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- W2040735868 abstract "Patient safety is at the forefront of every nurse's daily routine, but communication errors during shift report can compromise that safety which can result in devastating outcomes. Patient safety and communication are key components in The Joint Commission National Patient Safety Goals. Errors in communication can contribute to gaps in care, increased financial costs, decreased patient satisfaction and decreased productivity. On a 36-bed stem cell transplant unit at a small NCI –designated medical center, the shift report was unstructured, variable, time-consuming and often repetitive.Research has shown that incorporating change of shift report at the bedside not only identifies safety concerns but also facilitates continuity of care, and drives staff accountability and responsibility. By having two nurses examine the patient in unison at the change of shift, it was hypothesized that a decrease in falls, medications errors, and miscommunication would occur. After conducting a literature search regarding bedside handover, the educator for the stem cell unit worked with the unit based council of the unit to create a process for implementing bedside handover. A survey was conducted to evaluate the knowledge of the nursing staff regarding bedside handover as well as their willingness to change practice. Newsletters, flyers, and discussions at staff meetings were done two months before roll-out. Scripts were created along with letters to the patients to provide a level of comfort this change would bring. Staff would review the highlights of the night in their standard format at the nursing station but would then go to the bedside to focus on pertinent issues such as pump settings, skin assessment, and a safety check. A 3 month trial period was conducted with overall positive results. Staff was re-surveyed at the end of the three months to assess the change and solicit suggestions for improvement. Results of these evaluations will be discussed. As patient co-morbidities increase and acuity continues to rise, bedside clinicians need to be vigilant in keeping patients safe. It was important to implement a process that would have positive results for both the staff and patients. Incorporating bedside handover into the shift report process has been well received and is now a standard part of shift report." @default.
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- W2040735868 date "2012-02-01" @default.
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- W2040735868 title "Effective Handover Report, a Tool for Improved Nursing Outcomes" @default.
- W2040735868 doi "https://doi.org/10.1016/j.bbmt.2011.12.555" @default.
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