Date of Graduation

Summer 8-14-2017

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


Educational Leadership


The focus of this project is to improve daily bedside rounds through utilizing the BRT, which could enhance patient safety and satisfaction by reducing delayed patient care on 3 North medical-surgical department at CPMC. The data retrieved from nurses in the past 3 months has shown that 30% of the patients had delayed care due to daily bedside rounds. By utilizing late medication as an indicator, my goal is to observe a reduction in late medication documentation due to daily bedside rounds by 10% by the end of August 2017. CPMC Davies campus adult medical-surgical department holds 44 inpatient beds. The adult medical-surgical department consist a wide range of patients such as neurological, respiratory, cardiovascular, orthopedics, gastrointestinal, and genitourinary diagnoses. The Davies campus differentiates from the three other campuses located in San Francisco because they specialize in stroke-neurological and micro-vascular care. Several gap analysis apparatuses were utilized to identify the cause and effect of management issues (e.g. fishbone, SWOT, and PDSA analysis). Educational tools such as weekly huddles, surveys, interviews, and educational sessions were performed throughout the whole course of this project. My initial goal was to see a 10% reduction rate in delayed patient care through using late medication as an indicator. The final results demonstrated a 40% reduction in late medication documentation during rounds by week seven at CPMC Davies campus.