NR449 RUA: Topic Search Strategy Clinical Question

 
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.