Bedside Reporting Paper

To evaluate the change, results were monitored on a monthly basis which was not sufficient to reach the goal of 100% compliance. The initial change was effective in increasing the compliance rate from 68% to 95.6%. An additional PDSA is needed to meet the goal of 100% compliance. This can be achieved with additional reporting on a weekly basis, with a focus on individual staff or primary care teams.

Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

I enjoyed reading your discussion post regarding bedside reporting and agree bedside reporting is an excellent example of evidence-based practice. The SBAR tool was originally developed to improve communication between nurses and physicians (Cornell, Yates, &Vardaman, 2014). Moreover, given the impact SBAR had on nurse-physician communication, bedside reporting utilizing the SBAR tool is now evidence-based practice for nurses (Cornell, Yates, &Vardaman, 2014). Bedside reporting gives nurses and patients’ opportunity to set mutual goals.

We will undergo tracer methology review process to assess standard of compliance. Tracer Methodology utilizes the patient care experience to assess standards compliance. At the beginning of the on-site survey, the surveyor(s) will select patients from the organization’s files. The surveyor(s) will ‘trace’ the patient’s experience, looking at services provided by various care providers and departments within the organization, as well as ‘hand-offs’ between them. This type of review is designed to uncover systems issues, looking at both the individual components of an organization and how the components interact to provide safe, high-quality patient care (The Joint Commission,

Bedside handoff is one of the ways we are involving the patient more. Maxson, P. M., Derby, K. M., Wrobleski, D. M., & Foss, D. M. (2012) (P.141) “stated the Joint Commission said in their National Patient Safety Goals for 2009 and 2010 that they wanted patients to be more involved with their care as well as Nursing to have a standard hand off process when there is a change of care”. Bedside handoff covers both initiatives laid out by Joint Commission. Bedside handoff will allow the patient to meet the oncoming nurse and the patient will be involved with his/her care (Maxon et al., 2012). Patients have also felt more at ease with this process with being able to hear what the plan was for their care and are able ask questions about their care

Because errors, particularly adverse events, are caused by the cumulative effects of smaller errors within organizational structures and processes of care, focusing on the systemic approach of change focuses on those factors in the chain of events leading to errors and adverse events. From a systems approach, avoidable errors are targeted through key strategies such as effective teamwork and communication, institutionalizing a culture of safety, providing patient-centered care, and using evidence-based practice with the objective of managing uncertainty and the goal of improvement (p.

The main purpose of this assignment is to evaluate the effectiveness of bedside handover in nursing for treating patients. Clinical handover practices are considered as significant in the transmission of clinical care between health physicians. It is noticed that when the patient is handed over from one clinician to another, it is important to make sure that continuity of care is maintained because problem in this can give rise to various safety issues. A nursing handover is known as the process in which information related to a patient is exchanged between nurses, which includes transfer of responsibility or control over for the patient. It is noticed that at the start of the shift, the nurses get general report related to the patients, which

Some of the key problems of handoff arise from disintegration of EGRs (Electronically Generated Records) during handoff and lack of structured formats for handoff communication. Despite the introduction of electronic health records, nurses continue to use verbal reports and non-digital reports to relay information during the handoff process including the use of scrap papers. One can easily find out that there are no standardized handoff procedures in a number of healthcare facilities across the globe. The lack of a standardized handoff procedure at this facility has been supported by a study by Alghenaimi (2012). Of the 20 nurses who were interviewed by the researcher, none reported the existent of a standard written handoff policy, with 71.35% of the 112 nurses from the hospital reporting that there was no actual handoff policy at the facility.

Points of care solutions are medical diagnostic testing or documentation done at the patient 's bedside. At my work we us point of care documentation, meaning that the nurses do their documentation in the patient 's room. Research shows that point of care solutions “reduces inefficiencies, decreases the probability of errors, promotes information transfer, and encourages the nurse to be at the bedside” (Duffy&Kharasch, 2010). However, point of care services has been reported by patients to make them feel alienated for their care providers because the nurse 's attention is on their charting and not the patient (Duffy&Kharasch, 2010). This has the potential to “compromise the nurse-patient interaction” (Duffy&Kharasch, 2010).

Incident-Based Peer Review Peer review is a process established to evaluate individual standards and quality of care issues (Harrington & Smith, 2015, p. 1). According to the Texas Department of State Health Services (DSHS), all hospitals are required to implement a program of incident-based peer review and comply with the reporting requirements established by the Texas Board of Nursing (BON) (Bearden & Shelton, n.d.). According to Haag-Heitman & George (2011), “the primary purpose of peer review is to help ensure the quality of nursing care through safe deliverance of standards of care and newly discovered evidence-based practices (p. 48).

Clinicians are discovering that debating proven practices and using data to select the most successful processes are enhancing patient outcomes. Continuous improvement can be rewarding and fun; data and a willingness to discover tested practices that work best will be required. When clinicians work together, they can agree on what quality is and start measuring their performance through competencies in healthcare that are not prevalent in the forefront, but it revolves around accountability, and

As the critiques in the article emphasize, first the information in the report cards need to be presented in a way that is easily understood by actual consumers of the service. Next, physicians’ cherry picking the patients in order to maintain clean report card, further raises the question if the concept of report cards is beneficial or instead hampering the access to quality care for severely sick patients. In my opinion, although report cards might have led to better quality improvements in healthcare, but might also be responsible for leading to unequal access to quality care, which defeats the overall purpose of report cards. At this point, more studies need to be conducted to actually determine the true effectiveness of report cards on enhancing quality of care and how they impact the provider behavior towards patients to ensure that there is no healthcare disparity caused due to prevalence of report

A Case Study6 Nurse caring for a patient at a disadvantage by not having information that may be necessary to make critical decisions for safe patient care. Patterson et al (2004) examined hand off in settings with high consequences for failure, such as, NASA, the Johnson Space Center in Texas, Nuclear Power generation plants in Canada, a railroad dispatch center in the United States and an ambulance dispatch center in Toronto. Patterson found that hand offs in these settings were interactive, verbal, face-to-face interactions between incoming and outgoing personnel. This allowed for questioning and checking for accuracy of information. Validation of information was found to be an important factor in maintaining the plan for care or daily

How to improve patient experience through the use of communication and technology Improving patient satisfaction is the goal for every hospital and medical facility in the nation. In order for care-giving institutions to make progress on the HCAHPS, organizations must take a broad approach to meet their objective. The best way to do this is by creating organizational wide changes that will improve institutional scores and their rates of referral. We recommend taking a 3 pronged approach to the subject: deliver service on time, improve employee patient communications, and improve the functionality and efficiency of systems used for patient care.

Options for the clinic The primary object for the clinic is to devise a way to increase the clinic’s working capital. Increasing capital is achieved through equity, debt or trade credit (Nowicki, 2015). Equity is money that is provided by investors, debt is incurred when money is borrowed to cover expenses and trade credits come when an organization works with their vendors to extend credit.