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Standardization of Change-of-Shift Report

Athwal, Pam MSN, RN; Fields, Willa DNSc, RN, FHIMSS; Wagnell, Esther BSN, RN

doi: 10.1097/01.NCQ.0000347451.28794.38

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 (

Accepted for publication: August 5, 2008

© 2009 Lippincott Williams & Wilkins, Inc.