how does beside report increase patient safety

by Elisha Skiles 9 min read

Bedside shift report: Implications for patient safety and …

5 hours ago Strategy 3 states: “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.” 7 >> Go To The Portal


Models of bedside report incorporating the patient into the triad have been shown to increase patient engagement and enhance caregiver support and education. Nurse shift reports and nurse handovers are 2 of the most critical processes in patient care that can support patient safety and reduce medical errors in the United States.

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.

Full Answer

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.

Does shift report improve patient safety and nurse accountability?

Bedside shift report improves patient safety and nurse accountability Bedside shift report improves 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.

Should shift report be done at the bedside?

The practice of shift report at the bedside is not a new concept and is well documented in the literature.

Why is patient participation in the report important?

Patient participation in the report is paramount to delivery of safe, high quality care. After the literature review, the team defined BSR as the accurate and timely communication between nurses and also between the nurses and the patient. Patient participation in the report is paramount to delivery of safe, high quality care.

image

Does bedside reporting increased patient safety?

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.

Why is it important to do 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.

Why bedside handovers can be better for patients?

Bedside handover may improve patient participation, which may result in better experience (McMurray et al., 2011) giving the patient a feeling of accessible care and patient satisfaction (Mako et al., 2016) and patients can contribute information during the process which will improve quality of care and patient safety ...

What enhances patient safety?

Properly engaging patients, driving patient satisfaction, and listening to patients are critical to supporting patient safety initiatives. Likewise, clinicians must make sure patients and their caregivers are knowledgeable about their care and can help prevent medical errors from falling through the cracks.

Do patients like bedside report?

The evidence based research reviewed unanimously concludes that conducting bedside reporting leads to increased patient safety, patient satisfaction, and nurse satisfaction.

What is a bedside report?

By definition, a BSR is the change-of-shift report between the offgoing nurse and the oncoming nurse that takes place at the bedside. This makes patients a part of the process in the delivery of care.

Why is handover so important?

Why is handover important? The goal of handover is the accurate reliable communication of task-relevant information across shift changes or between teams thereby ensuring continuity of safe and effective working.

Do bedside handovers reduce handover duration?

While using bedside handovers will not always lead to decreased handover time, it will increase direct patient contact, increasing the possibilities for patient participation and enhancing patient safety.

How do you improve patient handover?

Here are five tips to polish your handover technique:Be organised. Try to follow an organised sequence when handing over: patient details, presenting complaint, significant history, treatment and plan of care. ... Stay focused. Stay relevant. ... Communicate clearly. Be concise and speak clearly. ... Be patient-centred. ... Allow time.

What factors affect patient safety?

Main results Five categories of factors emerged that could affect patient involvement in safety: patient‐related (e.g. patients' demographic characteristics), illness‐related (e.g. illness severity), health‐care professional‐related (e.g. health care professionals' knowledge and beliefs), health care setting‐related ( ...

How can nurses improve patient safety?

7 Tips for Ensuring Patient Safety in Health Care SettingsTip 1: Establish a Safety and Health Management System. ... Tip 2: Build a Rapid Response System. ... Tip 3: Make Sure That Employees Know and Understand Safety Policies. ... Tip 4: Develop a Safety Compliance Plan. ... Tip 5: Practice Patient-Centered Care.More items...

What are the key elements of patient safety?

The key elements of a culture of safety include (1) a shared belief that although health care is a high-risk undertaking, delivery processes can be designed to prevent failures and harm to participants; (2) an organizational commitment to detecting and analyzing patient injuries and near misses; and (3) an environment ...

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.

image