The impact of situation-background-assessment-recommendation (SBAR) on safety attitudes in the obstetrics department

Ting, Wan-Hua; Peng, Fu-Shiang; Lin, Ho‐Hsiung; Hsiao, Sheng‐Mou

doi:10.1016/j.tjog.2016.06.021

Cited by 34 publications

(56 citation statements)

References 10 publications

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“…This systematic review synthesized nine studies to answer the research questions (Athwal et al, ; Johnson et al, ; Nagpal et al, ; Sand‐Jecklin & Sherman, ; Ting et al, ; Younan & Fralic, ; Yu et al, ; Zhang et al, ; Zou & Zhang, ). A total of 1,169 registered nurses were involved in this review, whose ages ranged from 22 to 38 years old.…”

Section: Resultsmentioning

confidence: 99%

“…The structured handovers conducted in the studies adopted various formats including the SBAR, ICCCO, PCH and NHF (standardized nursing handoff form; Johnson et al, ; Ting et al, ; Zou et al,). Some papers included the location of the handover as part of the intervention, such as the bedside or the nursing counter/office.…”

Section: Resultsmentioning

confidence: 99%

“…There were several handover styles employed by nurses focusing on nurse‐to‐nurse shift handovers within an inpatient ward (Bakon, Wirihana, Christensen, & Craft, ; Riesenberg, Leitzsch, & Little, ; Thomas & Donohue‐Porter, ). In terms of structured handoffs, there is a wide range of different formats (Table ), such as SBAR (situation, background, assessment, recommendation), ICCCO (identification of the patient and clinical risks, clinical history/presentation, clinical status, care plan and outcomes/goals of care), patient‐centred handovers (PCH) and a standardized nursing handoff form (NHF; Johnson, Sanchez, & Zheng, ; Kullberg, Sharp, Dahl, Brandberg, & Bergenmar, ; Ting, Peng, Lin, & Hsiao, ; Zou & Zhang, ). According to Meth and Bass (2013), there are six content categories that make up a handover process in general, namely patient identifies, symptoms/clinical impression, procedure and/or treatment, explanation, rationale and directives for anticipated events (Meth, Bass, & Hoke, ).…”

Section: Introductionmentioning

confidence: 99%

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A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Bukoh

Siah

2020

J Nurs Manag

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Nursing handovers, or handoffs, entail the process of transferring and accepting both the responsibility for the care of a patient and patient-specific information. This conveyance of patient data ensures the continuity and safety of the patient care in inpatient setting (The Joint Commission Center for Healthcare, 2014). However, when a misalignment of expectations occurs between the sender of information and the receiver, serious communication failures follow during the handover (The Joint Commission, 2017). A study on Harvard-affiliated hospitals has linked communication failures to 1,744 patient deaths in 5 years (Bailey, 2016). Therefore, it is essential that, in a high-turnover healthcare setting, effective communication be in place to ensure the clear and concise sharing of patient information (Gooch, 2016). AbstractAim: This review aimed to elucidate the effectiveness of structured handovers in improving patient outcomes in the wards.Background: Studies have reported that the lack of quality handovers is one of the main causes of adverse effects. Evaluation: A search over six electronic databases: MEDLINE; CINAHL; Web ofScience; EMBASE; Scopus; and CENTRAL via Ovid concluded nine studies and synthesized by two independent reviewers based on the Cochrane Handbook for Systematic Reviews of Interventions. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used to guide the undertaking of this review and meta-analysis. All studies published up to February 2019 were considered in this review. Key issues:This review has demonstrated that structured handovers reduced the incidences of patient complications, medication errors and general adverse events.However, the results were not statistically significant.Conclusion: Current structured handover formats were effective in reducing problematic handovers such as omission of information, inaccurate information and documentation errors. Implications for Nursing Management:Although there is limited high-quality and rigorous research conducted to gain a clearer understanding of the impacts on patient-related outcomes in nursing care, structured handovers remained effective in reducing the number of mistakes in information transfer. K E Y W O R D S communication, patient safety, handoff | 745 BUKOH and SIaH 2 | BACKG ROU N D Continuity management in an inpatient setting is essential to provide safe and effective patient care to minimize risks of medical errors and to achieve this, good communication within the nursing team is vital. A structured and standardized nursing handover can improve patient outcomes, including lowered patient fall rates, lengths of stay in the hospital, mortality and the number of code or medical emergency team calls (Mardis et al., 2017). Additionally, measures for nurse-related outcomes demonstrated improvement, with enhanced continuity of care for patients through better compliance to plans of care, timely delivery of care and improved recall of information provided (Smeulers, Lucas, & Vermeulen, 2014). As su...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

