sbar communication model in healthcare organization

By

Dr. Abdalla IbrahimAccreditation Specialist, Healthcare Surveyor

Email: abdallaibrahim@hotmail.com

2014.

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