sbar communication model in healthcare organization
DESCRIPTION
Introducing SBAR as an effective communication model in healthcare organization that seeks to foster patient safety through proper transfer of patient information at the transition point.TRANSCRIPT
From Latin commūnicāre, meaning "to share“.
Communication is the activity of conveyinginformation through the exchange of ideas, feelings, intentions, attitudes, expectations, perceptions or commands, as by speech, non-verbal gestures, writings, behavior and possibly by other means such as electromagnetic, chemical or physical phenomena and smell.
Communication
Effective communication is not only about conveying
a message that you want to say. It is about conveying the message so that other people understand and respond to it.
Effective Communication
Assumptions & Hints
Vagueness & shortage of data.
Ineffective Communication
Mechanism (established processes): to frame
conversations
Tool (distinct design) to share concise and focused information.
Standard of Communication
Indicator of Effective Communication
?? What we need for Effective Communication
Situation, Background, Assessment and Recommendation
An effective mechanism to close the traditional
hierarchy between doctors and other care givers
A common language platform for communicating critical events, thereby reducing barriers to communication between healthcare professionals.
Why SBAR
A shared mental tool around all patient handovers
and situations requiring escalation, or critical exchange of information.
Why SBAR
A standardized well structured 4-steps method
It clarifies WHAT and HOW information should be communicated.
Why SBAR
Easy to remember mechanism that you can use to
frame conversations, especially critical ones, requiring a clinician's immediate attention and action.
Why SBAR
Situation, Background, Assessment and Recommendation
Identify yourself the site/unit you are calling from
Identify the patient by name and the reason for your report
Describe your concern
S: Situation
Firstly, describe the specific circumstances about
which you are calling, including:
the patient's name
patient location
code status
S: Situation
Give the patient's reason for admission
Explain significant medical history
B: Background
Inform the consultant of the patient's background:
date of admission
admitting diagnosis
prior procedures
vital signs.
current medications
Allergies
laboratory results and diagnostic results.
B: Background
Contraction pattern
Clinical impressions, concerns (what might be the underlying reason for your patient's condition)
A: Assessment
Explain what you need - be specific about request
and time frame
Make suggestions
Clarify expectations
Finally, what would you like to happen by the end of the conversation with the physician?
R: Recommendation
Urgent or non urgent communications
Nurse to doctor communications
Doctor to doctor consultation
Conversations with peers
Change of shift report
Rising a concern
Discussions with allied health professionals
- Respiratory therapy- Physiotherapy
When to Use SBAR
What is in SBAR for US
: Communicate forcefully and effectively; Self-
Confidence
Close the traditional hierarchy between staffs; Relaxed Work life
Encourage assessment skills; Positive Participation
Staff anticipate the information needed by colleagues; Trust building.
SBAR at the Personal Level
Reducing repetition.
The right level of detail.
The right sequence of flow.
Concise and focused information.
SBAR at the Information Level
To foster a culture of patient safety.
To develop effective communication and teamwork
Easy to remember and can reduce the time spent on patient handover.
An ROP (Required Organizational Practice) requested by Accreditation Canada International
SBAR at the Organization Level
References
http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx
http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_service_improvement_tools/sbar_-_situation_-_background_-_assessment_-_recommendation.html
http://www.institute.nhs.uk/safer_care/safer_care/situation_background_assessment_recommendation.html
http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Patient-Safety/Patient-Safety-Products-And-Services/Order-Patient-Safety-Materials
http://www.health.mil/~/media/MHS/General%20Images/PSMaterials/SBAR_POSTER_border.ashx
http://en.wikipedia.org/wiki/Communication