Bukoh

Siah

2020

J Nurs Manag

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“…SBAR was originally implemented in health care settings with the intent of improving nurse-physician communication in acute care situations; however, it has also been shown to increase communication satisfaction among health care providers as well as their perceptions that communication is more precise [31,32]. The role of the SBAR tool during handoff has been highlighted and supported by various specialties such as anesthesia [33,34], perioperative medicine [35,36], postoperative medicine [37], obstetrics [38,39], emergency medicine [40], acute care medicine [41,42], pediatrics [43], and neonatology [44].…”

Section: Sbar Definedmentioning

confidence: 99%

“…The Safety Attitudes Questionnaire (SAQ) was completed by the nurses before and after the SBAR course. Most of the value ratings for the teamwork climate, safety climate, job satisfaction, and working conditions significantly improved in a post-intervention survey (Table 1) [38].…”

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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Der Übergabeprozess in der zentralen Notaufnahme – Konsentierung von Inhalten im Rahmen eines Delphi-Verfahrens

Gräff

Pin²,

Ehlers

et al. 2023

Notfall Rettungsmed

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Zusammenfassung Hintergrund und Ziel der Arbeit Für die Übergabe in der Notaufnahme – der Nahtstelle von prähospitaler zu klinischer Versorgung – stellen Merkhilfen („mnemonics“) das „Rückgrat“ für eine strukturierte Übermittlung von relevanten Informationen dar. In Deutschland existiert bis zum heutigen Tag keine Standardisierung bzw. konkrete Vorgabe, welche Merkhilfe zur Übergabe genutzt werden soll. Die vorliegende Untersuchung definiert erstmalig anhand eines strukturierten und mehrstufigen Konsentierungsprozesses (Delphi-Verfahren) von Experten (Mandatsträgern), welche Übergabeinhalte für erforderlich gehalten werden. Ziel dabei ist die Schaffung einer Grundlage zur Entwicklung einer bundeseinheitlichen Merkhilfe. Methodik Durchgeführt wurde ein Delphi-Verfahren, welches sich an den Regularien der Arbeitsgemeinschaft der wissenschaftlichen medizinischen Fachgesellschaften e. V. (AWMF) orientiert. Ergebnisse Im Rahmen des durchgeführten Delphi-Verfahrens konnte neben konkreten Inhalten der Merkhilfe auch deren Reihenfolge festgelegt werden. Übergabeinhalte wurden zu den Punkten Crew Resource Management (CRM) und Patientenidentifikation, Beschreibung der Notfallsituation, Notfallpriorität (ABCDE-Schema) und Vitalparameter, durchgeführte Maßnahmen, Anamnese, Zusammenfassung mit der Möglichkeit für Rückfragen durch das übernehmende Team sowie Zeitdauer definiert. Diskussion Die Ergebnisse der Arbeit bilden die evidenzbasierte Grundlage für die Entwicklung einer konkreten Merkhilfe („mnemonic“). Weitere Untersuchungen sollten sich nach Entwicklung einer geeigneten Merkhilfe darauf fokussieren, diese im Rahmen einer (prä-)klinischen Anwendungsstudie auf Praxistauglichkeit zu testen. Gleichzeitig sollte ein entsprechendes Schulungskonzept ausgearbeitet werden. Langfristig wird als Ziel eine bundesweit einheitliche Einführung angestrebt.

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The impact of situation-background-assessment-recommendation (SBAR) on safety attitudes in the obstetrics department

Abstract: The SBAR technique, which uses a novel structured handover list, is a feasible tool for nurse-obstetrician communication, and it may improve most dimensions of safety attitudes in the obstetrics department.

Cited by 34 publications

References 10 publications

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

A systematic review on the structured handover interventions between nurses in improving patient safety outcomes

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

Der Übergabeprozess in der zentralen Notaufnahme – Konsentierung von Inhalten im Rahmen eines Delphi-Verfahrens

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