Night shift nurse sbart1/9/2024 ![]() Patients watch the news and are on the Internet every day they may see the statistics on preventable errors and mistakes that can cost patients their life during hospitalization. Patients shouldn't have to worry about safety when making a decision regarding hospitalization, but the truth is that even with improvement in many aspects of healthcare, organizational process flaws and the human element create the potential for error. A preventable error that doesn't necessarily lead to death, but one that causes an injury or disability is devastating to the patient and costly to the institution. Just imagine how many shift changes are occurring. ![]() Thousands of patients are cared for every day in hospitals across the nation. 7 Research has shown that when patients are that third voice engaging in decisions that impact their health, measurable improvement in safety and quality result. The Agency for Healthcare Research and Quality (AHRQ) defines BSR as “an opportunity to make sure there is effective communication between patients and families and nursing staff.” It also states that one of the rationales for BSR is the creation of an environment where patients, families, clinicians, and hospital staff work together to improve the quality and safety of care. This makes patients a part of the process in the delivery of their care. 6 How (and why) BSR worksīy definition, BSR is the change-of-shift report between the offgoing nurse and the oncoming nurse that takes place at the bedside. Among the benefits: less paid overtime, decreased legal costs related to falls and medication errors, and the overall bonus of improved patient experience surveys scores from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The 2015 Hospital National Patient Safety Goal (NPSG) 2 is to “improve the effectiveness of communication among caregivers.” NPSG 13 is intended to “encourage patients' active involvement in their own care as a patient safety strategy.” The rationale states that “communication with the patient and family about all aspects of care, treatment, and services is an important characteristic of a culture of safety.” 4,5 BSR complies with these standards.īesides increasing patient satisfaction, compliance with these standards has also been shown to reduce costs to healthcare facilities. ![]() The Joint Commission has put forth a set of patient safety goals to improve quality of care. With increasing scrutiny of patient safety and quality-of-care issues in healthcare delivery, hospitals have begun making changes in this traditional model to create a patient-centered system based on current standards and best practices. 3 BSR eliminates that alone time and gives the patient a feeling of inclusion with the nurses as part of the healthcare team. Patients are aware of the change-of-shift report time they know their nurses are at the nurse's station, and for an hour or more they're basically “alone.” Research has shown that sentinel events are more likely to occur during this “alone” time. Traditionally, change-of-shift report has been done at the nurses' station, away from patients. The goals are to improve safety and to give patients a better understanding of their condition and treatment plan. This article will show how shift report has gone through a metamorphosis, moving from the nurse's station to the patient's bedside. 2 Recently, other institutions have been putting their own unique stamp on BSR in compliance with Joint Commission standards. 1īSR is a fairly new concept for many nurses today, although as far back as 1978 it was implemented by Memorial Sloan-Kettering Cancer Center in New York. ![]() This would make medical errors the third leading cause of death behind heart disease and cancer. However, the real number may be higher: According to one estimate, between 210,000 and 440,000 patients who go to the hospital each year for care suffer some kind of preventable harm that contributes to their death. According to the Inspector General Office, Health and Human Services Department, less-than-competent hospital care contributed to the deaths of 180,000 Medicare patients in 2010. BEDSIDE SHIFT REPORT (BSR) can save lives.
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