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Full-Text Articles in Medicine and Health Sciences
Seeking Patient-Centered Care Through Bedside Handoff In The Postpartum Unit, Evelyn Ndaki
Seeking Patient-Centered Care Through Bedside Handoff In The Postpartum Unit, Evelyn Ndaki
Master's Projects and Capstones
Problem: Patient discontent with nurse compassion and attentiveness prompted the implementation of standardized bedside shift handoff (BSH) for nurses in the postpartum unit of a Northern California teaching hospital.
Context: Pandemic stressors led to nurse practices not reflecting patient-centered care. Bedside handoff offers an opportunity to improve patient-centered nurse behaviors.
Intervention: To standardize BSH, a modified SBAR (Situation, Background, Assessment, Recommendation) tool was implemented.
Measures: The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) question on “Nurses kept you informed” was tracked, and nurse satisfaction with the handoff process was measured with a pre- and post-implementation survey.
Results: Final …
Standardizing Handoff Report In A Medsurg Telemetry Floor, Brandon Tyler Thompson
Standardizing Handoff Report In A Medsurg Telemetry Floor, Brandon Tyler Thompson
Master's Projects and Capstones
Problem: Hospital A’s 9th floor telemetry units lacked a standardized method of handoff and required investigation. Current practices were evaluated, and an intervention was designed based on weak communication areas. Context: Using a 5 P’s assessment the key stakeholders included unit nurses, the nursing director, nurse educators, and unit nurse managers, and the patients were medsurg telemetry patients. The process included handoff in care and the pattern evaluated was methods of reporting with the purpose of providing high quality evidence-based patient centered care. A SWOT analysis revealed strong teamwork, interdisciplinary collaboration, and proficiency in health record technologies as strengths …
Improving Nursing Shift Handoff Reports: A Quality Improvement Project, Nathan Mm Secrest
Improving Nursing Shift Handoff Reports: A Quality Improvement Project, Nathan Mm Secrest
Master's Projects and Capstones
Nursing shift-to-shift handoff report can greatly impact a patient’s quality of care. According to the Joint Commission, “an estimated 80 percent of serious medical errors involve miscommunication between caregivers when patients are transferred or handed-off” (Inadequate handoff communication, 2017). In total, this quality improvement (QI) project worked with three hospital inpatient units on three different floors in an urban California (CA) city. Each unit and even shifts within each unit varied, leading to the conclusion that interventions should be trialed by units with the most buy-in, then adjusted to the unique needs of each unit. For our main intervention we …
Ed To Telemetry Bed: Optimizing Nurse Communication & Decreasing Team Frustration, Harmandeep (Harm) S. Madra
Ed To Telemetry Bed: Optimizing Nurse Communication & Decreasing Team Frustration, Harmandeep (Harm) S. Madra
Master's Projects and Capstones
PROBLEM: According to the Institute of Medicine, boarding inpatients in the emergency department (ED) can result in an increased risk for medical errors, delay in treatments, and decreased quality of care. The goal is to move the patient to the hospital bed within 60 minutes from when an order is written for admission. The current average monthly compliance for ED throughput and admission to the inpatient bed is at 45% compared to the target of 70%. Lack of standardization during handoff can lead to delays, miscommunication and causes team frustration.
CONTEXT: In 2022, this community hospital’s ED microsystem had limited …
Enhance Nurse-Physician Communication, Samira Samimi
Enhance Nurse-Physician Communication, Samira Samimi
Master's Projects and Capstones
Abstract
Communication is the soul of healthcare, without it, the microsystem cannot survive. There are many disciplines in healthcare, in order for safe and effective care to be delivered strong communication is key. With initiatives taken, there is always room for improvement where gaps can be identified. In particular, a gap in communication between night shift nurses and primary care physicians. According to the CRICO Strategies (2015) there has been a $1.7 billion-dollar loss and 2,000 deaths in healthcare nationally as a result of miscommunication. Poor communication has serious devastating effects if it is not corrected promptly. The duty of …
Implementation Of Sbar Reporting In The Ed, William Russel Carpenter
Implementation Of Sbar Reporting In The Ed, William Russel Carpenter
Master's Projects and Capstones
Implementation of SBAR reporting in the ED
Abstract
In our emergency department, reports given to the accepting floor nurse, transfer of care between emergency department nurses and nurses reporting to physicians are given in many different formats with no continuity. It has been reported that 1,744 deaths and $1.7 billion in hospital costs related to miscommunications (CRICO Strategies, 2015). With the implementation of the SBAR reporting tool, we can begin to see a decrease in miscommunications, and improve patient and staff satisfaction. The SBAR framework not only enhances the clarity and efficiency of communication between team members but also assures …
Improving Quality And Efficient Communication Between Providers And Nursing - A Psychiatric Sbar Tool (Psych), Karen Lee Richards
Improving Quality And Efficient Communication Between Providers And Nursing - A Psychiatric Sbar Tool (Psych), Karen Lee Richards
Master's Projects and Capstones
IMPROVING QUALITY AND EFFICIENT COMMUNICATION BETWEEN
PROVIDERS AND NURSING - A PSYCHIATRIC SBAR TOOL (PSYCH)
Karen Richards
University of San Francisco
Abstract
Effective communication is the cornerstone of providing safety and quality healthcare. However, nursing and providers often share information inequitably, as these disciplines are trained differently regarding communication. Providers are taught to be brief, accurate and focused while nurses are taught to be descriptive and holistic. These differences have led to disparity in the sharing of valuable patient information, subsequently leading to increased frustration, inefficiency, and medical errors. Multiple studies provide evidence that poor communication is a major contributor …
Evaluation Of The Nursing Handoff Process From Emergency Department To In-Patient Unit, Yana Marutyan
Evaluation Of The Nursing Handoff Process From Emergency Department To In-Patient Unit, Yana Marutyan
Master's Projects and Capstones
Handoff, or transition in care, is known to be a danger point in the patient care process for a long time. Ineffective communication during handoff is one of the most common identified cause of catastrophic or sentinel events in hospitals (The Joint Commission, 2015). Emergency department (ED) to in-patient unit handoff is particularly vulnerable to medical errors due to high workload, time constraints, different approaches to patient care, and lack of established relationships between care providers (Ong & Coiera, 2011; Hilligoss & Cohen, 2012).
The purpose of this project was to examine and review a current process of ED to …