Problem & Purpose: Breakdowns in healthcare communication can be detrimental to patient safety and result in adverse patient outcomes. The Covid-19 pandemic has stopped bedside shift report (BSR) on a medical-surgical unit (MSU), subsequently, a rising trend was observed in patient falls, hospital acquired pressure injuries (HAPIs) and decreases in patient satisfaction. Hospital accrediting bodies and published evidence has established BSR as the gold standard for nursing turnover. The purpose of this Quality Improvement (QI) project is to improve the compliance of BSR and impact patient outcomes. Methods: A QI project was conducted over 15 weeks on a 30-bed MSU in a Maryland hospital. Participants include MSU nurses, nursing leadership, clinical nurse educators, clinical data and patient experience specialists. Interventions are a streamlined electronic SBAR and a BSR checklist for shift handover. Observation and chart audits were performed to measure process improvement with BSR compliance. Process measures aimed to increase BSR compliance to the 80% hospital policy minimum for all nurses. Outcome goals aimed to reduce total patient falls and HAPIs and increase patient satisfaction. Results: BSR compliance in 146 observation audits of nurses averaged 82% (120/146) and in 652 chart audits averaged 72% (472/652). Patient outcomes measured revealed increases in total patient falls (n=9) and HAPIs (n=11) during QI project months. Improvement in 2 of 3 focused areas of patient satisfaction was observed in the project timeline. Conclusions: Using a streamlined eSBAR and a BSR checklist demonstrated an increase in BSR compliance. Observation audits exceeded 80% project goal. The strategies and interventions applied in this project increase BSR compliance and motivate change to improve nursing practice in shift turnover.