Description of the Topic and Problem Policies and procedures are review, revamp and implement constantly in health care facilities to ensure safe patient care is being deliver. Effective communication is a critical part in providing safe patient care. Usefulness communication is essential during shift report in order to provide safe care and meet goals for the patient. There is a trend where hospitals are bringing shift report to the bedside in order to improve the effectiveness of communication between the nurses. At Kaiser Santa Clara, the facility I currently work at, has a standard policy and procedure regarding the handoff communication during shift change, according to the policy the two nurses are to review information that is standardized to the following:
• Diagnoses and current condition of the patient
• Medications given or due
• Isolation status
• Recent changes in condition or treatment
• Anticipated changes in condition for treatment
• What to watch for in the next interval of care
The purpose of the policy is to provide an interactive dialogue that allows for up-to-date information on the patient’s care. The policy is referenced to the Joint Commission-mandated focus on improving patient safety through effective caregiver communication. According to the Joint Commission, as estimated 80% of serious medical errors are attributable to miscommunication between caregivers when transferring responsibly for patients (Wakefield, Ragan, Brandt & Tregnago, 2012). Shift report happens two, three, or more times in a day, but nurses receive little formal training in this vital responsibility. Nurses may be found legally liable for failing to report necessary information during handoffs (Riesenberg, Leitzsch, & Cunningham, 2010). Therefore, it is imperative for a handoff procedure incorporate an effective way to communicate in order to provide safe patient care.
Review of the Literature Traditionally, shift report has been