In today's intricate healthcare system, providing patient information during shift report to the oncoming nurse, is a time of great liability and risk. Effective and accurate communication can improve overall quality of care for patients and reduce the amount of errors and injuries. According to Johns Hopkins Medicine (2016), medical errors and injuries are the third leading cause of death in the U.S. Improving patient safety trends by performing shift report at bedside can reduce the number of medical errors and injury in the healthcare setting. Including patients in the plan of care process will help them gain knowledge about their treatment and improve overall satisfaction rating. The problem in the healthcare setting today, is noncompliance to bedside shift reporting due to certain barriers within the hospital setting resulting in miscommunication. Lack of consistency and enforcement of a standardized method for hand-off report increases potential error when providing care. The Joint Commission estimated 65% of sentinel events were a result of miscommunication, especially during hand-off shift report (Cornell, Townsend-Gervis, Yates, & Vardaman, 2013). To assist in conducting research on this issue, PICOT will formulate clinical questions and answers. The population would be patients’ and nurses that participate in bedside shift report. The intervention would be performing change of shift hand-off in patients’ room. The comparison is between bedside shift report and traditional report not in the patients’ room. The outcome is to improve quality of care and improve safety for patients. Time- The length of time needed to preform accurate hand off report at bedside.
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