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S (Situation) - The mother of Elsie Marley called requesting labs from 1/23/10. B (Background) - Elsie Marley had labs drawn on 1/23/10. The mother is not at home but can be reached by cell at 555-0000. R (Recommendation) - Please call the
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SBAR presentation
SBAR is a communication tool that provides a standardized method for healthcare team members to clearly communicate important patient information. It includes 4 sections: Situation, Background, Assessment, and Recommendation. The tool aims to improve communication and decrease errors by ensuring all pertinent details are conveyed efficiently. Implementing SBAR can help create fewer tasks, calls, and call backs as a result of more informative information being exchanged in a consistent format between clinical and support staff.
EDCI 575 SBAR for Moodle
Poor communication between healthcare providers has been cited as a contributing factor in 70-80% of medical errors and 63% of sentinel events. The SBAR (Situation, Background, Assessment, Recommendation) technique provides a standardized structure for communicating critical patient information in a concise and urgent manner. An example is given of using SBAR to communicate a diabetic patient's low blood sugar reading to the physician by providing relevant context, assessment of the situation, and a recommendation for next steps. Providers are encouraged to practice using SBAR to improve communication effectiveness and prevent adverse patient outcomes.
2. sbar background
The patient is a 26-year-old man admitted to the medical ward for observation following a traumatic brain injury from being hit in the head with a chair at a pub. A CT scan showed a small right-sided subdural hematoma. Overnight the patient was combative but settled down and slept. The night nurse checked his vitals every 30 minutes but could not wake him. His most recent vitals showed a respiratory rate of 75, blood pressure of 100/70. He remained asleep at the start of the day shift.
Communication using the sbar tool
Communication using the SBAR tool, Patient Safety Team, NHS Improving Quality,
more at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
SBAR communication model in healthcare organization
Introducing SBAR as an effective communication model in healthcare organization that seeks to foster patient safety through proper transfer of patient information at the transition point.
Quality Improvement Through Effective Staff Handover
Ms Simone Comiskey, Quality & Safety Manager
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Tips on proper endorsement
Choose a consistent technique such as body systems, head-to-toe, or reporting by exception to organize patient information for nurse report. Be prepared to give report when the oncoming shift arrives by organizing your time. Review the patient's medical record and formal report sheet to include any missing details when giving nurse report, keeping the exchange of information brief and direct by focusing on variances, the patient's condition, and needed care.
snixon NPFP resume
Stephanie Nixon is a board-certified family nurse practitioner with over 10 years of experience as a registered nurse and nurse practitioner student. She has clinical experience in adult, geriatric, pediatric, women's health and pulmonary medicine in both outpatient and inpatient settings. She is seeking a position that allows her to diagnose and manage both common and complex medical conditions in patients of all ages.
Recommended
SBAR presentation
SBAR is a communication tool that provides a standardized method for healthcare team members to clearly communicate important patient information. It includes 4 sections: Situation, Background, Assessment, and Recommendation. The tool aims to improve communication and decrease errors by ensuring all pertinent details are conveyed efficiently. Implementing SBAR can help create fewer tasks, calls, and call backs as a result of more informative information being exchanged in a consistent format between clinical and support staff.
EDCI 575 SBAR for Moodle
Poor communication between healthcare providers has been cited as a contributing factor in 70-80% of medical errors and 63% of sentinel events. The SBAR (Situation, Background, Assessment, Recommendation) technique provides a standardized structure for communicating critical patient information in a concise and urgent manner. An example is given of using SBAR to communicate a diabetic patient's low blood sugar reading to the physician by providing relevant context, assessment of the situation, and a recommendation for next steps. Providers are encouraged to practice using SBAR to improve communication effectiveness and prevent adverse patient outcomes.
2. sbar background
The patient is a 26-year-old man admitted to the medical ward for observation following a traumatic brain injury from being hit in the head with a chair at a pub. A CT scan showed a small right-sided subdural hematoma. Overnight the patient was combative but settled down and slept. The night nurse checked his vitals every 30 minutes but could not wake him. His most recent vitals showed a respiratory rate of 75, blood pressure of 100/70. He remained asleep at the start of the day shift.
