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WIHI: SBAR: Structured Communication and Psychological Safety in Health Care
January 30, 2014 | This WIHI looks at how the communication tool known as SBAR (Situation-Background-Assessment-Recommendation) can be used for improved handoffs or to enhance newer processes, such as daily safety huddles, to achieve “psychological safety” among all staff.
Reducing Cardiac Arrests in the Acute Admissions Unit: A Quality Improvement Journey
A quality improvement project in the acute admissions unit at the Stirling Royal Infirmary in Scotland achieved a 71 percent reduction in the number of cardiac arrests per 1,000 admissions; a 68 percent increase in referrals to palliative care per 1,000 admissions per month; and a 24 percent relative reduction in the 30-day mortality of patients admitted to unit. These results were achieved through the application of improvement methodology to test new innovations and promotion of a safety culture, among other changes.
Profiles in Improvement: Doug Bonacum of Kaiser Permanente
Who's improving health care? People are. Listen to the story of Doug Bonacum of Kaiser Permanente.
Pursuing Perfection: Report from Tallahassee on Reducing Mortality
Tallahassee Memorial Hospital (Tallahassee, Florida, USA) reduces patient mortality through an array of patient safety improvement initiatives as part of IHI's Pursuing Perfection program.
Rapid Response Team Record: Documentation Tool
This tool is used to document each response to a Rapid Response Team call and the embedded SBAR (Situation, Background, Assessment, Recommendation) section is helpful for framing the conversation with the team or the provider.
Sample Rapid Response Team Documentation Tool
This tool is used to document each response to a Rapid Response Team call and the embedded SBAR (Situation, Background, Assessment, Recommendation) section is helpful for framing the conversation with the team or the provider (physician).
Rapid Response Team Record with SBAR
Both the primary nurse for the patient and the Rapid Response Team nurse have responsibility for completing the form when a Rapid Response Team call is initiated, and the form then becomes a permanent part of the patient.
SBAR Training Scenarios and Competency Assessment
Bronson Healthcare Group Kalamazoo, Michigan, USA
Sample SBAR Communication Tool
This tool provides instructions on how to use the SBAR (Situation, Background, Assessment, Recommendation) technique and a form to gather necessary information to be communicated.
SBAR Emergency Department Report to Floor Form
This form uses the SBAR (Situation-Awareness-Background-Recommendation) format to improve the emergency department to floor patient report.
ISBAR Trip Tick
This tool is used to standardize clinical handoffs for patients traveling throughout the hospital, and provides the opportunity for health care providers to ask and respond to questions.
SBAR Tool: Situation-Background-Assessment-Recommendation
The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team and can be used as a tool to foster a culture of patient safety.
The informed patient: Hospitals combat errors at the "hand-off"
John Whittington, patient safety officer at OSF St. Joseph Medical Center, says the SBAR "quick briefing" model can help overcome differing communication styles.
SBAR: A shared mental model for improving communication between clinicians
The importance of sharing a common mental model in communication prompted efforts to spread the use of the SBAR (Situation, Background, Assessment, and Recommendation) tool at OSF St. Joseph Medical Center in Bloomington, Illinois.