for organizations...
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...Breandan Crane HP-619-01 Research Methods Lynne Man 11/4/15 A quantitative assessment of patient and nurse outcomes of bedside nursing report implementation This quasi-experimental designed study aimed to produce quantified data from pre- and post implemented reports based on how both employee and patients viewed bedside mannerisms in a large teaching hospital. After educating the seven medical-surgical units on the objectives of the study, the researchers implemented a bedside nursing report in order to observe topics such as, “Patient and nursing satisfaction, patient falls, nursing overtime, and medication errors.”(K. Sand-Jecklin, J. Sherman, 2584) The baseline data was obtained from patients and nurses filling out a survey tool prior to implementing the bedside report, which set a starting point to later compare a three-month and thirteen-month post implementation analysis of the bedside nursing report. The researchers found drastic statistical improvements regarding overall safety of the patients, nurse accountability, involvement, awareness, reducing medication errors, and lastly a significant reduction of patient falls during shift changes by the conclusion of the study. This study proved with quantitative data collected from the implementation of the bedside nurse reports successfully improved the overall quality of care provided to the residents who participated throughout the study. The quasi-experimental design allowed the researchers in its simplest form...
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