Calidad del registro escrito del médico anestesiólogo durante la transferencia de pacientes postoperados: influencia de la aplicación de una herramienta de comunicación estructurada

García-Sánchez, María-Rosa; Fernández-Guerrero, Cristina; López-Toribio, P.; Bueno‐Cavanillas, Aurora; Prieto-Cuéllar, M.; Guzmán-Malpica, E.M.; Cuevas-Valenzuela, P.; Moreno-Abril, E.; Lara-Ramos, P.

doi:10.1016/j.redar.2013.09.010

Cited by 2 publications

(2 citation statements)

References 38 publications

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“…Process measures in regard to parameters of communication were not measured in any of the included studies, but several not included studies suggest an improvement of communication through the implementation of SBAR. 34–40 The lack of process measures within the included studies reduces internal validity and impedes the interpretation of the present results with regard to causation. Consequently, the unreflected adoption of SBAR may paradoxically limit improvements in healthcare communication because once a problem appears to be solved, less research will be conducted on it.…”

Section: Discussionmentioning

confidence: 85%

“…Positive resonances of employees after the introduction of SBAR were reported 24–28 with improvements of the communication perception and interdisciplinary teamwork 29–33 as well as the quality of the communication. 34–40 Especially in patient hand-off, the quality of the communication and the completeness of transferred information was increased after the implementation of SBAR. 41–44 Furthermore, less time was needed for the patient hand-off in several studies.…”

Section: Introductionmentioning

confidence: 99%

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Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review

et al. 2018

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ObjectivesCommunication breakdown is one of the main causes of adverse events in clinical routine, particularly in handover situations. The communication tool SBAR (situation, background, assessment and recommendation) was developed to increase handover quality and is widely assumed to increase patient safety. The objective of this review is to summarise the impact of the implementation of SBAR on patient safety.DesignA systematic review of articles published on SBAR was performed in PUBMED, EMBASE, CINAHL, Cochrane Library and PsycINFO in January 2017. All original research articles on SBAR fulfilling the following eligibility criteria were included: (1) SBAR was implemented into clinical routine, (2) the investigation of SBAR was the primary objective and (3) at least one patient outcome was reported.SettingA wide range of settings within primary and secondary care and nursing homes.ParticipantsA variety of heath professionals including nurses and physicians.Primary and secondary outcome measuresAspects of patient safety (patient outcomes) defined as the occurrence or incidence of adverse events.ResultsEight studies with a before–after design and three controlled clinical trials performed in different clinical settings met the inclusion criteria. The objectives of the studies were to improve team communication, patient hand-offs and communication in telephone calls from nurses to physicians. The studies were heterogeneous with regard to study characteristics, especially patient outcomes. In total, 26 different patient outcomes were measured, of which eight were reported to be significantly improved. Eleven were described as improved but no further statistical tests were reported, and six outcomes did not change significantly. Only one study reported a descriptive reduction in patient outcomes.ConclusionsThis review found moderate evidence for improved patient safety through SBAR implementation, especially when used to structure communication over the phone. However, there is a lack of high-quality research on this widely used communication tool.Trial registrationnone

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Section: Discussionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review

et al. 2018

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The ‘go-between’ study: a simulation study comparing the ‘Traffic Lights’ and ‘SBAR’ tools as a means of communication between anaesthetic staff

2016

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SummaryCommunicating non-urgent, urgent and frank emergency requests for assistance between anaesthetists in theatre often requires a 'go-between' -frequently a non-anaesthetic healthcare professional -to transmit information. We compared the currently recommended situation, background, assessment, recommendation (SBAR) tool with a newly devised Traffic Lights tool ('red alert', 'amber assist' and 'green query') in a simulation study to assess communication quality using 12 validated clinical scenarios of varying urgency. Compared to SBAR, Traffic Lights was used more consistently ('very clear' or 'clear' Traffic Lights 94% vs SBAR 69%); transferred information better (two or three pieces of information correctly transferred Traffic Lights 85%, SBAR 44%; and was judged to lead to greater clarity (all p < 0.0001). Message delivery time was significantly reduced (Traffic Lights 20.5 s vs SBAR 45.5 s, median (95% CI) difference 25 (19-30) s, p < 0.001). Users rated the Traffic Lights system as significantly more useful than SBAR, with 96% of participants preferring the Traffic Lights tool. Results were independent of go-between training. We recommend the adoption of this communication tool as standard practice for anaesthetic teams.

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Calidad del registro escrito del médico anestesiólogo durante la transferencia de pacientes postoperados: influencia de la aplicación de una herramienta de comunicación estructurada

Cited by 2 publications

References 38 publications

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review

The ‘go-between’ study: a simulation study comparing the ‘Traffic Lights’ and ‘SBAR’ tools as a means of communication between anaesthetic staff

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