Date of Graduation

Winter 12-15-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


MSN project

First Advisor

Mallory Manuel


Nursing shift-to-shift handoff report can greatly impact a patient’s quality of care. According to the Joint Commission, “an estimated 80 percent of serious medical errors involve miscommunication between caregivers when patients are transferred or handed-off” (Inadequate handoff communication, 2017). In total, this quality improvement (QI) project worked with three hospital inpatient units on three different floors in an urban California (CA) city. Each unit and even shifts within each unit varied, leading to the conclusion that interventions should be trialed by units with the most buy-in, then adjusted to the unique needs of each unit. For our main intervention we plan to distribute an educational tool to units focused on the importance of a bedside nursing shift handoff report that highlights TRACER, AIDET, top five aspects to include in a good report, and evidence as to why a bedside report is important. Evaluation of the intervention will be done through a series of data collection methods such as: nurse surveys, patient satisfaction reports and documented adverse events (falls, medication errors, etc.). Within the three months after the intervention, we would hope to see a 30% increase in nurses visiting the bedside during report to perform these key tasks like TRACER, AIDET and engage the client in their own care plan.