sbar pp
DESCRIPTION
Effective communicationTRANSCRIPT
SBARR
Harriet R. Sullivan-Bibee RN, BSN
NU 101
June 26, 2012
Objectives1) Describe the meaning of SBARR
2) Discuss why SBARR is needed
3) Describe the SBARR process
4) Become familiar with the SBARR tool
Data “Communication errors are the root cause of almost 70% of sentinel events, and 75% of the patients involved died,” (Rodgers, 2007).
HAND OFF REPORT
-Clinician to Physician
-Clinician to clinician
When does it happen?
Ineffective communication
6 Principles for error free communication
1. Communicate interactively
2. Communicate up-to-date information
3. Limit interruptions
4. Allow sufficient time to complete the hand-off.
5. Require a verification process
6. Ensure the receiver of information has the opportunity to review relevant historical data
“SBAR is a communication format, which was initially developed by the military and refined by the aviation industry to reduce the risks associated with the transmission of inaccurate and incomplete information”,(Rodgers, 2007).
The beginning of SBAR
What does SBARR stand for:
S-Situation
B-Background
A-Assessment
R-Recommendation
R-Read back
SBARR Tool
Be ready Name Medical record number Age Diagnosis Medication list Allergies Vital signs Lab results Advance Directive
Did you? Have I seen and assessed the patient myself before calling?Review the chart for appropriate physician to call.
SITUATION
Identify self, agency, and patient name
What is going on with the patient that is a cause for concern. A concise statement of the problem
BACKGROUNDAdmitting diagnosis and date of admission List of current medications, allergies, IV fluids, etc. Most recent vital signs Lab results: provide the date and time test was done and results of previous tests for comparison Medical historyRecent clinical findings Advance Directive/code status
Assessment
What are the clinician’s findings? What is the analysis and
consideration of options? Is this problem severe or life
threatening?
Recommendation What action/recommendation is needed to
correct the problem? What solution can you offer the physician? What do you need from the physician to
improve the patient’s condition? In what time frame do you expect this
action to take place?
Readback Confirm what you heard.Repeat what is ordered by the physician.Reduces errors.
CommunicationBetween nurse
and physician/nurse
Being clear with
expectations and
recommendations
Not being direct.
Wrong medication/
wrong procedure
Sentinel event with poor patient
outcomes
Standard of care Safety and Quality
Provides safe care with good outcomes
Saves time. Physicians and nurses are less
frustrated.
Video
Conclusion
Being concise and accurate with the information regarding our patients is essential to positive outcomes. Using SBARR will improve the communication between nurses and physicians.
For more information please feel free to contact me at:
Harriet R. Sullivan-Bibee, B.S.N., R.N.
Kaplan UniversityHarriet Sullivan-
References(2007). Nursing Education Perspectives SBAR for students. 28 (6), p306-306,
1/3p; (AN27779598)
Delmarva foundation and the Maryland Patient safety center.(2007). Handoffs &
Transitions Learning Network. Retrieved from
http://www.marylandpatientsafety.org/html/learning_netwok/hts
/materials/resources/handoffs/HandoffsStrategiesChartpdf
Rodgers, K.L. (2007).Using the SBAR communication technique to improve
nurse-physician phone communication: A pilot study. Viewpoint, 7-9.
Montgomery Learning college (nd). SBAR. Retrieved from
http://warfieldgraphics.com/CLIENTS/SBAR/SBAR%20Worksheet
%20Kaiser%20ermanente.pdf
Ohio Kepra (nd). Medicare quality improvement organization. SBAR
communication. Retrieved from
www.snjourney.com/ClinicalInfo/WrAndReport/SBAR.ppt
The Toronto Rehab (2010). No SBAR: Ineffective communication. Retrieved from
http://www.youtube.com/watch?v=CtdNQfKg8&feature=relmfu
The Toronto Rehab (2010). SBAR: Effective communication. Retrieved from
http://www.youtube.com/watch?feature=endscreen&NR=1&v=fsaEArBy2g