bedside report and two-nurse safety check: a patient safety initiative

by Dariana Hintz 5 min read

Bedside shift report: Nurses opinions based on their experiences

17 hours ago  · Nurse bedside shift report (BSR) has been identified as the gold standard because outcomes reported in the literature indicate it improves patient and family satisfaction, nursing quality and patient safety better than the traditional hand‐off outside the patient's room (Grimshaw et al., 2016). BSR occurs at the patient's bedside where ... >> Go To The Portal


BSR and patient safety CHS has been using the BSR since 2010. Rather than giving shift report outside the patient’s room, nurses going on and off shift meet at the patient’s bedside to review the care plan and discuss procedure, test, and medication updates.

Full Answer

Does bedside shift report improve patient safety and nurse accountability?

Bedside shift report improves patient safety and nurse accountability J Emerg Nurs. 2010 Jul;36(4):355-8.doi: 10.1016/j.jen.2010.03.009.

How do you write a bedside report on a patient?

It should start outside of the patient's room covering the general information history what's occurred, then kind of go through a head‐to‐toe assessment of what's going on. Then you go into the room and you can finish the bedside report at the bed, looking at all of the things that you might have noted.

Where can I find nurse-to-nurse bedside shift report implementation handbook?

Nurse bedside shift report implementation handbook. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.pdf. 26. Caruso EM. The evolution of nurse-to-nurse bedside report on a medical-surgical cardiology unit. . 2007;16(1):17–22.

What is the SBAR format for bedside shift report?

CHS affiliated hospitals implemented bedside shift report in an SBAR format (S ituation, B ackground, A ssessment, R esponse) and put significant effort into adopting a consistent BSR practice. Initial resistance to the BSR-which included concerns about privacy, confidentiality, and time-was consistent with what the literature reported.

What should be included in a bedside report?

Now, during a bedside report, patients may include information not previously shared, ask questions, and thank the nurses for spending the time to discuss what's going on.

What is nurse bedside shift report?

Bedside shift reports are the essential transmission of patient information between incoming and outgoing nurses in a patient care setting. This nursing communication provides for the continuity of safe and effective medical care and prevents medical errors.

What is the importance of bedside report?

Bedside shift reports are viewed as an opportunity to reduce errors and important to ensure communication between nurses and communication. Models of bedside report incorporating the patient into the triad have been shown to increase patient engagement and enhance caregiver support and education.

How do I write a good bedside report?

It should include the patient's medical history, current medication, allergies, pain levels and pain management plan, and discharge instructions. Providing these sorts of details about your patient in your end of shift report decreases the risk of an oncoming nurse putting the patient in danger.

Does bedside reporting increased patient safety?

The evidence based research reviewed unanimously concludes that conducting bedside reporting leads to increased patient safety, patient satisfaction, and nurse satisfaction. Nurses communicate with patients, patient families, healthcare providers, and other axillary departments constantly during a shift.

What is the bedside nurse's role in communication of clinical findings?

Nursing bedside report allows both the oncoming and outgoing nurses to assess the patients, examine for any patient safety errors, and allows the patients to be a part of their plan of care.

What is a nurse report?

Nursing report is given at the end of the nurses shift to another nurse that will be taking over care for that particular patient. Nursing report is usually given in a location where other people can not hear due to patient privacy.

What is reporting in nursing practice?

Reporting is the verbal or written communication of data regarding the clients health status needs, treatments, outcomes and responses. Reporting facilitates clinical decision making, continuity of care and co-ordination among health team members.

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 you write a nursing report?

How to write a nursing progress noteGather subjective evidence. After you record the date, time and both you and your patient's name, begin your nursing progress note by requesting information from the patient. ... Record objective information. ... Record your assessment. ... Detail a care plan. ... Include your interventions.

How do you give a good report?

3:2220:45How to Give a Nursing Shift Report - YouTubeYouTubeStart of suggested clipEnd of suggested clipFirst I have right here is attending doctor as the nurse you need to know who is the attendee overMoreFirst I have right here is attending doctor as the nurse you need to know who is the attendee over that patients care of the doctor.

How do I write a night duty report?

Tips for an Effective End-of-Shift ReportUse Concise and Specific Language. ... Record Everything. ... Conduct Bedside Reporting as Often as Possible. ... Reserve Time to Answer Questions. ... Review Orders. ... Prioritize Organization. ... The PACE Format. ... Head to Toe.

Why are nurses always on the same page during the report?

Nurses are always on the same page during the report because they're both looking at the same information at the same time. 12. The patient benefits from BSR too.

How does BSR help nurses?

The advantages for the nurse begin with the efficiency of report, which streamlines all pertinent information and saves nursing time. BSR improves staff's teamwork by giving nurses the opportunity to work together at the bedside, ensuring accountability. Using a standardized format reduces the risk of miscommunication because it overcomes different communication styles. Better communication also helps the oncoming nurse prioritize assignments according to need. The nurse is informed about the patient earlier in the shift because report time is shortened. Nurses are always on the same page during the report because they're both looking at the same information at the same time. 12

What is a SBAR board?

The SBAR communication tool can be adapted for BSR as follows. A dry erase board placed in the patient's line of vision can be used to convey information such as the names of nurses and healthcare providers and to highlight the patient's goal for the day.

Why is BSR important in nursing?

Because nurses are the first line of defense when it comes to patient safety, BSR is an integral part of the care plan. The nurse is accountable for the communication that occurs during the change-of-shift report.

How many people died from BSR in 2010?

According to the Inspector General Office, Health and Human Services Department, less-than-competent hospital care contributed to the deaths of 180,000 Medicare patients in 2010. However, the real number may be higher: According to one estimate, between 210,000 and 440,000 patients who go to ...

How many breaths per minute did the nurse take in 1920?

When two nurses entered her room at 1920 for the BSR, her respiratory rate had dropped to 6 breaths/minute. One nurse stayed in the room while the other obtained and administered naloxone as per protocol. The patient quickly recovered without complications.

Why is standardized format important for nurses?

Using a standardized format reduces the risk of miscommunication because it overcomes different communication styles. Better communication also helps the oncoming nurse prioritize assignments according to need. The nurse is informed about the patient earlier in the shift because report time is shortened.

Why is a checklist important for patient safety?

The checklist also can serve as an effective barrier to prevent HACs and other patient harm events.

What is the BSR checklist?

The checklist created to accompany the BSR enables a consistent and thorough assessment of patient needs and concerns, helps nurses assess multiple safety and quality triggers, and ensures patients and their families are prepared for care during and after hospitalization . Chief nursing officers and clinical nurses regularly review and evaluate the assessment tool and make revisions as needed, and its effective use is part of the nursing staff competency assessment. Because the deployment of the Patient Safety Assessment tool was so successful, CHS continues to initiate implementation of other clinical tools based on high reliability principles.

How many hospitals are there in CHSPSC?

As of December 31, 2018, CHSPSC, LLC, along with CHS consists of 113 hospitals in 20 states; the organization also includes ambulatory care centers, urgent care centers, and physician clinics. In 2012, CHS developed a component Patient Safety Organization (CHS PSO, LLC – AHRQ, PO122) to improve the safety and quality of patient care and embarked on a journey to achieve zero patient harm events by becoming a high-reliability organization (HRO). By studying the origin of patient safety events and understanding the level of harm they caused, the CHS executive team established safety as one of the organization’s core values. CHS partnered with HPI Press Ganey to deploy proven leadership methods and human-error prevention behaviors.