ppt课件-s b a r- the valley hospital（s b r -硅谷医院）.pptVIP

SBAR Effective Communication for Patient Safety SBAR From 1995 – 2005 JCAHO reviewed over 2537 sentinel events in General Hospitals and Emergency Departments Communication issues identified as being the root cause and the major contributor in these events In 2005 nearly 70% of sentinel events, the root cause was communication. Why does communication break down? Different communication styles High level of activity Frequent interruptions No standardization in organizing essential information Loss of information What Can Go Wrong? CONCERN was communicated – BUT: PROBLEM: was not clearly stated PROPOSED ACTION: didn’t happen DECISION: was not reached Physician-RN Communication Differences in: Training and practice Style of communication Past experience Level of empowerment Tone of voice and level of respect Physician-RN Communication Styles Nurses are narrative and descriptive Physicians are guided to be problem solvers- “just the facts please” Other complicating factors Gender, cultural differences Prior relationships, hierarchy Perceptions of teamwork depends on point of view Commnication Handoffs SBAR Is an effective tool for all types of communication handoffs What is SBAR? The SBAR model is a simple method to help standardize communication SBAR allows all parties to have common expectations: What is going to be communicated How the communication is structured Required elements Focuses on the problem, not the people Who Uses SBAR? Nuclear Submarines Southwest Airlines Kaiser Permanente Iowa Health System TVH Patient Care ServicesInitiative for 2006 Implement SBAR by 4th quarter, 2006 Goals: Clear, concise and thorough communication of pertinent clinical information Improved patient safety and clinical outcomes TVH Patient Care ServicesInitiative 2006 Implementation of SBAR will: Meet Joint Commission’s requirements for appropriate communication for patient hand-offs Admissions Transfers Shift to shi