Communication using the sbar tool
Communication using the SBAR tool, Patient Safety Team, NHS Improving Quality,
more at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety.aspx
SBAR communication model in healthcare organization
Introducing SBAR as an effective communication model in healthcare organization that seeks to foster patient safety through proper transfer of patient information at the transition point.
Quality Improvement Through Effective Staff Handover
Ms Simone Comiskey, Quality & Safety Manager
Quality Improvement through Effective Clinical Handover
Tips on proper endorsement
Choose a consistent technique such as body systems, head-to-toe, or reporting by exception to organize patient information for nurse report. Be prepared to give report when the oncoming shift arrives by organizing your time. Review the patient's medical record and formal report sheet to include any missing details when giving nurse report, keeping the exchange of information brief and direct by focusing on variances, the patient's condition, and needed care.
snixon NPFP resume
Stephanie Nixon is a board-certified family nurse practitioner with over 10 years of experience as a registered nurse and nurse practitioner student. She has clinical experience in adult, geriatric, pediatric, women's health and pulmonary medicine in both outpatient and inpatient settings. She is seeking a position that allows her to diagnose and manage both common and complex medical conditions in patients of all ages.
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Dr. Nabila S Babar is a board certified internal medicine physician licensed in Ohio, Indiana, and Kentucky. She has over 25 years of experience in both inpatient and outpatient settings, including serving as a hospitalist, specialist physician, medical director, and public health internist. She completed her residency in internal medicine at Wright State University and received honors during her medical education in Pakistan.
Thames resume
Dr. Nabila S Babar is a board certified internal medicine physician and addiction medicine specialist based in Mason, Ohio. She has over 25 years of experience working in both inpatient and outpatient settings in the US, New Zealand, and Pakistan. Her experience includes serving as a hospitalist, specialist physician, medical director, and public health internist. She is licensed to practice in Ohio, Indiana, and Kentucky.
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Handoff Cartoon
A hospital worker is frustrated that the printer is out of paper and they are always the one who has to refill it. They are dealing with many issues at once including a patient named Mrs. H who seems to be having medical problems and is causing trouble and drama. The worker is stressed and overwhelmed trying to handle everything happening all at once including a patient who coded and they can't remember the name of another patient they are responsible for.
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Thames resume
Dr. Nabila S Babar is a board certified internal medicine physician licensed in Ohio, Indiana, and Kentucky. She has over 25 years of experience in both inpatient and outpatient settings, including serving as a hospitalist, specialist physician, medical director, and public health internist. She completed her residency in internal medicine at Wright State University and received honors during her medical education in Pakistan.
Thames resume
Dr. Nabila S Babar is a board certified internal medicine physician and addiction medicine specialist based in Mason, Ohio. She has over 25 years of experience working in both inpatient and outpatient settings in the US, New Zealand, and Pakistan. Her experience includes serving as a hospitalist, specialist physician, medical director, and public health internist. She is licensed to practice in Ohio, Indiana, and Kentucky.
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Patient-Centered Strategies for HCAHPS Improvement
This document discusses strategies for improving patient experience scores on the HCAHPS survey through patient-centered care. It notes that HCAHPS performance is becoming increasingly important for hospital reimbursement. The document recommends partnering with patients, creating a healing physical environment, making data meaningful to staff, focusing on care transitions beyond the hospital, and prioritizing compassionate care. Planetree is introduced as an organization that advocates for these patient-centered approaches and certifies hospitals that meet standards for patient-centered culture and environments.
bedside reporting
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CMH Medication Reconciliation Journey 2011
Citizens Memorial Healthcare developed a medication reconciliation process across multiple departments and business units from 2008-2010. Key steps included establishing multidisciplinary teams to map out current medication reconciliation workflows, identify weaknesses, and design improvements. The initial process focused on education of clinical staff and a standardized approach to medication reconciliation at admission, discharge, and transfer. Over time the process was expanded and refined, including rolling out new electronic tools, ongoing education, and participation in a national collaboration to further enhance the medication reconciliation process system-wide. Lessons learned highlighted the importance of an accurate and accessible "source of truth" for medications, as well as ensuring all parts of the process are completed to avoid potential errors.
