Other Titles
How can we increase patient safety? [Session]
Abstract
Session presented on Tuesday, November 10, 2015:
The goal of this project was to improve consistency of bedside reporting (BsR) at change-of-shift on a 34 bed Medical-Surgical unit of a prestigious Northern California acute care hospital. Through unit microsystem assessment and interviews with key stakeholders, it was determined there were three root causes implicated in decreased BsR consistency; the first cause concerned an aspect of the microsystem's physical workflow that did not support BsR, the second cause concerned negative staff habits that impeded BsR as perpetuated by certain negative RN perceptions of BsR, and the final cause concerned a lack of BsR accountability. These foundational weaknesses were respectively confronted with evidence-based interventions encompassing (a) a physical workflow modification recommended to unit management; (b) using staff meetings to address certain negative RN perceptions of BsR using specific, positive BsR knowledge already possessed by staff; (c) creation of a network-based BsR digital resource folder to reinforce these BsR specifics; (d) establishment of an accountability system with motivations to foster development of all RNs into BsR champions. Post-intervention assessment showed an average BsR consistency improvement of 22.2 percent with largely positive RN perceptions of BsR. Extended success of the project would conceivably improve patient satisfaction ratings, decrease nursing overtime expense, and avoid potential litigation, thereby positively impacting hospital financial yields for a period of at least six months.
Sigma Membership
Beta Gamma
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Unit Microsystem Assessment, Patient Safety, Patient Care
Recommended Citation
Lehmer, Joshua S., "Improving transitions of care with bedside report" (2016). Convention. 392.
https://www.sigmarepository.org/convention/2015/presentations_2015/392
Conference Name
43rd Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Las Vegas, Nevada, USA
Conference Year
2015
Rights Holder
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Acquisition
Proxy-submission
Improving transitions of care with bedside report
Las Vegas, Nevada, USA
Session presented on Tuesday, November 10, 2015:
The goal of this project was to improve consistency of bedside reporting (BsR) at change-of-shift on a 34 bed Medical-Surgical unit of a prestigious Northern California acute care hospital. Through unit microsystem assessment and interviews with key stakeholders, it was determined there were three root causes implicated in decreased BsR consistency; the first cause concerned an aspect of the microsystem's physical workflow that did not support BsR, the second cause concerned negative staff habits that impeded BsR as perpetuated by certain negative RN perceptions of BsR, and the final cause concerned a lack of BsR accountability. These foundational weaknesses were respectively confronted with evidence-based interventions encompassing (a) a physical workflow modification recommended to unit management; (b) using staff meetings to address certain negative RN perceptions of BsR using specific, positive BsR knowledge already possessed by staff; (c) creation of a network-based BsR digital resource folder to reinforce these BsR specifics; (d) establishment of an accountability system with motivations to foster development of all RNs into BsR champions. Post-intervention assessment showed an average BsR consistency improvement of 22.2 percent with largely positive RN perceptions of BsR. Extended success of the project would conceivably improve patient satisfaction ratings, decrease nursing overtime expense, and avoid potential litigation, thereby positively impacting hospital financial yields for a period of at least six months.
Description
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.