This article describes a clinical nurse–led initiative that changed the traditional group shift report in the conference room to a combination of a written report with a nurse-to-nurse verbal exchange at the patient's bedside. The new process resulted in less time spent in shift report, financial savings from reduced overtime, and a decrease in the number of patient falls and call lights during change of shift.
Progressive Care Unit, Sharp Grossmont Hospital, La Mesa, California (Mss Athwal and Wagnell); and School of Nursing, San Diego State University, San Diego, California (Dr Fields).
Corresponding Author: Pam Athwal, MSN, RN, Progressive Care Unit, Sharp Grossmont Hospital, 5555 Grossmont Center Dr, La Mesa, CA 91942 (Pam.firstname.lastname@example.org).
Accepted for publication: August 5, 2008