bedside shift report a patient safety initiative

by Mrs. Cindy Fay 8 min read

Bedside shift report: Implications for patient safety and …

23 hours ago This form of shift report improves staff communication while ensuring nurse accountability. 3. In its guide to patient safety, the AHRQ cites institutions that noticed improvements in their HCAHPS scores after implementing BSR. For example, Emory Healthcare System, which includes three hospitals, received 98% on patient satisfaction. >> Go To The Portal


Bedside shift report (BSR) is a vitally important practice in the nursing healthcare system responsible for the patients’ safety that serves as an opportunity to decrease errors and fatal accidents.

Full Answer

Why is bedside report so important?

Nurses have raised some concerns when it comes to BSR, namely:

  • unknown visitors or family in the room
  • disclosure of new diagnoses or lab information that a healthcare provider hasn't yet discussed with patient
  • patient sleeping
  • patient unable to participate due to cognitive or sensory limitations
  • questions from patient that need lengthy clarification, increasing report time

More items...

What is bedside shift report?

  • Nurse Bedside Shift Report: What is it? ...
  • Bedside Shift Report Checklist -- Checklist that highlights the elements required to complete bedside shift report. ...
  • Nurse Bedside Shift Report Training -- Slides and talking points used to train nurses to conduct a bedside shift report and to help them understand how to engage patients and ...

Why is bedside shift report?

Shift report, when completed at the patient bedside, allows the nurse to visualize and assess the patient and the environment, as well as communicate with and involve the patient in the plan of care. 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.

What is shift to shift report?

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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 should be on a bedside shift report?

According to AHRQ, the critical elements of a BSR are: Introduce the nursing staff, patient, and family to each another. Invite the patient and (with the patient's permission) family to participate. The patient determines who is family and who can participate in the BSR.

How do you write a good shift report?

5 Tips for an Effective End-of-Shift ReportGive a Bedside Report. “Check pertinent things together such as skin, neuro, pulses, etc. ... Be Specific, Concise and Clear. “Stay on point with the 'need to know' information. ... When in Doubt, Ask for Clarification. ... Record Everything. ... Be Positive!

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.

What is bedside handoff report?

Nurse bedside shift report, or handoff, has been defined in the literature as a process of exchanging vital patient information, responsibility, and accountability between the off-going and oncoming nurses in an effort to ensure safe continuity of care and the delivery of best clinical practices.2-6 There are different ...

How do I submit a bedside report?

5 Best Practices For an Effective Bedside Shift ReportShift Reports Should be Done at the Bedside. ... A Great Bedside Report Sets the Tone for the Shift. ... Be Mindful of Patient Privacy. ... Benefits of a Great Shift Report. ... Ask The Oncoming Nurse “What Other Information Can I Provide For You?

How do you write a patient report?

III. Patient case presentationDescribe the case in a narrative form.Provide patient demographics (age, sex, height, weight, race, occupation).Avoid patient identifiers (date of birth, initials).Describe the patient's complaint.List the patient's present illness.List the patient's medical history.More items...•

What is SBAR template?

SBAR is an acronym for Situation, Background, Assessment, Recommendation. It is a technique used to facilitate appropriate and prompt communication. An SBAR template will provide you and other clinicians with an unambiguous and specific way to communicate vital information to other medical professionals.

What is the purpose of a shift report?

Shift reports help improve communication between coworkers or team members, and they ensure proper execution, control and oversight. Managers use shift reports to pass information about proceedings that take place during a specific shift to others.

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.

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