Dynamic Dialogue Bedside Shift Report (DDBSR): Implementing an Updated BSR Policy – in Compliance with HIPAA

Dynamic Dialogue Bedside Shift Report (DDBSR): Implementing an Updated BSR Policy – in Compliance with HIPAA

The Dynamic Dialogue Bedside Shift Report (DDBSR) policy aims to engage patients (and their families as appropriate) as active participants in discussing essential patient information during shift handovers. This approach optimizes communication, ensures patient satisfaction, enhances nursing workflow, and protects personal health records and sensitive information.

How does DDBSR Meet HIPAA Guidelines?

• Reducing Information Sharing Errors: By involving the patient, thereby improving workflow and empowering patient involvement in their care plan (JC, 2017; Malfait et al., 2019).
• Ensuring Safe and Accurate Care: Through the use of EHR and meeting meaningful use of HIT (HealthIT.gov, n.d.; HHS, n.d.).
• Implementing Security Measures: Such as hard stops with checklists in the EHR and requiring dual nurse sign-on and sign-off to assure patient safety of medical records (Gialanella et al., 2017).
• Additional Security Layer: Adding an additional security layer with recorded stamps on who accesses patients’ records (Gialanella et al., 2017; Hoover, 2016).

References

Gialanella, K.M., Mastrian, K., & McGonigle, D. (2017). Legislative Aspects of Nursing Informatics: HITECH and HIPAA. In Nursing informatics and the foundation of knowledge (4th ed., pp. 141-166). Jones & Bartlett Learning.