Date of Doctor of Nursing Practice Project Completion
Spring 4-26-2024
Faculty Advisor
LaDawna Goering
Abstract
PURPOSE
Implementing BSR Protocol to improve patient fall rates and satisfaction in an adult medical surgical unit in Texas aims to decrease the patient fall rates by 10%, increase patient satisfaction rates by 7%, and improve the completion of nursing BSR and fall checklists by 10% with the implementation of a standardized BSR tool and a fall TIPS checklist within 16 weeks.
BACKGROUND
High fall-risk patients are found on the unit, and about 86.1% of inpatient falls occur at the bedside. The average unit fall rates exceed the target of 2.3 and HCAHPS scores stay below 65%. Inconsistencies in shift reporting and fall prevention strategies were revealed from the gap analysis.
METHODOLOGY
The BSR protocol implementation included 5-minute training sessions during shift huddles, handouts, a BSR checklist from AHRQ, and a patient fall TIPS checklist distributed to 33 nurse participants, followed by one-to-one debriefing. Lewin’s theory and PDSA cycles guided the process. 131 random observations were carried out weekly at shift changes to measure BSR and safety check completion. The patient fall rates and HCAHPS scores from nursing communication were collected monthly.
RESULTS
Fall rates decreased by 34%, HCAHPS scores increased by 8.2%, BSR completion increased by 32.2%, and safety check completion increased by 16.7%.
IMPLICATIONS
Leadership support, learning modules, and weekly random observations by charge nurses were recommended for sustainment of practice. The project could extend to other units for six months. The fall TIPS can inspire the development of similar checklists for assessing fall risks.
Keywords
Bedside report, shift report, nursing handoff, bedside handoff, shift handoff, patient satisfaction, patient experience, patient safety, patient falls, handoff and safety, shift report and patient experience, bedside handoff and patient satisfaction, shift handover and patient falls, patient safety and nursing hand-off.
Recommended Citation
Atsafack Tieumo, Olive, "Improving Fall Rates and Satisfaction Through Implementation of Bedside Shift Report Protocol." (2024). Doctor of Nursing Practice Final Project Abstract. 30.
https://digitalcommons.library.tmc.edu/dnp_abstract/30