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Final Resume
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Engage Front-line Care Team Using Clinical Audit Checklists
The culture of patient safety, quality, and transparency is central to improving care delivery at the organization and industry level. Implementing a sustainable frontline solution like quality checklists will require new leadership, innovative thinking, applications of human factor engineering, and patient voices who demand better. We need to reward staff engagement and quality patient safety efforts which can translate into better patient outcomes. CCG, PSO developed a Clinical Audit Checklist program that can support a culture of transparency and accountability, thereby reducing healthcare costs and delivering positive patient outcomes. Together, we can make continuous daily improvement a standard practice at the hospital and system level. Patients are counting on us to make care delivery safer today for a better patient experience tomorrow.
Handoff Cartoon
A hospital worker is frustrated that the printer is out of paper and they are always the one who has to refill it. They are dealing with many issues at once including a patient named Mrs. H who seems to be having medical problems and is causing trouble and drama. The worker is stressed and overwhelmed trying to handle everything happening all at once including a patient who coded and they can't remember the name of another patient they are responsible for.
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The document summarizes key points from The Checklist Manifesto by Atul Gawande. It discusses how checklists have helped reduce errors and improve safety in high-risk industries like aviation and construction. Checklists organize tasks, aid memory recall, and are especially useful in complex environments. The healthcare industry has also benefited from adopting checklists, with studies showing reductions in infection rates and complications when using surgical checklists. While checklists cannot replace expertise or experience, they provide a disciplined approach to ensure critical steps are not missed. Successful implementation requires buy-in from leadership and customized checklists tailored to each situation.
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This document discusses the development and use of checklists. It defines a checklist as a tool used to identify whether key tasks or procedures have been completed. The document outlines characteristics of effective checklists, such as having clear wording and logical grouping of tasks. It then provides guidelines for developing a checklist, such as identifying critical and observable actions, determining standards, and deciding on an overall evaluation criteria. Both single-student and multi-student checklist formats are discussed.
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- A case study was presented on using simulations to address delays in calling rapid response teams at a hospital. Post-training surveys found that simulations helped build confidence and that new communication techniques would be employed.
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This document discusses improving handoffs between physicians in the emergency department. It notes that communication errors during shift changes are a common cause of treatment delays and adverse events. The document then reviews factors that can lead to errors during handoffs, including distractions, lack of standard processes, fatigue and inexperience. It proposes using multidisciplinary handoffs, clear guidelines and identifying high-risk patients to help improve safety during physician shift changes in the emergency department.
How to sbar
This document explains the SBAR communication format, which stands for Situation, Background, Assessment, and Recommendation. SBAR is designed to streamline information exchange between individuals by structuring the exchange in a clear, efficient manner. It allows the listener to quickly understand the context of an issue (Situation), pertinent details (Background), the presenter's evaluation of the issue (Assessment), and the action being requested (Recommendation). Used properly, SBAR can effectively bring another person up to speed on a problem or situation in under 30 seconds.
Sbar
La técnica SBAR sirve para comunicar de manera estructurada y concisa la información relevante durante el traspaso de un paciente entre unidades o profesionales. SBAR significa Situación, Antecedentes, Valoración y Recomendaciones, e incluye detalles clave como la identificación del paciente, diagnóstico, tratamiento, pruebas realizadas, signos vitales, necesidad de urgencia en el traspaso y recomendaciones específicas. El objetivo es asegurar una transferencia de información completa y eficiente que mejore
ISBAR a better way to communicate
- The document discusses ISBAR, a communication tool adapted from SBAR to standardize verbal and written communication, especially telephone referrals.
- ISBAR stands for Identify, Situation, Background, Assessment, Request. It provides a framework to organize crucial patient information when communicating between clinicians.
