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1. COMMUNICATION ISBR
Dr Nisar Ahmed Arain
Assistant Professor
Anesthesia/Critical care/ER

2. SBAR
SBAR SBAR TECHNIQUE FOR
COMMUNICATION

3. COMMUNICATION
-Communication is the activity of conveying
INFORMATION 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.

4. COMMUNICATION
From
Latin communicare
meaning
"to share“

5. Encoder
sender
Decoder
Receiver
messages
Shannon – weavers Model of Communication

6. -Effective communication is not only about
conveying a message that you want to
say.
It is about conveying the message so
that the other people understand
and respond to it
Effective communication

7. INEFFECTIVE COMMUNICATION

8. ASSUMPTIONS AND HINTS

9. VAGUENESS AND SHORTAGE OF DATA

10. WHAT WE NEED FOR EFFECTIVE
COMMUNICATION
--Mechanism (established processes)
to frame conversations
--Tool (distinct design) to share
concise
and focused information.
--Standard of
Communication
--Indicator of Effective
Communication

12. What about SBAR
It is an effective Mechanism to
close the traditional hierarchy
between doctors and other
care givers.

13. A shared mental Tool around
all patient handovers and
situations requiring
escalation, or critical
exchange of information.
What about SBAR

14. - A Standardized well structured 4-
steps method that clarifies WHAT and
HOW information should be
communicated
What about SBAR

15. What about SBAR
Easy to remember Indicator that
you can use to frame
conversations, especially critical
ones, requiring a clinician's
immediate attention and action.

16. What about SBAR

17. What about SBAR

18. SBAR at the personal level
-1-Communicate forcefully and effectively
Self confidence
-2-Close the traditional hierarchy between
staffs relaxed work life
-3-Encourage assessment skills positive
Participation
-4-Staff anticipate the information needed
by colleagues, Trust building

19. SBAR at the information level
-1-Reducing Repetition
-2-The right level of detail
-3-The right sequence of Flow
-4-Concise and focused information

20. -1-To foster a culture of patient safety
-2-To develop effective communication
and teamwork
-3-Easy to remember and can reduce
the time spent on patient hand over
-4-An ROP (Required organizational
practice) requested by Accreditation
body
-

21. Why is improving our
Communication important
-Patients care is dependent on effective communication
INCLUDING
a-Including Telephonic communication
BETWEEN
All staff involved in the care of patient
-Effective communication has become more important
as health care has become more complex and highly
complex and Team based

22. Why do we need a standard approach to
verbal and written Communication
-1-It is a daily task
-2-It is rarely “explicitly” taught
-3-Telephone referrals can be a source of
frustration for both the “give” and the
receiver
-4-Ineffective telephone communication
can compromise patient care

23. -1-People are busy and don’t want more work! It takes time
and practice to plan a good handover of patient/client
information
-2-It can be difficult to summarize a complex case succinctly
-3-The person making the referral
-It is often asked about things they have already said
-They may not get the help they were expecting
-4-The person receiving the referral may
-Interrupt mid sentence
-Make assumptions about the capability of the caller
Some of the challenges in good
Communication

24. He was focused, but not well prepared…..
-1-The Doctor clearly states what he wants
--He wants the other Doctor to come
and see the Patient
-2-He checks he is talking to the right person
but…He doesn’t have important
information at hand
-3-The main problem is lack of preparation
--How long does it take to prepare ?
--What things should be prepared