Download or read book Importance of Implementing Bedside Shift Rounding in Facilities written by Kristiana Blankenship and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The acuity and complexity of inpatients' conditions have increased, therefore, effective communication among caregivers is of utmost importance in order to meet patient safety goals. A key aspect of communication among nurses is during their handoff or shift change report. By providing accurate patient information during their shift change report, nurses can prevent adverse events from happening to their patients. Information can be lost with traditional shift reports that are recorded or given at the nurses' station that provide for many distractions. There may also be problems with the patient that was not provided in the shift report such as infiltrated IV sites, missed medication, and a change in the patients' condition. Therefore, a solution needs to be made in order to correct the inaccuracies with traditional reports. The Joint Commission have also identified the need to improve effective communication among caregivers. The Joint Commission has implemented National Patient Safety Goals (NPSG) that discuss issues such as effective communication, handoffs, and encouraging patients to be involved in their own health care. Facilities have had to look at their current communication and handoff procedures in order to meet all of the Joint Commission guidelines. Does implementing bedside shift rounding improve patient satisfaction, patient safety, nurse satisfaction, and nurse accountability compared with traditional oral shift change reports given at the nurses' station? This PICO question and provided literature and evidence based practice is the basis for stressing the importance of implementing bedside shift rounding in facilities. This paper will discuss the importance of implementing bedside shift rounding in facilities, theory and literature supporting bedside shift rounding, the implementation, dissemination, and evaluation of the plan, and getting approval for the proposed plan. The key stakeholders will also be addressed and the importance of communication between the implementation team and the stakeholders.

Download or read book Implementation of Intentional Rounding and Bedside Shift Reporting on Patients Call Light Usage and Patient Satisfaction written by Didier Fobi Melone and published by . This book was released on 2017 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores at an inpatient health care facility in Southern California, and specifically for this acute care medical-surgical unit, have been consistently lower than state and national levels. The top box scores associated with patient experience (satisfaction) are unsatisfactory for this unit. To improve the patient satisfaction scores at the unit level with the long-term goal of bringing improvement to all units, the unit implemented two evidence-based practice strategies: intentional rounding and bedside shift reporting. The overall aim was to improve HCAHPS survey scores. This direct practice improvement (DPI) project evaluated the effectiveness of intentional rounding and bedside shift reporting on call light or bell usage and patient satisfaction. We carried out this project was carried out using quantitative methodology and pretest-posttest design with nonrandomization and nonequivalent groups design, along with participatory action research (PAR) methodology. The results indicated that at Îł = .05 and a power analysis of 1.000, the mean patients' call light data were 59.93 and 43.89 counts for pre-implementation and post-implementation, respectively (p

Download or read book Promoting Patient Safety by Implementing Bedside Shift Report written by Maroof A. Olanigan and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT Patient safety is a very broad and general term used to ensure that all aspects of patient care, from medical and nursing services to social and spiritual, are provided with the best interest of the patient. The aim statement for the project is improving patient safety by ensuring the implementation of bedside shift report by 80% of nurses by August 2016. Kurt Lewin's change theory is going to be used to effect the change. There were in-services given to nurses on the floor and the project was also discussed in staff meetings. Flyers were posted around the units to help build up and maintain enthusiasm for the implementation of BSR. Implementation was initiated behind schedule due to conflict in schedules and bureaucratic hoops. The implementation was started on April 28, 2016 and so there are no exact numbers at this time because there is a two week trial period. But I have had conversations with the some nurses that have started the project since initiation. So far they seem to be very receptive of the change. Most of the patients have been neutral at this time but we'll see if that's going to be the case in two weeks. There are numerous publications that support the efficacy of bedside shift report in relation to patient care and safety. Publications from the Agency for healthcare research & quality (AHRQ), MEDSURG Nursing, American nurse today, Journal of Clinical Nursing and the Nursing journal are some of the articles that were used to investigate and develop ideas and policies for the project. Patient experience with the bedside shift report (BSR) will be tracked and the data collected will be used to improve the process in order to enhance the patient experience. Patient experience would include if the patient felt more engaged in their care, if they felt safer and had more confidence in the personnel helping out with the care. Also nurse satisfaction is another benchmark that would be measured by sending out surveys periodically in an effort to gauge the opinions of the staff members. The data collected from the surveys will be used to develop improvements to the process and increase the comfort level of the nurses in giving BSR. We would also track if the nurses feel more accountable for the care they delivered during the shift and if the accountability translates to nurses being more responsible in the care that they deliver. Periodic collection of data will be used to monitor patient satisfaction and nursing compliance. The data would be monitored by the appointed BSR champions because they would be able to monitor and collect data on compliance of the floor nurses in real time and compare it with data collected from patient satisfaction surveys. There are going to be bi-weekly meetings to analyze and improve the process by applying PDSA cycle. Analysis of the data can also help to recognize fallouts earlier and provide opportunity to make corrections. In conclusion, sustainability is what is important. One of the ways I recommend to ensure continuity of the project by making sure that the new employees, regardless of experience, are trained during their eight to twelve week floor orientation. After conducting a failure mode effect analysis coupled with experience, I concluded that continuity is also dependent on proper training of new employees. I concluded this because nursing is a high turnover profession and if the current nurses don't teach the new nurses before they leave the facility then the whole process will have to be restarted.

