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SBAR-T bedside shift report: a method to reduce falls
Thesis   Open access

SBAR-T bedside shift report: a method to reduce falls

Maura C. Smith
Master of Science (M.S.), Drexel University
09 Jun 2021
DOI:
https://doi.org/10.17918/00001543
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Abstract

Falls (Accidents) Hospitals--Emergency services Falls (Accidents)--Prevention Older People
Patient falls are associated with negative patient outcomes and uncovered hospital costs. A suburban emergency department (ED) nestled within a senior living community experienced a 16% increase in patient falls within one year. About 30% of patient falls in this microsystem are within two hours of shift change. The purpose of this project is to determine if the use of SBAR-T bedside shift report will decrease emergency department patient (ages 60 and older) falls by 5% in a six-week period (March 8, 2021 - April 19, 2021) compared to current shift report. SBAR-T bedside shift report involved conducting a bedside shift report between the oncoming nurse, offgoing nurse, and the patient. The report protocol included a fall risk focus and assessment during the 7a and 7p shift changes. The co-principal investigator conducted this project using the Plan-Do-Study-Act (PDSA) model which yielded a 50% decrease in fall rate after implementation with a total of 2 patient falls. There is no associated change in injury or unassisted fall rate. Average nursing compliance is 43%, with the highest compliance during the first two weeks. The clinical implications of this study support compliance with the SBAR-T bedside shift report to eliminate potential uncovered hospital costs associated with patient falls. Keywords: SBAR-T bedside shift report, patient falls, emergency department, older adults, falls with injury, unassisted falls, hospital costs

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