Title : Addressing patient safety during icu-to-acute care transitions: An educational intervention on in-person nurse handoff
Abstract:
Transitions from the intensive care unit (ICU) to acute care units are high-risk periods during hospitalization in which communication failures frequently contribute to preventable adverse events, delays in care, and compromised patient safety. Although standardized communication frameworks such as SBAR are widely recommended, many organizations continue to rarely on telephone or written handoff methods that may omit critical patient information.
Purpose: This quality improvement educational project aims to improve nurses competence, confidence, and consistency in conducting structured, in-person bedside handoff communication during ICU-to-acute care transitions.
Methods: The project will be implemented in a small community hospital and target ICU and acute care nurses across varying levels of experience. The intervention includes interactive in-service education focused on evidence-based handoff communication principles using SBAR, discussion of barriers to bedside handoff, scripted role-play scenarios comparing ineffective telephone reports with effective in-person bedside reports, and distribution of communication support tools including SBAR templates and bedside handoff checklists. Reinforcement strategies include visual reminder stickers and an educational video accessible through QR codes.
Expected Outcomes: Pre- and post-intervention surveys will evaluate changes in nurses knowledge, confidence, perceived communication clarity, and intent to consistently participate in in-person bedside handoff practices. Anticipated outcomes include improved communication consistency, enhanced nurse preparedness during transitions of care, and increased awareness of patient safety risks associated with indirect handoff practices.
Conclusions: Structured, in-person bedside handoff communication has the potential to improve interdisciplinary collaboration, strengthen accountability, and reduce communication-related patient safety risks during ICU-to-acute care transitions.This project supports the development of sustainable communication practices that promote safer patient transitions and a stronger culture of safety within the healthcare environment.