- The document encourages readers to practice using ISBAR through examples and roleplays to improve referral quality and patient safety.
HANDOFF
Handoff, also known as handover, is the process of transferring an ongoing call or data session from one base station or access point to another without disrupting the call or data session. There are different types of handoffs including hard, soft, and softer handoffs. An efficient handoff strategy aims to perform handoffs quickly, infrequently, imperceptibly to users, and successfully. Key considerations for handoff include when to initiate a handoff, prioritizing handoff requests, and practical challenges related to factors like mobile speed and traffic levels.
Kaizen – Forms & Checklists
This document provides forms and checklists to support Kaizen and quality improvement programs. It includes an overview of Kaizen and its benefits in driving improvements to create a leaner business. Various Kaizen tools and methods are described such as 5S, value stream mapping, PDCA cycles and A3 problem solving. Checklists and forms are presented to guide activities like setting targets, observing processes, identifying issues, planning and tracking improvements through Kaizen workshops and events. The goal is to establish standard work and continuously measure and improve performance.
Kaizen Events Blitz & Lean Projects
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The document discusses the use of SBAR (Situation, Background, Assessment, Recommendation) by nurses during shift change reports. It reviews research that shows SBAR improves nurse-to-nurse communication and patient outcomes by structuring the report in a consistent, focused manner. SBAR allows nurses to relay relevant information more efficiently and spend more time on patient care. The document recommends expanding the use of SBAR for all nursing shift reports to standardize communication and potentially improve safety.
Handover of duty or job responsibilities
Mr. Mahesh C. Kutal has worked as a coating inspector at GMMOS since May 2011. His responsibilities included inspecting blasting and painting activities, ensuring quality, reporting non-conformances, testing painted materials, offering inspections to clients, and reviewing/signing documents. On July 9, 2011, he handed over these responsibilities to Mr. Srinivasarao Indana.
SBAR presentation
The SBAR tool provides guidelines for nurses to communicate effectively and safely with physicians about patient issues. The SBAR framework includes Situation, Background, Assessment, and Recommendation sections. Nurses should identify themselves and the patient, state the problem briefly, provide relevant history and testing results, give their assessment, and make a clear recommendation. Following the SBAR process and having necessary information available helps ensure physicians receive a concise yet comprehensive update on the patient's condition.
Handover
The document discusses different types of handovers in wireless networks. It defines handover as changing the point of connection between a mobile station and base stations. There are three types of handover decisions: network-controlled, mobile-assisted, and mobile-controlled. The document also describes hard handover, soft handover, horizontal handover, and vertical handover. It explains the mechanisms and characteristics of each type of handover.
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Engage Front-line Care Team Using Clinical Audit Checklists
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Sbar Pedirevised[1]
SBAR is a communication tool that provides a standardized method for healthcare team members to clearly communicate important patient information. It includes 4 sections: Situation, Background, Assessment, and Recommendation. The tool aims to improve communication and decrease errors by ensuring all pertinent details are conveyed efficiently. When implemented, SBAR is expected to reduce unnecessary call backs to patients and duplicate tasks between clinical and support staff through more informative information exchanges.
SBAR
SBAR is a communication tool that standardizes the transfer of key clinical information among healthcare professionals. It provides a structured way to communicate the situation, background, assessment, and recommendation in a concise yet informative manner. This helps reduce errors and call-backs by ensuring the right information is conveyed. Implementing SBAR can help create a more collaborative environment and improve communication between clinical and support staff.
New CF DX NACF Presentation
The document describes efforts at the University of Rochester Medical Center to improve the process for families receiving a diagnosis of cystic fibrosis from newborn screening. Staff and families provided feedback through surveys on their experiences. Opportunities identified included reducing anxiety, providing clearer information, and standardizing the workflow. New visual flowcharts and guidelines were developed for communicating results and coordinating multidisciplinary visits within the first year after diagnosis. The goal is to build hope and relationships while standardizing care.
