Abstract
Purpose. The Transfer of Care bundle outlines a standardized process for safe patient hand-off communication. Hand-off communication includes nurse-to-nurse at the change of shift, while transferring a patient to another unit, or to another licensed individual. Background. LMHS employed two independent consulting firms to complete safety audits for the system. The first audit was completed in 2008, the second in 2009. Nurse-to-nurse communication was a major concern in both audits. Anytime patient care is transferred from care team member to another, there is risk pertinent information about the patient is not communicated. Any lapse in communicating patient information compromises patient safety. The literature review findings trends are standardization is critical for both communication process and elements. Standardization improves hand-off communication efficiency and accuracy.
Methodology. Staff nurse representatives from units throughout the system completed an extensive literature review; resulting in the development of the Transfer of Care bundle. The bundle outlines the process for nurse-to-nurse communication and the PASS ME SAFELEE acronym for required elements to communicate. An education and implementation plan was developed and tested on seven Phase One units.
Findings. Patient satisfaction scores, nursing report satisfaction surveys, and staff reporting of good catches will measure the effects of the bundle. Patient satisfaction scores and report satisfaction survey scores are recorded and trended on a scorecard. Results have shown continuous improvement on all Phase One units for patient satisfaction and nursing report satisfaction. Implications on practice. The Transfer of Care bundle standardizes what information is communicated and the process of information sharing. Compliance with the bundles increases patient safety when nurses are transferring care of the patient to another nurse.
Sigma Membership
Unknown
Lead Author Affiliation
Lee Memorial Health System, Fort Myers, Florida, USA
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Safety, Standardized Communication, Shared Governance
Recommended Citation
Willis, Mary N. and Brown, Cynthia, "Transfer of care bundle: Standardizing nurse-to-nurse communication" (2012). Convention. 55.
https://www.sigmarepository.org/convention/2011/presentations_2011/55
Conference Name
41st Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Grapevine, Texas, USA
Conference Year
2011
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Transfer of care bundle: Standardizing nurse-to-nurse communication
Grapevine, Texas, USA
Purpose. The Transfer of Care bundle outlines a standardized process for safe patient hand-off communication. Hand-off communication includes nurse-to-nurse at the change of shift, while transferring a patient to another unit, or to another licensed individual. Background. LMHS employed two independent consulting firms to complete safety audits for the system. The first audit was completed in 2008, the second in 2009. Nurse-to-nurse communication was a major concern in both audits. Anytime patient care is transferred from care team member to another, there is risk pertinent information about the patient is not communicated. Any lapse in communicating patient information compromises patient safety. The literature review findings trends are standardization is critical for both communication process and elements. Standardization improves hand-off communication efficiency and accuracy.
Methodology. Staff nurse representatives from units throughout the system completed an extensive literature review; resulting in the development of the Transfer of Care bundle. The bundle outlines the process for nurse-to-nurse communication and the PASS ME SAFELEE acronym for required elements to communicate. An education and implementation plan was developed and tested on seven Phase One units.
Findings. Patient satisfaction scores, nursing report satisfaction surveys, and staff reporting of good catches will measure the effects of the bundle. Patient satisfaction scores and report satisfaction survey scores are recorded and trended on a scorecard. Results have shown continuous improvement on all Phase One units for patient satisfaction and nursing report satisfaction. Implications on practice. The Transfer of Care bundle standardizes what information is communicated and the process of information sharing. Compliance with the bundles increases patient safety when nurses are transferring care of the patient to another nurse.
Description
41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.