Lightning Learning: SBAR

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STOP!

What's the problem?

Errors in communication is one of the main causes of adverse events in clinical practice.

What's the solution?

The SBAR tool helps to convey information effectively in a range of situations including handovers, referrals and when seeking senior advice.

Use of the SBAR tool during medical emergencies is recommended in the NICE Quality Standard 174.⁽¹⁾

The overall goal is to improve patient safety.

Research has shown improved patient outcomes particularly when SBAR has been used over the phone.⁽²⁾

LOOK

Situation (WWW.Y)

• Who you are
• Where you are calling from
• Who you are speaking about
• WhY you are calling

Background

• Age, Gender
• Presenting Complaint
• Very brief summary of relevant background history

Assessment

• NEWS and key clinical findings
• Relevant tests & treatments carried out so far
• (Differential) Diagnosis
• Any specific major concern

Recommendation

• “Can I please ask you to [help me with/advise me/review]…”
• “Is there anything I need to do in the meantime?”

LEARN

REMEMBER! Ask the receiver to repeat key information to ensure understanding.⁽³⁾

The plan also needs to be communicated to the patient and/or their next of kin.

References:

1. Quality statement: Structured patient handovers (NICE)
2. Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review (BMJ)
3. SBAR Communication Tool (NHS Improvement)

Our SBAR video playlist: http://bit.ly/whatisSBAR 🎬