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Exploring Practices of Bedside Shift Report and Hourly Rounding. Is There an Impact on Patient Falls?
Carolyn Sun1, Caroline J Fu, Jessica O'Brien
1Author Affiliations: Assistant Professor (Dr Sun), Hunter-Bellevue School of Nursing, Hunter College; Adjunct Faculty (Dr Sun), Research Coordinator (Ms Fu), and Assistant Professor (Dr Cato), Department of Research, Columbia University School of Nursing; and Nurse Researcher (Dr Sun), Clinical Nurse Specialist (Ms O'Brien), and Director of Nursing (Ms Stoerger), New York-Presbyterian, New York; Assistant Professor of Clinical Informatics (Dr Cato), Columbia University Department of Emergency Medicine; and Vice President and Chief Nursing Officer (Mr Levin), New York-Presbyterian Queens, Department of Nursing, Flushing, New York.
Objective:
To describe the relationship of inpatient falls to bedside shift report (BSR) and hourly rounding (HR).
Background:
Falls are a major healthcare concern. Although measures such as BSR and HR are reported to reduce falls, studies are often based on self-reported data related to nurse compliance with protocols for HR and bedside report.
Methods:
Observational data were collected on nursing tasks, including BSR and HR.
Results:
Nine thousand six hundred ninety-three observations were recorded on 11 units at 4 hospitals over 281 shifts. Falls were associated with shift and day of the week but not BSR, HR, or the frequency of encounters with the patient. The regression model included frequency with patient, shift, day of week, and HR.
Conclusions:
Increased nurse frequency with patient may signal increased fall risks. Bedside shift report and HR may require robust and sustained interventions to provide lasting effects.
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