Implementing SBAR Across a Large Multihospital Health System

Compton, Jan; Copeland, Karen A. F.; Flanders, Sonya A.; Cassity, Cindy; Spetman, Michelle; Xiao, Yan; Kennerly, Don

doi:10.1016/s1553-7250(12)38033-1

Cited by 56 publications

(37 citation statements)

References 16 publications

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“…The authors reported two third of these nurses had "good to high" proficiency with SBAR and two third of physicians perceived that the last report they received from nurses regarding patients was adequate to make clinical decisions (Table 1). Due to concerns related to the uptake of the SBAR tool after the initial SBAR education and its consistent use in a clinical setting, the authors have suggested refresher education for nurses after initial SBAR education and a policy of annual validation of the use of the SBAR tool [51].…”

Section: Sbar Communication Tool For Handoffmentioning

confidence: 99%

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

2018

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Continuity of patient care is achieved by the clear and concise transfer of patient clinical information from one health care provider to another during handoff. Effective communication is a vital factor in providing safe patient care. Communication failure in a health care setting could lead to serious medical errors. Sharing patient-specific health care information during handoff requires situational awareness. In the hospital setting, most of the communication related to patient care occurs between nurses and physicians.

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Section: Sbar Communication Tool For Handoffmentioning

confidence: 99%

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

2018

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“…However, low adherence to SBAR was found in a simulation study among nurses working in surgical and medical wards 1 year after implementation 17. Still another study found, in contrast, that about 60% of nurses reported using SBAR 9. Findings from studies of simulated telephone referrals made by medical students and junior doctors have shown improved communication14 and improved call impact as measured by an observer when SBAR was used 13.…”

Section: Introductionmentioning

confidence: 99%

SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study

et al. 2014

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ObjectivesWe aimed to examine staff members’ perceptions of communication within and between different professions, safety attitudes and psychological empowerment, prior to and after implementation of the communication tool Situation-Background-Assessment-Recommendation (SBAR) at an anaesthetic clinic. The aim was also to study whether there was any change in the proportion of incident reports caused by communication errors.DesignA prospective intervention study with comparison group using preassessments and postassessments. Questionnaire data were collected from staff in an intervention (n=100) and a comparison group (n=69) at the anaesthetic clinic in two hospitals prior to (2011) and after (2012) implementation of SBAR. The proportion of incident reports due to communication errors was calculated during a 1-year period prior to and after implementation.SettingAnaesthetic clinics at two hospitals in Sweden.ParticipantsAll licensed practical nurses, registered nurses and physicians working in the operating theatres, intensive care units and postanaesthesia care units at anaesthetic clinics in two hospitals were invited to participate.InterventionImplementation of SBAR in an anaesthetic clinic.Primary and secondary outcomesThe primary outcomes were staff members’ perception of communication within and between different professions, as well as their perceptions of safety attitudes. Secondary outcomes were psychological empowerment and incident reports due to error of communication.ResultsIn the intervention group, there were statistically significant improvements in the factors ‘Between-group communication accuracy’ (p=0.039) and ‘Safety climate’ (p=0.011). The proportion of incident reports due to communication errors decreased significantly (p<0.0001) in the intervention group, from 31% to 11%.ConclusionsImplementing the communication tool SBAR in anaesthetic clinics was associated with improvement in staff members’ perception of communication between professionals and their perception of the safety climate as well as with a decreased proportion of incident reports related to communication errors.Trial registrationISRCTN37251313.

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“…[8] Doctors are assisted in making clinical decisions from a nursing report when SBAR is used. [9] Most notably, SBAR decreases unexpected patient deaths when taught to nursing staff, along with training in airway-breathing-circulation resuscitation. [10] SBAR is currently in use in the UK, [2] Europe, [10] the USA [7] and Australia.…”

mentioning

confidence: 99%

The structured communication tool SBAR (Situation, Background, Assessment and Recommendation) improves communication in neonatology

Raymond

Harrison

2014

S Afr Med J

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Effective communication, co-operation and teamwork have been identified as key determinants of patient safety. SBAR (Situation, Background, Assessment and Recommendation) is a structured method for communicating critical information that requires immediate attention and action. It contributes to effective escalation of management and increased patient safety and is recommended by the World Health Organization (WHO) [1] and the UK National Health Service.[2]

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Implementing SBAR Across a Large Multihospital Health System

Cited by 56 publications

References 16 publications

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

Situation, Background, Assessment, Recommendation (SBAR) Communication Tool for Handoff in Health Care – A Narrative Review

SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study

The structured communication tool SBAR (Situation, Background, Assessment and Recommendation) improves communication in neonatology

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