2.50
Hdl Handle:
http://hdl.handle.net/10755/306597
Category:
Abstract
Type:
Poster
Title:
Bedside Reporting: Transforming Care Back to the Bedside
Author(s):
Theoret, Jennifer
Lead Author STTI Affiliation:
Non-member
Author Details:
Jennifer Theoret, BSN, RN, jennifer.theoret@stjohn.org
Abstract:

Evidence-based Practice Abstract

Purpose: The purpose of this project was to implement bedside reporting to improve patient safety, build employee teamwork, ownership and accountability. This initiative responds directly to Joint Commission’s National Patient Safety goals to improve accuracy of patient identification, improve hand-off communication and encourage patients’ active participation in their care. Transforming care at the bedside has emerged as a framework for improving patient safety in the acute care setting. Initiated by the Institute for Healthcare Improvement in the United States, this framework focuses on safety and reliability, care team vitality, patient-centered care and value-added processes.

Design: A multidisciplinary team was established to review current HCAHPS ratings and develop continuous quality improvements and guidelines for the successful implementation of bedside reporting.

Setting: An urban, 772-bed teaching hospital. The Emergency Center, a Level 2 Trauma Center is stroke, chest pain, and heart failure accredited, and sees approximately 117,000 patients annually.

Participants/Subjects: A multidisciplinary team encompassing leaders, unit champions, staff RN’s and Emergency Room Technicians (ERT).

Methods: A review of the literature was conducted and examined looking for processes and trends. The team worked to identify measurable goals and outcomes. Patient education of the process will be provided upon their arrival to a treatment room. Staff education is being conducted at daily safety huddles and monthly unit staff meetings and includes our department’s vision, bedside reporting process summary and a quick reference tool of the bedside reporting guidelines. The core team is providing education, answering questions and role-modeling desired behaviors for other staff within the department. A tool kit was developed for staff to utilize as a resource. Post-implementation open discussion and feedback along with patient and staff surveys will be used to collect data, measure success and identify opportunities for improvement.

Results/Outcomes: Anticipated outcomes include: increased patient safety, increased patient, staff and physician satisfaction and increased teamwork, collaboration and accountability amongst staff. Post-implementation, leadership and unit champions will evaluate HCAHPS ratings looking for changes that reflect an increase in patient satisfaction in conjunction with the introduction of bedside reporting. Leadership will ask patients their perception of bedside reporting. Staff will be asked for comments and suggestion for improvement immediately following implementation. In addition, three months after implementation of bedside handover, nursing staff will be asked to participate in a brief survey and provide written comments about the new process. Anticipated benefits will be summarized utilizing descriptive statistics.

Implications: Increased patient safety and satisfaction will be seen with the introduction of bedside reporting. By allowing patients to participate in their own care and decision-making and letting them see staff engaged and working together as a team, their overall patient care experience will improve. In return, patients are more likely to be loyal customers and return to our facility for future care. Increased staff satisfaction with bedside handoff promotes collaboration and accountability. This could lead to increased retention, decreased turnover and a positive influence on financial outcomes.

Keywords:
Improved Bedside Reporting
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Annual Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Nashville, Tennessee, USA
Description:
2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Center
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePosteren_GB
dc.titleBedside Reporting: Transforming Care Back to the Bedsideen_GB
dc.contributor.authorTheoret, Jenniferen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJennifer Theoret, BSN, RN, jennifer.theoret@stjohn.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306597-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: The purpose of this project was to implement bedside reporting to improve patient safety, build employee teamwork, ownership and accountability. This initiative responds directly to Joint Commission’s National Patient Safety goals to improve accuracy of patient identification, improve hand-off communication and encourage patients’ active participation in their care. Transforming care at the bedside has emerged as a framework for improving patient safety in the acute care setting. Initiated by the Institute for Healthcare Improvement in the United States, this framework focuses on safety and reliability, care team vitality, patient-centered care and value-added processes.</p><p>Design: A multidisciplinary team was established to review current HCAHPS ratings and develop continuous quality improvements and guidelines for the successful implementation of bedside reporting.</p><p>Setting: An urban, 772-bed teaching hospital. The Emergency Center, a Level 2 Trauma Center is stroke, chest pain, and heart failure accredited, and sees approximately 117,000 patients annually.</p><p>Participants/Subjects: A multidisciplinary team encompassing leaders, unit champions, staff RN’s and Emergency Room Technicians (ERT).</p><p>Methods: A review of the literature was conducted and examined looking for processes and trends. The team worked to identify measurable goals and outcomes. Patient education of the process will be provided upon their arrival to a treatment room. Staff education is being conducted at daily safety huddles and monthly unit staff meetings and includes our department’s vision, bedside reporting process summary and a quick reference tool of the bedside reporting guidelines. The core team is providing education, answering questions and role-modeling desired behaviors for other staff within the department. A tool kit was developed for staff to utilize as a resource. Post-implementation open discussion and feedback along with patient and staff surveys will be used to collect data, measure success and identify opportunities for improvement.</p><p>Results/Outcomes: Anticipated outcomes include: increased patient safety, increased patient, staff and physician satisfaction and increased teamwork, collaboration and accountability amongst staff. Post-implementation, leadership and unit champions will evaluate HCAHPS ratings looking for changes that reflect an increase in patient satisfaction in conjunction with the introduction of bedside reporting. Leadership will ask patients their perception of bedside reporting. Staff will be asked for comments and suggestion for improvement immediately following implementation. In addition, three months after implementation of bedside handover, nursing staff will be asked to participate in a brief survey and provide written comments about the new process. Anticipated benefits will be summarized utilizing descriptive statistics.</p><p>Implications: Increased patient safety and satisfaction will be seen with the introduction of bedside reporting. By allowing patients to participate in their own care and decision-making and letting them see staff engaged and working together as a team, their overall patient care experience will improve. In return, patients are more likely to be loyal customers and return to our facility for future care. Increased staff satisfaction with bedside handoff promotes collaboration and accountability. This could lead to increased retention, decreased turnover and a positive influence on financial outcomes. </p>en_GB
dc.subjectImproved Bedside Reportingen_GB
dc.date.available2013-12-09T17:00:30Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:30Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Annual Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationNashville, Tennessee, USAen_GB
dc.description2013 ENA Annual Conference Theme: Safe Practice, Safe Care. Held at Gaylord Resort and Convention Centeren_GB
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.en_GB
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