2.50
Hdl Handle:
http://hdl.handle.net/10755/164189
Category:
Abstract
Type:
Presentation
Title:
Back to the Bedside: Patient Safety and Handoff Report
Author(s):
Ellis, Donna; Mullenhoff, Patricia; Ong, Fely
Author Details:
Donna Ellis, MSN, RN, APRN-BC, Avocate Christ Medical Center, Oak Lawn, Illinois, USA, email: nacnsorg@nacns.org; Patricia Mullenhoff, MS, APN; Fely Ong, MSN, RN, APRN, CCNS
Abstract:
Purpose: The purpose of this project is to improve patient safety through accurate communication between caregivers during shift report. The objectives of this project are: 1. To develop a process for bedside shift report. 2. To develop a standardized tool for communication during shift report. Significance: In 1999 the Institute of Medicine published a report on the state of patient care in America. In this report errors in communication were identified as a major factor in medical errors contributing to patients deaths. Background/Design: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), published the 2006 National Patient Safety Goals. Goals include, "Improve the effectiveness of communication among caregivers." Methods identified to achieve this goal include "implementing a standardized approach to 'hand off' communications, including an opportunity to ask and respond to questions." Methods: A project was initiated designed to address identified problems with shift-to-shift nursing handoffs. After benchmarking a decision was made to include the following components: A standardized nursing report handoff tool; utilizing a format called the 5P. The 5 Ps are: Patient, Plan, Purpose of Plan, Problems and Precautions, 2. Bedside shift-to-shift report, 3. Inclusion of the patient and family in discussion of plans and goals of care, 4. Two person medical record check. Findings: Improved patient satisfaction, increased involvement between patients and caregivers, improved communication between nurses, improved accuracy of information during shift report. Conclusions: Initial reactions from patients have been positive. Easy and early identification of their caregivers and having an opportunity to verbalize their concerns and questions regarding the plan of care are frequently cited advantages of this process. Nurses are able to rely on a standardized format for report which enables verification of information. Implications for Practice: Increased patient satisfaction has been demonstrated with bedside shift report. In addition, it has been shown to improve teamwork and nursing accountability. Errors in communication have repeatedly been identified as a factor in patient safety events. Further study needs to be done to understand the implications for education in both the academic and practice settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleBack to the Bedside: Patient Safety and Handoff Reporten_GB
dc.contributor.authorEllis, Donnaen_US
dc.contributor.authorMullenhoff, Patriciaen_US
dc.contributor.authorOng, Felyen_US
dc.author.detailsDonna Ellis, MSN, RN, APRN-BC, Avocate Christ Medical Center, Oak Lawn, Illinois, USA, email: nacnsorg@nacns.org; Patricia Mullenhoff, MS, APN; Fely Ong, MSN, RN, APRN, CCNSen_US
dc.identifier.urihttp://hdl.handle.net/10755/164189-
dc.description.abstractPurpose: The purpose of this project is to improve patient safety through accurate communication between caregivers during shift report. The objectives of this project are: 1. To develop a process for bedside shift report. 2. To develop a standardized tool for communication during shift report. Significance: In 1999 the Institute of Medicine published a report on the state of patient care in America. In this report errors in communication were identified as a major factor in medical errors contributing to patients deaths. Background/Design: The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), published the 2006 National Patient Safety Goals. Goals include, "Improve the effectiveness of communication among caregivers." Methods identified to achieve this goal include "implementing a standardized approach to 'hand off' communications, including an opportunity to ask and respond to questions." Methods: A project was initiated designed to address identified problems with shift-to-shift nursing handoffs. After benchmarking a decision was made to include the following components: A standardized nursing report handoff tool; utilizing a format called the 5P. The 5 Ps are: Patient, Plan, Purpose of Plan, Problems and Precautions, 2. Bedside shift-to-shift report, 3. Inclusion of the patient and family in discussion of plans and goals of care, 4. Two person medical record check. Findings: Improved patient satisfaction, increased involvement between patients and caregivers, improved communication between nurses, improved accuracy of information during shift report. Conclusions: Initial reactions from patients have been positive. Easy and early identification of their caregivers and having an opportunity to verbalize their concerns and questions regarding the plan of care are frequently cited advantages of this process. Nurses are able to rely on a standardized format for report which enables verification of information. Implications for Practice: Increased patient satisfaction has been demonstrated with bedside shift report. In addition, it has been shown to improve teamwork and nursing accountability. Errors in communication have repeatedly been identified as a factor in patient safety events. Further study needs to be done to understand the implications for education in both the academic and practice settings.en_GB
dc.date.available2011-10-27T11:43:42Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:42Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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