Enhancing bedside shift report with safety checks to reduce falls
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Patient safety is a principal concern in healthcare. Falls represent a significant safety risk to patients, particularly in hospitals and acute care settings. United States hospitals incur an estimated $17 billion in preventable adverse events annually (Dykes et al., 2023). The most significant category of preventable adverse events is patient falls during hospitalization, with a per-patient cost ranging from an estimated $351 to $13,616 (Dykes et al., 2023). Organizations do not receive reimbursement for care from the Centers for Medicare and Medicaid Services (CMS) if a fall-related injury occurs during a hospital stay, creating a considerable economic motive for hospitals to prevent falls (Turner et al., 2022). Previous literature has shown that bedside reporting increases patient safety, including falls (Bressan, 2020). According to Johnston and Mangnan (2019), using a fall checklist during handoffs can reduce falls in an inpatient setting. Statement of Purpose and PICOT Statement: This project aims to implement BSR with targeted safety checks to reduce falls at MU Health Care. The specific PICOT question for this project is as follows: In hospitalized adults (P), does bedside shift report with safety checks (I) compared to other methods of report (C) affect the fall rate on Oncology (O) within 45 days (T)? The scope of this change is relevant to the nursing leaders at MU Health Care. This academic medical center has no formal training in bedside shift reporting or safety checks to reduce falls. While the literature shows bedside reporting increases patient safety, there has been a decline in the practice of BSR. The primary objectives of this project are: 1. A 10% increase in BSR in addition to safety checks on the participating unit. 2. A 10% decrease in reported patient falls on the participating unit.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.