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Bedside handoff

Kevin L Crezeé, Robert J DiGeronimo, Marilyn J Rigby, Rick C Carter, Shrena Patel
BACKGROUND: Unplanned extubations (UEs) have been associated with increased ventilator days, risk of infection, cardiopulmonary resuscitation, and resuscitation medication usage. The UE rate in our level 4 NICU is lower than the national average. Efforts to further reduce UE events at our institution led an interdisciplinary group to define steps to eliminate UEs. Steps included: (1) requiring at least 2 care providers at the bedside for movement of an intubated subject; (2) standardizing head and endotracheal tube (ETT) position; (3) defining a set methodology for ETT securing; (4) introducing a postoperative handoff to improve communication; and (5) implementing a post-UE assessment tool...
May 30, 2017: Respiratory Care
Christine A Wollenhaup, Eleanor L Stevenson, Julie Thompson, Helen A Gordon, Gloria Nunn
The most frequent cause of sentinel events is poor communication during the nurse-to-nurse handoff process. Standardized methods of handoff do not fit in every patient care setting. The aims of this quality improvement project were to successfully implement a modified bedside handoff model, with some report outside and some inside the patient's room, in a postpartum unit. A structured educational module and champion nurses were used. The new model was evaluated based on the change in compliance, patient satisfaction, and nursing satisfaction...
June 2017: Journal of Nursing Administration
Rebecca L Hoffman, Jason Saucier, Serena Dasani, Tara Collins, Daniel N Holena, Meghan Fitzpatrick, Boris Tsypenyuk, Niels D Martin
Quality problem: Patients recently discharged from the intensive care unit (ICU) are at high risk for clinical deterioration. Initial assessment: Unreliable and incomplete handoffs of complex patients contributed to preventable ICU readmissions. Respiratory decompensation was responsible for four times as many readmissions as other causes. Choice of solution: Form a multidisciplinary team to address care coordination surrounding the transfer of patients from the ICU to the surgical ward...
June 1, 2017: International Journal for Quality in Health Care
Mark E Barry, Beth R Hochman, Meghan B Lane-Fall, Denise Zappile, Daniel N Holena, Brian P Smith, Lewis J Kaplan, Ann Huffenberger, Patrick M Reilly, Jose L Pascual
PURPOSE: To analyze in-room video recordings of operating room (OR) to intensive care unit (ICU) handoffs to determine tempo and quality of team interactions on nights and weekends compared with weekdays, and to demonstrate how existing telemedicine technology can be used to evaluate handoffs. METHOD: This prospective observational study of OR-to-ICU bedside handoffs was conducted in the surgical ICU of the Hospital of the University of Pennsylvania in July 2014-January 2015...
July 2017: Academic Medicine: Journal of the Association of American Medical Colleges
Kamna S Balhara, Susan M Peterson, Mohamed Moheb Elabd, Linda Regan, Xavier Anton, Basil Ali Al-Natour, Yu-Hsiang Hsieh, James Scheulen, Sarah A Stewart de Ramirez
Standardized handoffs may reduce communication errors, but research on handoff in community and international settings is lacking. Our study at a community hospital in the United Arab Emirates characterizes existing handoff practices for admitted patients from emergency medicine (EM) to internal medicine (IM), develops a standardized handoff tool, and assesses its impact on communication and physician perceptions. EM physicians completed a survey regarding handoff practices and expectations. Trained observers utilized a checklist based on the Systems Engineering Initiative for Patient Safety model to observe 40 handoffs...
February 3, 2017: Internal and Emergency Medicine
Lindsey J Patton, Jerithea D Tidwell, Karie L Falder-Saeed, Virginia B Young, Brennan D Lewis, Jacqueline F Binder
BACKGROUND: During a single hospital stay, a patient's care is transferred several times between health care clinicians requiring multiple handoffs. Nurses often voice concerns about feeling unsafe when receiving patients from other areas. AIMS: The aims of the intradepartmental quality improvement project were to identify the safest way to transfer care of pediatric patients and to improve bedside nurses' knowledge on conducting an evidence based practice project...
January 25, 2017: Journal of Pediatric Nursing
Sangil Lee, Jaime Jordan, H Gene Hern, Chad Kessler, Susan Promes, Sarah Krzyzaniak, Fiona Gallahue, Ted Stettner, Jeffrey Druck
INTRODUCTION: We aimed to assess the current scope of handoff education and practice among resident physicians in academic centers and to propose a standardized handoff algorithm for the transition of care from the emergency department (ED) to an inpatient setting. METHODS: This was a cross-sectional survey targeted at the program directors, associate or assistant program directors, and faculty members of emergency medicine (EM) residency programs in the United States (U...
January 2017: Western Journal of Emergency Medicine
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Journal of Nursing Care Quality
Kimber P Richter, Babalola Faseru, Theresa I Shireman, Laura M Mussulman, Niaman Nazir, Terry Bush, Taneisha S Scheuermann, Kristopher J Preacher, Beatriz H Carlini, Brooke Magnusson, Edward F Ellerbeck, Carol Cramer, David J Cook, Mary J Martell
INTRODUCTION: Few hospitals treat patients' tobacco dependence. To be effective, hospital-initiated cessation interventions must provide at least 1 month of supportive contact post-discharge. STUDY DESIGN: Individually randomized clinical trial. Recruitment commenced July 2011; analyses were conducted October 2014-June 2015. SETTING/PARTICIPANTS: The study was conducted in two large Midwestern hospitals. Participants included smokers who were aged ≥18 years, planned to stay quit after discharge, and spoke English or Spanish...