Download or read book Qualitative Interviewing written by Herbert J. Rubin and published by SAGE. This book was released on 2005 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2nd edition of this work has been completely rewritten to add new examples & to better integrate the presentation of topics. Readers will see how the choice of topic influences question wording & how the questions asked influence the analysis.

Download or read book Bedside Shift Change Report Increases Patient Safety and Staff Satisfaction written by Doris Onuwa and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change of shift is a very important time in nursing as it is a time when continuity of care is being transferred from one nurse to the other at the end of the shift. It allows for information regarding a patient condition to be handed over to the incoming nurse by the outgoing nurse. Various method have been used by different facilities which include tape method of shift handoff, nurses station report system et cetera Based on research study, the system of nurses exchanging information at the patient`s bedside with the patient being involved have many benefits over the other methods of shift hand over. Patient safety being the watch word in patient care, have been the reason for the adoption and implementation of bedside shift change report. Effective communication at the patient bedside increases safety as research has shown, and also accuracy of report using the bedside shift change report have been demonstrated. This system of patient handover is associated with decreased call light during change of shift, and also fall reduction. Errors in patient care have been reduced according to research with the use of bedside change of shift report. Also staff satisfaction have been noted with the use of bedside shift change report as staff verbalized that they were able to go home on time, thus reducing incidental overtime. Many research studies have suggested the use of this method for the sake of patient safety and improved outcome, and also for staff satisfaction.

Download or read book Significance of Bedside Shift Reporting in an Acute Care Setting with an Emphasis on Patient Satisfaction written by Rosamond Hancock and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective nursing hand-of is an essential part of nursing care delivery. In an acute care setting the quality and effectiveness of shift report is crucial to the accurate and effective delivery of patient care. Shift report that is done at the bedside improves patient satisfaction by improving the quality of nursing care, focusing on a patient centered care delivery system, and improving nursing satisfaction. This paper will define bedside shift reporting as the preferred and most effective method of nursing hand-off. A review of literature provided confirms that nursing hand-off done at the bedside improves patient and nursing satisfaction and is considered the best practice for nurses in an acute care setting. A detailed review and explanation of two nursing studies done on acute care hospital units indicated that bedside reporting is beneficial to nurses and patients because it improves the quality of nursing hand-off and increase patient and nursing satisfaction. This paper will discuss bedside reporting in relation to Hildegtard E. Peplau's Theory of Interpersonal Relationships and the importance of therapeutic nurse to patient relationships. In addition, provide a detailed method of implementation, evaluation, and dissemination of bedside report in an acute care setting. Provided are resources including PowerPoint sides, handouts, and questionnaire to aid and identify the key personal involved in the implementation, evaluation, and dissemination of standardized bedside reporting on an acute care unit.

