ISHAPED Patient-Centered Approach to Nurse Shift Change Bedside Report

​Inova Health System
Falls Church, Virginia, USA

The “ISHAPED” (I=Introduce, S=Story, H=History, A=Assessment, P=Plan, E=Error Prevention, and D=Dialogue) project focuses on making bedside shift reports more patient- and family-centered. The goal is to always include patients in the ISHAPED nursing shift-to-shift handoff process at the bedside to add an additional layer of safety by enabling the patient to communicate potential safety concerns.

This content was initially created as part of the Picker Institute’s Always Events Program. Always Events refer to aspects of the patient experience that are so important to patients and families that health care providers should reliably implement the events 100 percent of the time.
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