Celebrating one year with bedside handoff report
One year ago, on December 6, 2011, MSU launched bedside handoff report. For six months, they participated in an AHRQ-funded pilot program, during which they led the way for AAMC to adopt and customize this new type of report. On May 1, 2012, it went house wide.
Christine Frost, director of MSU/SCU, proudly remembers the success of this program and how her nursing staff embraced bedside handoff reporting. “We see this process improving the nurse to nurse relationships, accountability and successful handoff reporting on MSU,” she says. “Involving the patient and family in bedside shift report allows the staff to better understand the patient, their current condition and their needs. We are delighted to have incorporated this new process and adopted it as part of our daily practice.”
Five components make up bedside handoff report: Use of the computer at bedside; Introduction of oncoming nurse; Use the SBAR tool for patient chart review; A focused assessment by both nurses; and a discussion about the patient’s stated goal for the shift and answering of their questions
The main emphasis of bedside handoff reporting is safe and quality care to the patients. “Patients who actively participate in their care have better outcomes” (Anderson & Mangion, 2006). The future of health care reform involves the patient as the partner in every phase of their care (Grant & Colello, 2009).
The ANA Code of Ethics for Nurses outlines the duty nurses have to provide their patients with accurate and safe information, as well as actively engage them in the treatment plan (see Code of Ethics statement 1.4, The right to self-determination and Code of Ethics statement 2.1,Primacy of the patient’s interests).
What are the benefits of handoff report?
- Patient safety and quality: decreased errors in care, improved communication between patients, families, and health care providers, and improved patient quality measures
- Patient satisfaction
- Patient and family engagement in treatment planning
- Nurse satisfaction: increased team work, improved professional accountability, accuracy in communication, concise report
Congratulations MSU and all the AAMC nurses that have helped to make this change in practice successful! For more resources and a reference list, click here. -Jan Clemons & Jeanne Morris