Download or read book Significance of Bedside Reporting on Patient Safety and Staff Satisfaction written by Caitlin Garmon and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ineffective communication at change of shift can put the safety of patients at risk. The purpose of this study is to show bedside shift report increases patient safety as well as staff satisfaction. This study found bedside report lead to less falls and medication errors. Communication breakdowns are the cause of a significant number of sentinel events. Staff was satisfied with shorter report times and improved communication between shifts. Nurses were better prepared and were able to better assess patient needs after implementation of bedside shift report. Nurses were held more accountable and patients became more involved in their care. This new process gave the oncoming nurse the opportunity to visualize the patient and ask questions. Finding of this report confirmed how important having a standardized report system is in reducing errors. Accurate and consistent communication was improved after the implementation of bedside reporting. Effective communication at shift change is a fundamental component of nursing and the culture of safety. This study was conducted within a large hospital on medical and surgical units. A survey was obtained before the implementation of bedside report and several times over the first year post. Along with the use of surveys visual observations were done as well as in person interviews. Results of this study show that bedside report increased nurse's satisfaction, helped in the prioritization of patients which increased work flow, and decreased the amount of time for handoff.

Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.

Download or read book Increasing Patient Safety with Bedside Shift Report written by Karen L. Lewis and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change of shift report in acute care facilities is a unique activity where nurses transfer critical information to promote patient safety and best practices. Traditionally, nurse shift report takes place at the nurse's station before patients have been visualized, in a process that lacks effective communication and is contrary to patient-centered care. A review a literature indicates an effective strategy to overcome these patient safety issues is a standardized process of bedside shift report. This paper details the implementation plan of a pilot program on a 28 bed medical surgical unit. Direct observation and surveys are the evaluation methods used, and a dissemination plan for findings will be discussed. Bedside shift report can be an effective strategy to increase safety for best patient outcomes.

Download or read book Nursing2022 Drug Handbook written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2021-03-04 with total page 2933 pages. Available in PDF, EPUB and Kindle. Book excerpt: THE #1 Drug Guide for nurses & other clinicians...always dependable, always up to date! Look for these outstanding features: Completely updated nursing-focused drug monographs featuring 3,500 generic, brand-name, and combination drugs in an easy A-to-Z format NEW 32 brand-new FDA-approved drugs in this edition, including the COVID-19 drug remdesivir—tabbed and conveniently grouped in a handy “NEW DRUGS” section for easy retrieval NEW Thousands of clinical updates—new dosages and indications, Black Box warnings, genetic-related information, adverse reactions, nursing considerations, clinical alerts, and patient teaching information Special focus on U.S. and Canadian drug safety issues and concerns Photoguide insert with images of 439 commonly prescribed tablets and capsules

Download or read book Building Innovative Nurse Leaders at the Point of Care An Issue of Nursing Clinics written by Kelly A. Wolgast and published by Elsevier Health Sciences. This book was released on 2020-02-06 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt: Together with Consulting Editor Dr. Stephen Krau, Dr. Kelly Wolgast has put together a unique issue that discusses nursing leadership. Expert authors have contributed clinical review articles on the following topics: Sustainability Strategies and Nursing; Building Skills in Policy, Advocacy, and Media to Promote Population Health; Integrating Technology Innovation Into Practice; Leading Change in Nurse Bedside Shift Reporting; Decision-making at the Bedside; Making Good Use of Your Limited Time; Nursing Model of Care in Behavioral Health; Mentor Relationships to Build Individual Leader Skills; Sepsis Management in the ED; Importance of GIS Mapping and Disaster Preparedness; Nurse Characteristics and Effects on Quality; Interprofessional Models of Care; Magnet and the Direct Care Nurse; and Home Health Nursing Satisfaction and Retention. Readers will come away with the information they need to create a successful environment for nurses that ultimately results in improving patient outcomes.