October 2016: American Journal of Preventive Medicine
Alison Small, Diana Gist, Danielle Souza, Joanne Dalton, Cherlie Magny-Normilus, Daniel David
No abstract text is available yet for this article.
October 2016: Journal of Nursing Care Quality
Sarah E Givens, Cathy Skully, Gail Bromley
Psychiatric inpatient unit nurses implemented a quality improvement project to explore strategies to enhance the effectiveness of the change of shift communication between nurses and patients and obtain goals of care information. Three nurses championed a 6-month project to implement more efficient, patient-centered communication; influence patient outcomes; and assess nurses' perceptions about patient satisfaction. A survey established the level of nurse satisfaction regarding the length of time spent at change of shift obtaining patient information...
July 1, 2016: Journal of Psychosocial Nursing and Mental Health Services
Yvonne Ford, Anita Heyman
Patients' perceptions of satisfaction, understanding, participation, and feelings of safety were significantly correlated with the frequency of bedside handoff. Mean responses to survey items in these areas were significantly higher for patients who "always" experienced bedside handoff than for those who experienced it sporadically. Quality improvement strategies were effective in increasing the frequency of bedside handoff.
January 2017: Journal of Nursing Care Quality
Charlie M Wray, Jeanne M Farnan, Vineet M Arora, David O Meltzer
BACKGROUND: Inpatient service handoffs occur when physicians who care for hospitalized patients end a period of clinical service and handover a panel of patients to an oncoming physician. Despite the large amount of research on handoffs, none has described the patient perspective when cared for by a hospitalist physician during a service handoff. OBJECTIVE: To describe hospitalized patients' experiences regarding inpatient service changes, and develop a conceptual framework to inform future efforts to improve service-level handoffs...
October 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
David Royse
No abstract text is available yet for this article.
December 7, 2015: Modern Healthcare
Beth R Hochman, Mark E Barry, Meghan B Lane-Fall, Steven R Allen, Daniel N Holena, Brian P Smith, Lewis J Kaplan, Jose L Pascual
Operating room (OR) to intensive care unit (ICU) handoffs are complex and known to be associated with adverse events and patient harm. The authors hypothesized that handoff quality diminishes during nights/weekends and that bedside handoff practices are similar between ICUs of the same health system. Bedside OR-to-ICU handoffs were directly observed in 2 surgical ICUs with different patient volumes. Handoff quality measures were compared within the ICUs on weekdays versus nights/weekends as well as between the high- and moderate-volume ICUs...
March 2017: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
(no author information available yet)
When Oregon Health & Science University Hospital began video handoffs when patients were being discharged to a skilled nursing facility, readmission rates dropped. The hospital nurse goes to the bedside and connects with the nurse who will be caring for the patient at the receiving facility. The program makes patients feel more comfortable about the new facility and gives the nurse a chance to meet his or her patient. The hospital also conducts educational sessions via videoconferencing for the staff at the skilled nursing facilities...
December 2015: Hospital Case Management: the Monthly Update on Hospital-based Care Planning and Critical Paths
Teresa D Ferguson, Teresa L Howell
Bedside reporting continues to gain much attention and is being investigated to support the premise that "hand-off" communications enhance efficacy in delivery of patient care. Patient inclusion in shift reports enhances good patient outcomes, increased satisfaction with care delivery, enhanced accountability for nursing professionals, and improved communications between patients and their direct care providers. This article discusses the multiple benefits of dynamic dialogue between patients and the health care team, challenges often associated with bedside reporting, and protocols for managing bedside reporting with the major aim of improving patient care...
December 2015: Nursing Clinics of North America
Sonia A Duffy, Sharon E Cummins, Jeffrey L Fellows, Kathleen F Harrington, Carrie Kirby, Erin Rogers, Taneisha S Scheuermann, Hilary A Tindle, Andrea H Waltje
BACKGROUND: This paper describes fidelity monitoring (treatment differentiation, training, delivery, receipt and enactment) across the seven National Institutes of Health-supported Consortium of Hospitals Advancing Research on Tobacco (CHART) studies. The objectives of the study were to describe approaches to monitoring fidelity including treatment differentiation (lack of crossover), provider training, provider delivery of treatment, patient receipt of treatment, and patient enactment (behavior) and provide examples of application of these principles...
2015: Tobacco Induced Diseases
Julia S Taylor
In 2009, the Joint Commission identified a standardized approach to handoff communication as a patient safety goal to reduce communication errors. Evidence suggests that a structured handoff report, combined with active patient participation, reduces communication errors and promotes patient safety. Research shows that bedside handoff increases nurses' accountability by visualizing the patient and exchanging information at the point of care. Based on recommendations from the Joint Commission, the Robert Wood Johnson Foundation, and broader research literature, a standardized approach to bedside handoff and walking rounds was implemented on an inpatient surgical oncology unit...
August 2015: Clinical Journal of Oncology Nursing
Tyler Mardis, Matt Mardis, Joshua Davis, Ellen M Justice, Stacie Riley Holdinsky, John Donnelly, Heather Ragozine-Bush, Lee Ann Riesenberg
Multiple institutions identify communication and shift-to-shift handoffs as a source of clinical errors. Conducting handoffs at the bedside has been proposed as a potential solution to improve the quality of communication at change of shift. This article reports a systematic review of English-language research articles, published between January 1, 2008, and October 31, 2014, focused on bedside shift-to-shift handoffs. Forty-one articles were identified and analyzed in this systematic review.
January 2016: Journal of Nursing Care Quality
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