bedside report and patient safety

Furthermore, bedside report enhances patient safety by improving report accuracy, minimizing communication errors and allowing patients to express concerns, or ask questions during report [2,4]. When patients and their families are actively involved in discharge planning, they are more likely to understand and comply with the plan of care, improving patient safety. Also, safety is enhanced when the nurses review medications, equipment settings, and patient care environment during bedside report [6,7]. Moreover, several studies demonstrated a decrease in patient falls and medication errors [6-8].

Full Answer

What is bedside shift report (BSR)?

Bedside shift report (BSR) enables accurate and timely communication between nurses, includes the patient in care, and is paramount to the delivery of safe, high quality care. Hospital leaders and healthcare organizations are making concentrated efforts to change their environments to assure patient safety and patient and nurse satisfaction.

Does bedside report improve patient safety and patient satisfaction?

Research has shown that the implementation of bedside report has increased patient safety and patient and nurse satisfaction. An evidence-based practice change incorporating bedside report into standard nursing care was implemented and evaluated over a four-month time period on three nursing units.

Do nurse bedside shift studies on patient experience with care report limitations?

The majority of the studies on nurse bedside shift report that discuss patient experience with care have limitations.

Is bedside report evidence-based practice?

An evidence-based practice change incorporating bedside report into standard nursing care was implemented and evaluated over a four-month time period on three nursing units. Fall rates, HCAHPS and Press Ganey® scores, and nurses’ response to a satisfaction survey were measured before and after the project implementation.

How does bedside shift report improve patient safety?

It puts patients at the center of communication and permits them to collaborate and participate in their own recovery. Bedside reporting encourages teamwork and accountability of staff and is safer for the patient because it increases the quality of hospital care.

What is the purpose of bedside shift report?

The goal of the Nurse Bedside Shift Report strategy is to help ensure the safe handoff of care between nurses by involving the patient and family. The patient defines who their family is and who can take part in bedside shift report. Hospitals train nurses on how to conduct bedside shift report.

How can I improve my bedside reporting?

Implementing BSRIntroduce the nursing staff, patient, and family to each another.Invite the patient and (with the patient's permission) family to participate. ... Open the electronic health record at the bedside.Conduct a verbal report using words the patient and family can understand.More items...

What are the 5 factors to be crucial to patient safety?

5 Factors that can help improve patient safety in hospitalsUse monitoring technology. ... Make sure patients understand their treatment. ... Verify all medical procedures. ... Follow proper handwashing procedures. ... Promote a team atmosphere.

What is sbar in nursing?

The SBAR (situation, background, assessment and recommendation) tool is provided below to aid in facilitating and strengthening communication between nurses and prescribers throughout the implementation of this quality improvement initiative.

What are the benefits of bedside handover?

A real safety benefit of bedside handover is the fact that visualising the patient may prompt nurses to recall important information that should be handed over and it may also trigger oncoming staff to ask additional questions. Further, patients have the opportunity to clarify content.

How do I improve my bedside handover?

Yet a simple strategy to improve communication is to bring the report to the patient's bedside. This facilitates earlier connection between the oncoming nurse and the patient and presents an opportunity for the patient to ask questions and clarify information with both nurses.

How do I write a bedside report?

Implementing BSRIntroduce the nursing staff, patient, and family to one another.Invite the patient and (with the patient's permission) family to participate. ... Open the electronic health record at the bedside.Conduct a verbal report using the SBAR format in words the patient and family can understand.More items...

What are examples of patient safety?

Download a free eBook on how to improve patient safety in your organization.Identify “wrong site, wrong procedure, wrong patient” errors. ... Catch medication mistakes. ... Educate patients about their medications. ... Reduce patient falls. ... Monitor patients for deterioration.

What is the nurses role in patient safety?

From a patient safety perspective, a nurse's role includes monitoring patients for clinical deterioration, detecting errors and near misses, understanding care processes and weaknesses inherent in some systems, identifying and communicating changes in patient condition, and performing countless other tasks to ensure ...

How can we improve patient safety?

Hospitals can ensure patient safety and prevent untoward harm to patients who seek treatment with these steps.Enforce strict disinfection protocols. ... Use advanced monitoring equipment. ... Verify all medical procedures. ... Observe care in handling medicines. ... Review staffing policies. ... Work with trusted providers.

Moving Shift Report to the Bedside: An Evidence-Based Quality Improvement Project

Edward R. McAllen, Jr., DNP, MBA, BSN, BA, RN Kimberly Stephens, DNP, MSN, RN, DNP Brenda Swanson-Biearman, DNP, MPH, RN Kimberly Kerr, MSN, RN Kimberly Whiteman, DNP, MSN, RN, CCRN-K

Abstract

A Midwestern, 532-bed, acute care, tertiary, Magnet® designated teaching hospital identified concerns about fall rates and patient and nurse satisfaction scores. Research has shown that the implementation of bedside report has increased patient safety and patient and nurse satisfaction.

Background

A team of nursing administrators, directors, staff nurses, and a patient representative was assembled to review the literature and make recommendations for practice changes. A Midwestern, 532-bed, acute care, tertiary, Magnet® designated teaching hospital identified that fall rates were above the national average.

Literature Review

The team completed a literature review based upon the following PICO question: Does the implementation of BSR as compared to standard shift report at the nurses’ station increase patient safety and patient and nurse satisfaction? The practice of shift report at the bedside is not a new concept and is well documented in the literature.

Methods

The team completed a gap analysis to determine evidence-based best practices for shift report as compared to the current practice. Written approval to conduct the quality improvement project was obtained from the university and hospital institutional review boards (IRB).

Measures

Audits A BSR audit tool was implemented to assure compliance to the BSR process, including verifying that report was completed at the bedside; introducing the oncoming nurse; scripting in ISBARQ; updating the white board; and reviewing care.

Data Analysis

The software SPSS (IBM Inc., Chicago, IL, USA) version 22 was utilized to complete the data evaluation process. The analysis of patient satisfaction results was measured using independent samples t- test (two-tailed) to determine statistical significance of the data.