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SBAR communication model in healthcare organization

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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.

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.

Published in: Salud
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  • 1. By Dr. Abdalla Ibrahim Accreditation Specialist, Healthcare Surveyor Email: abdallaibrahim@hotmail.com 2014.
  • 2. Communication   From Latin commūnicāre, meaning "to share“.  Communication is the activity of conveying information 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.
  • 3. Effective 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.
  • 4. Assumptions & Hints 
  • 5. Vagueness & shortage of data. 
  • 6. Ineffective Communication 
  • 7. ?? What we need for Effective Communication   Mechanism (established processes): to frame conversations  Tool (distinct design) to share concise and focused information.  Standard of Communication  Indicator of Effective Communication
  • 8. Situation, Background, Assessment and Recommendation
  • 9. Why SBAR   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.
  • 10. Why SBAR   A shared mental tool around all patient handovers and situations requiring escalation, or critical exchange of information.
  • 11. Why SBAR   A standardized well structured 4-steps method  It clarifies WHAT and HOW information should be communicated.
  • 12. Why SBAR   Easy to remember mechanism that you can use to frame conversations, especially critical ones, requiring a clinician's immediate attention and action.
  • 13. Situation, Background, Assessment and Recommendation
  • 14.
  • 15. S: Situation   Identify yourself the site/unit you are calling from  Identify the patient by name and the reason for your report  Describe your concern
  • 16. S: Situation   Firstly, describe the specific circumstances about which you are calling, including:  the patient's name  patient location  code status
  • 17. B: Background   Give the patient's reason for admission  Explain significant medical history
  • 18. 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.
  • 19. A: Assessment   Contraction pattern  Clinical impressions, concerns (what might be the underlying reason for your patient's condition)
  • 20. R: Recommendation   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?
  • 21. When to Use SBAR   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
  • 22. What is in SBAR for US 
  • 23. SBAR at the Personal Level   : 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.
  • 24. SBAR at the Information Level   Reducing repetition.  The right level of detail.  The right sequence of flow.  Concise and focused information.
  • 25. SBAR at the Organization 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
  • 26. References   http://www.ihi.org/resources/Pages/Tools/SBARToolkit.aspx  http://www.institute.nhs.uk/quality_and_service_improvement_tools/quality_and_servi ce_improvement_tools/sbar_-_situation_-_background_-_assessment_- _recommendation.html  http://www.institute.nhs.uk/safer_care/safer_care/situation_background_assessment_re commendation.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_POSTE R_border.ashx  http://en.wikipedia.org/wiki/Communication

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