Download or read book Implementation of Bedside Shift Report in the Medical Surgical Unit written by Perla Alday and published by . This book was released on 2015 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: Change of shift report is a critical time when nurses transfer information about the patient. Failure to communicate efficiently can cause medical errors. A typical nurse-to-nurse report does not allow the visualization of the patient or patient/family concerns to be addressed. This can cause vital information to be missed, therefore placing the patient at risk. In order to provide safe patient care, the adequate transfer of information needs to be provided. To decrease the frequency of medical errors, the implementation of a standardized communication tool is required. The use of bedside shift report is essential to nursing practice. Bedside repot is a method of nurse to nurse handoff communication performed at the patient's bedside. Nurses are able to assess the patient in person while obtaining vital information. A nurse's accountability can be higher while including the patient in their plan of care and patient satisfaction improved. Any issues and concerns can be addressed at the moment, increasing patient safety. As concerns arise with the traditional method of nursing handoff tool, the need for bedside shift report is needed to increase patient safety, therefore decreasing the number of medical errors and sentinel events. Bedside shift report is implemented to a medical surgical unit with the main goal of increasing patient safety using an improved method of nurse-to-nurse handoff communication. This paper will describe the problem, solution to the process of the issue, implementation plan, evaluation, and dissemination plan. It will also describe studies before and after the implementation with nurse and patient's perception of the process. Results from the review of studies shown reveal how other clinical settings have benefited from bedside shift report, improving patient's safety.

Download or read book Standardizing the Bedside Shift Report Improving Communications and Promoting Patient Safety written by Chona C. Alforque and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: PROBLEM: Nursing shift reports are integral to nursing as they allow for the transfer of critical information and responsibility of patient care from one nurse to another. Ineffective communication during shift-to-shift reports can contribute to gaps in patient care and breaches in patient safety, including medication errors, falls, and sentinel events. The greatest risk of communication breakdown is during transitions in care. CONTEXT: St. Louise Regional Hospital, a small community hospital, consisting of an eight-bed medical-surgical intensive care unit lacked structure in how handoff should occur and had variances in shift handoffs. Observation of the shift handoff at the nurses' station revealed many communication gaps that have shown negative impacts on patient safety and outcomes. The improvement project described in this paper focused on evidence-based practices that support the benefits of bedside shift and implementations of standardized handoff tools. INTERVENTION: Intervention included an education in-service for unit managers, educational coordinators, and staff nurses to emphasize the important benefits of bedside shift report. MEASURES: The three components for evaluating improvement include outcome, process, and balancing measures to determine whether the improvement project has had the desired impact. The outcome measure expected to yield the following: direct observation of nurses during bedside report to calculate how often is being done, monitor for decrease in overtime due to more efficient shift-to-shift bedside reports, and a review of risk management reports observing for effect on the number and severity of medication errors. RESULTS: The outcome measure is to increase the nurses' compliance with bedside shift report in the intensive care unit to at least 80% within six months of implementation. CONCLUSION: With the proposed change, bedside shift report will addresses all the safety hazards by reducing adverse events, such as medical errors, patient falls at shift change, and sentinel events. Bedside shift report improves patient safety, enhances the quality of care, improves patient and nurse satisfaction, decrease unnecessary healthcare expenditure, and saves time.

Download or read book Significance of Hourly Rounding on Patient Safety and Satisfaction written by Dana M. DeHart and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety and satisfaction has been at the for-front of health care criticism for some time. The problem of patient safety is important to all health care workers and is often the reason why people study nursing in the first place, to keep the patients safe. The problem exists because patients continue to fall and often times are seriously injured. There are also concerns of patients not being turned and ending up with pressure sores. These problems result in poor patient satisfaction. Studies have shown that hospitals and rehabilitation facilities that have taken part in trials of hourly rounding by nurses and nursing personnel, have shown a decrease in the number of patient falls and an increase in patient satisfaction numbers. Implementing a plan for hourly rounding is necessary to improve patient safety, involving nurses checking on patients and observing patient's rooms and surroundings. After the plan is implemented, an evaluation of the process is required to determine if the process or plan has been effective. Evaluation is often skipped over in EBP research, however it is necessary to determine the effectiveness of the plan and to let others know the results of the trial. Shortly after the plan is evaluated, it should be disseminated to other nurses, stakeholders and the public in order for the information to be useful. Dissemination is also important because it allows nurses to see results of studies in a quick, efficient way without having to spend hours looking up the research themselves.

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Download or read book Improving Healthcare Quality in Europe Characteristics Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.