This nurse-led quality improvement project helped illuminate perceived barriers to the implementation of patient bedside handoff and the changes in nurses' perceptions over time. Nurses reported increased satisfaction with the length of time spent with the patient bedside handoff from a pre-implementation average score of 5.7 (somewhat satisfied) to a post-implementation score of 8.3 (very satisfied). Following a literature review, nurses used a standardized approach for their change of shift report, which they called patient bedside handoff. The project demonstrates that I-PASS can be successfully used across a hospital system in various settings to reduce handoff-related errors. A survey established the level of nurse satisfaction regarding the length of time spent at change of shift obtaining patient information. This article describes one pediatric hospital’s experience adapting and implementing the I-PASS handoff program for inpatient nursing bedside report, physician handoff, and imaging/procedures handoff. 6 Even during a simple surgical procedure, the OR nursing staff may hand off the care of a patient 2. Three nurses championed a 6-month project to implement more efficient, patient-centered communication influence patient outcomes and assess nurses' perceptions about patient satisfaction. The OR is one of the most complex work environments in the healthcare setting and presents handoff challenges with an average of 4.8 handoffs per case during the intraoperative phase alone. Psychiatric inpatient unit nurses implemented a quality improvement project to explore strategies to enhance the effectiveness of the change of shift communication between nurses and patients and obtain goals of care information.
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