Problem to be Resolved:

There is a lack of use of a standardized tool as a basis for nurse-to-nurse report during handoffs.

Objectives of the Project:

The aim was to determine the impact of using an electronic tool to guide change-of-shift report on nurse perceptions of the quality, safety, and efficiency of the report.

Methods:

(1) Through a preimplementation survey, we determined baseline nurse perceptions of report quality, safety, and efficiency with paper practices. (2) We designed and implemented an electronic reporting tool. (3) We reassessed nurse perceptions of report quality, safety, and efficiency after implementing the electronic tool.

Outcomes:

Prepilot and postpilot survey results (one unit) demonstrated improved perceived quality and efficiency of report. The 7-month postimplementation survey (to all medicine, surgery, and oncology unit nurses) was completed in April 2009. Results will be shared at the conference.

Lessons Learned:

* It is possible to standardize a tool for 100% of medicine, surgery, and oncology reporting, although modified tool content is required for specialties such as ambulatory surgery, psychiatry, or labor and delivery.

* A workflow process must be in place to advance the standardized use of the electronic reporting tool and achieve maximum benefits.

* Finally, a tool developed for nurses by nurses is critical in ensuring success in adoption of the instrument and subsequent improvements in communication during transitions.

Section Description

We are pleased to share the paper presentation abstracts from the Summer Institute in Nursing Informatics, Informatics at the Point of Care: A Barrier or a Bridge?, held at the University of Maryland School of Nursing, July 22 to 25, 2009. The program, chaired by Dr Judy Ozbolt, was a great success. Each of the following abstracts was selected for presentation by a peer-review committee.