SBAR, an acronym that stands for: Situation, Background, Assessment, Recommendation, is a technique used for prompt and appropriate communication in the health care organizations. It is modeled upon naval military procedures and was adapted to health care by Michael Leonard, Doug Bonacum, and Suzanne Graham of Kaiser Permanente.
Example points to include
The SBAR system is used to create a structured and standardized communication format between health care workers. It is particularly useful for reporting changes in a patient's status and / or deterioration between health care services or shifts. The most common use of SBAR is during nursing shift changes. Other common uses of SBAR include changes of services. For example, a patient is having a diagnostic imaging procedure in medical imaging.
The following is a breakdown for each SBAR element:
- Identify the person to whom you are speaking
- Identify yourself, occupation and where you are calling from
- Identify the patient by name, date of birth, age, sex, reason for admission
- Identify what is going on with the patient (Chest pain, nausea, etc...)
- Give the patient's presenting complaint
- Give the patient's relevant past medical history
- Brief summary of background
- Vital signs: heart rate, respiratory rate, blood pressure, temperature, oxygen saturation, pain scale, level of consciousness
- List if any vital signs that are outside of parameters; what is your clinical impression
- Severity of patient, additional concern
- Explanation of what you require, how urgent and when action needs to be taken
- Make suggestions of what action is to be taken
- Clarify what action you expect to be taken
- No Delays Achiever SBAR
- SBAR Technique for Communication: A Situational Briefing Model
- SBAR for UK-based Health Care Professionals
- Velji, K; Baker GR, Fancott C et al. (2008). "Effectiveness of an Adapted SBAR Communication Tool for a Rehabilitation Setting". Healthcare Quarterly (Longwoods) 11 (Spec.): 72–79. PMID 18382165.
2. Integrating SBAR to Improve Quality/Patient Safety Outcomes. Cynthia D. Beckett, Gayle Kipnis
3. Denham, C. Journal of Patient Safety. 4(1):38-48, March 2008.