Simulation-based team training and debriefing to enhance nursing and physician collaboration.

Background: The aim of this study was to examine videotaped simulation-based team training (SBTT) and debriefing experiences from the perspectives of nursing staff and physicians on one surgical inpatient unit.

Method: A descriptive qualitative method was used to obtain straightforward and unembellished answers to questions of special relevance to practitioners and policy makers.

Results: One overarching theme emerged, "Leadership Is Key.

Discharge planning rounds to the bedside: a patient- and family-centered approach.

Discharge planning rounds done at the bedside is an effective patient-centered approach to discharge planning and does not take any longer than traditional rounds apart from the patient and caregiver. Bedside rounds may decrease patient utilization of health care resources after discharge.

Bedside nurse-to-nurse handoff promotes patient safety.

Unlabelled: Nurse-to-nurse beside handoff allows the oncoming nurse to visualize the patient and ask questions of the previous nurse. It encourages pateints to be involved actively in their care and allows standardized communication between nursing shifts.

Background: Patient handoff between nurses at shift change has been an important process in clinical nursing practice, allowing nurses to exchange necessary patient information to ensure continuity of care and patient safety.

Using evidence to enhance the recovery of patients undergoing colorectal surgery: part 3.

This is the third part of a three-part series describing how an enhanced recovery clinical pathway uses a multidisciplinary team to reduce postoperative stress and complications, improve recovery, and decrease hospital length of stay without affecting patient safety for patients undergoing colorectal surgery. Last month, multimodal analgesia and standardized postoperative nausea and vomiting prophylaxis were discussed. This part discusses fluids, diet, tubes and drains, and early mobilization.

Using evidence to enhance the recovery of patients undergoing colorectal surgery: part 2.

This is the second part of a three-part series describing how an enhanced recovery clinical pathway uses a multidisciplinary team to reduce postoperative stress and complications, improve recovery, and decrease hospital length of stay without affecting patient safety for patients undergoing colorectal surgery. Last month, patient education and discharge planning were discussed. This part discusses multimodal analgesia and standardized postoperative nausea and vomiting prophylaxis.