PDF(Pubmed)
Abstract：
OBJECTIVE: Patient care transitions between healthcare providers are common in hospitals -- this project aimed to audit the use of Situation, Background, Assessment, and Recommendation (SBAR)-based handoff communication tool in the handoff process.
METHODS: This prospective audit was conducted at Ribat Teaching Hospital, Khartoum, Sudan. All handoff communications of pediatric inpatients who required close monitoring during the study period were included. Two cycles of data collection were conducted, each spanning a duration of two weeks. The data, whether in the first or second cycle, were collected using a checklist document containing the items of the SBAR form. After the end of the first cycle, regular training sessions about the content and importance of the SBAR form were conducted for one week. Additionally, doctors\' perception regarding the form was assessed.
RESULTS: Some 48 doctors participated in this study, 29 females and 19 males. In the first cycle, the percentages of filled SBAR form components were as follows: Situation 7%, Background 0.00%, Assessment 0.00%, and Recommendation 0.00%. After conducting training sessions, the second cycle assessment was done and it showed improvement in all form components: Situation 88.8%, Background 83.6%, Assessment 66.3%, and Recommendation 69.5%. Regarding the doctors\' perception assessment, the majority reported the usefulness of the SBAR form in patients\' safety, physicians\' communication, and accountability.
CONCLUSIONS: The SBAR form is a simple and effective tool for improving communication; it helps doctors capture all relevant patient information. Most importantly, the majority of doctors were satisfied with the use of this tool for handoff communication.
METHODS: This prospective audit was conducted at Ribat Teaching Hospital, Khartoum, Sudan. All handoff communications of pediatric inpatients who required close monitoring during the study period were included. Two cycles of data collection were conducted, each spanning a duration of two weeks. The data, whether in the first or second cycle, were collected using a checklist document containing the items of the SBAR form. After the end of the first cycle, regular training sessions about the content and importance of the SBAR form were conducted for one week. Additionally, doctors\' perception regarding the form was assessed.
RESULTS: Some 48 doctors participated in this study, 29 females and 19 males. In the first cycle, the percentages of filled SBAR form components were as follows: Situation 7%, Background 0.00%, Assessment 0.00%, and Recommendation 0.00%. After conducting training sessions, the second cycle assessment was done and it showed improvement in all form components: Situation 88.8%, Background 83.6%, Assessment 66.3%, and Recommendation 69.5%. Regarding the doctors\' perception assessment, the majority reported the usefulness of the SBAR form in patients\' safety, physicians\' communication, and accountability.
CONCLUSIONS: The SBAR form is a simple and effective tool for improving communication; it helps doctors capture all relevant patient information. Most importantly, the majority of doctors were satisfied with the use of this tool for handoff communication.
摘要：
目的：医疗保健提供者之间的患者护理过渡在医院中很常见-该项目旨在审核情况的使用，背景,评估,和基于推荐(SBAR)的切换通信工具在切换过程中。
方法：这项前瞻性审核是在Ribat教学医院进行的，喀土穆,苏丹。包括在研究期间需要密切监测的儿科住院患者的所有切换通信。进行了两个周期的数据收集，每个持续时间为两周。数据，无论是在第一周期还是第二周期，是使用包含SBAR表单项目的清单文档收集的。第一个周期结束后，对SBAR表格的内容和重要性进行了为期一周的定期培训。此外,医生对表格的看法进行了评估。
结果：大约48名医生参与了这项研究，29名女性和19名男性。在第一个周期中，填充SBAR表单组件的百分比如下：情况7%，背景0.00%,评估0.00%,和建议0.00%。在进行培训课程后，完成了第二个周期的评估，它显示了所有形式组件的改进：情况88.8%，背景83.6%，评估66.3%，建议69.5%。关于医生的感知评估，大多数人报告了SBAR形式在患者安全性中的有用性，医生沟通，和问责制。
结论：SBAR表格是改善沟通的简单有效工具；它有助于医生捕获所有相关的患者信息。最重要的是,大多数医生对使用此工具进行切换通信感到满意。
方法：这项前瞻性审核是在Ribat教学医院进行的，喀土穆,苏丹。包括在研究期间需要密切监测的儿科住院患者的所有切换通信。进行了两个周期的数据收集，每个持续时间为两周。数据，无论是在第一周期还是第二周期，是使用包含SBAR表单项目的清单文档收集的。第一个周期结束后，对SBAR表格的内容和重要性进行了为期一周的定期培训。此外,医生对表格的看法进行了评估。
结果：大约48名医生参与了这项研究，29名女性和19名男性。在第一个周期中，填充SBAR表单组件的百分比如下：情况7%，背景0.00%,评估0.00%,和建议0.00%。在进行培训课程后，完成了第二个周期的评估，它显示了所有形式组件的改进：情况88.8%，背景83.6%，评估66.3%，建议69.5%。关于医生的感知评估，大多数人报告了SBAR形式在患者安全性中的有用性，医生沟通，和问责制。
结论：SBAR表格是改善沟通的简单有效工具；它有助于医生捕获所有相关的患者信息。最重要的是,大多数医生对使用此工具进行切换通信感到满意。
