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Nurses in many places are legally not permitted to leave the facility until the provider has given report to the next shift. "Walking off the job" may be considered abandonment, which may be grounds for revocation of the nurse's license. At the same time, facilities are not legally required in all
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on how bedside nurses can use nursing bedside shift report (NBSR) to keep patients safe. According to Groves et al. (2016) NBSR is used by nurses to keep patients safe by "reducing risk of harm through conveying the patient story from shift to shift." Additionally, NBSR is key to reducing risk of
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While privacy laws require report to be given in a location where unauthorized people cannot hear the report (patients and authorized visitors for that patient are allowed to hear their report, but patients and visitors are not allowed to hear reports for other patients), some facilities prohibit
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During report, the outgoing nurses discuss with the oncoming nurses the condition of each patient and any changes that have occurred to the patient during the shift. The purpose is not to cover all details recorded in the patient's medical record, but to summarize individual patient progress. The
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is provided from the off-going provider to the on-coming provider (Groves, Manges, Scott-Cawiezell, 2016). Other names for change-of-shift report include handoff, shift report, handover, or sign-out. Change-of-shift report is key to
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stated that "it is in inadequate handoff that safety often fails first." This is because at every change of shift, there is a chance for miscommunication about vital patient information. A specific type of change-of-shift report is
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study found that the way nursing report is structured, can nurses safety oriented behaviors (like checking for pressure ulcers, double checking medications, decreasing room clutter to prevent falls).
477:
Groves, P. S.; Bunch, J. L.; Cram, E.; Farag, A.; Manges, K.; Perkhounkova, Y.; Scott-Cawiezell, J. (2017). "Priming
Patient Safety Through Nursing Handoff Communication: A Simulation Pilot Study".
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places to pay nurses for the extra time beyond their shift they are forced to stay over to complete report. It is not uncommon for nurses to attend report in their own time before and after a shift.
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family members from visiting patients during report times. In contrast, some facilities require shift reports to take place in front of each affected patient, including authorized visitors.
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in which the off going nurse provides change-of-shift report to the on coming nurse at the patient's bedside. Since 2013, giving report at the patient bedside has been recommend by the
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Nursing
Bedside Shift Report works to keep patients safe. A qualitative study by the nurse researchers Groves, Manges, and Scott-Cawiezell developed a
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Institute of
Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.
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While report is necessary in order to communicate important information between nurses, various problems are posed by the giving of report.
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Agency for
Healthcare Research and Quality. (2013). Strategy 3: Nurse bedside shift report (Implementation handbook). Retrieved from
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is a meeting between healthcare providers at the change of shift in which vital information about and responsibility for the
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There is evidence to suggest that performing change of shift report at the bedside is key to patient safety. In 2001, the
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Groves, Patricia S.; Manges, Kirstin A.; Scott-Cawiezell, Jill (2016-02-08). "Handing Off Safety at the
Bedside".
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Groves, Patricia S.; Finfgeld-Connett, Deborah; Wakefield, Bonnie J. (2012-12-04). "It's Always
Something".
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Lamond, D (2000). "The information content of the nurse change of shift report: a comparative study".
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harm because it supports the nurses ability to identify and address risks. Preliminary results from a
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Groves, P. S., Manges, K. A., & Scott-Cawiezell, J. (2016). Handing Off Safety at the
Bedside.
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Scovell, S (2010). "Role of the nurse-to-nurse handover in patient care".
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55:"Change-of-shift report"
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874:Artificial intelligence
961:Translational medicine
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950:Computational biology
851:Universal precautions
180:Institute of Medicine
944:Behavior informatics
303:Managing Client Care
40:improve this article
928:imaging informatics
836:Cultural competence
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914:Health informatics
689:Healthcare science
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156:Issues with report
141:nursing assistants
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