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This document discusses SBARR, a communication tool used to standardize nurse-physician handoffs. It begins by explaining that SBARR stands for Situation, Background, Assessment, Recommendation, and Read-back. It then describes each component of SBARR and provides examples of the information that should be included. The document emphasizes that SBARR improves safety by ensuring all relevant patient information is communicated clearly and concisely between clinicians.
Sbar pp
SBARR is a communication tool used to standardize nurse-physician handoffs. It stands for Situation, Background, Assessment, Recommendation, and Read-back. Using SBARR improves communication by ensuring complete and accurate information is conveyed in a concise manner. This reduces errors and improves patient safety and outcomes. The SBARR process involves the nurse clearly communicating the situation, patient background, their assessment, recommended actions, and receiving read-back confirmation from the physician.
Sbarr communication tool
This document discusses the SBARR communication tool used in healthcare. SBARR stands for Situation, Background, Assessment, Recommendation, Response. It provides a standardized structure for communication between healthcare providers, especially during handoffs. Poor communication has been a leading cause of medical errors. SBARR was adapted from models used in aviation and aims to improve patient safety by facilitating complete and organized exchanges of important patient information. The document reviews the components of SBARR and provides examples of how to use it in clinical scenarios. It emphasizes the benefits of SBARR for creating shared understanding and establishing expectations to reduce risk.
Cchp rn apr 2010 final slides 041210
The document provides information on certification for Correctional Health Care Nurses (CCHP-RN) including requirements, content outline, exam preparation tips, and sample exam questions. It discusses developing knowledge in various content areas, using study tactics, and improving test-taking skills. Sample exam questions cover topics like triage, referrals, coordination of care, and behavioral management. The document is a review course intended to help nurses prepare for the CCHP-RN certification exam.
Empathy and Lean - Quality and Metrics
This webinar presentation discussed using Lean healthcare methodologies to improve the patient experience. It began with housekeeping items about the webinar format and then provided information about the speakers' backgrounds working with major healthcare institutions. The presentation objectives were to understand the difference between emotional and functional needs, learn some Lean techniques that can be used in clinics, and identify tools for future efficiency projects. Various Lean concepts and methods were then explained like process mapping, identifying waste, and creating ideal patient flows. An example was provided of how these techniques were used to improve wait times in a thoracic surgery clinic by changing a physician's schedule and adding a floating physician role. The results were improved on-time performance and higher patient satisfaction scores.
CLIENT SATISFACTION SURVEY 2016
The document summarizes the results of a client satisfaction survey conducted at a hospital in Kampala, Uganda in 2016. It found that overall patient satisfaction had declined compared to the previous year. Areas of dissatisfaction included poor attitudes of some staff (especially student nurses), long wait times, lack of cleanliness and hygiene especially in toilets, and inadequate privacy in wards. However, prescription practices had improved with fewer drugs and antibiotics prescribed on average. The report provides many patient comments and suggestions on how to improve various aspects of care, environment, and organization. It concludes that management should discuss the findings and work to enhance the patient experience.
SBAR COMMUNICATION MODEL
SBAR is a communication tool used in healthcare to standardize how information is communicated, improving patient safety. It structures information around Situation, Background, Assessment, and Recommendation. Poor communication is a leading cause of medical errors. SBAR helps ensure delivery of accurate, relevant information concisely. Nurses are often taught narrative reporting while doctors use brief bullet points; SBAR bridges this gap. Its use has been shown to reduce communication errors and miscommunications that can harm patients.
Team-Based Care 101 for Health Professions Students
This webinar provided an overview of team-based care for health professions students. Speakers from Community Health Center, Inc. and the National Nurse-Led Care Consortium discussed key components of effective teams, including clear roles and communication. Specific tools for communication, such as SBAR and huddles, were reviewed. The webinar aimed to describe high-performing teams, effective communication strategies, and how to optimize team roles.
Updated preparing-for-osce-8-2014
This document provides guidance for students preparing for an OSCE (objective structured clinical exam) in family medicine. It outlines the format, which includes 5 stations - 2 acute patient cases, 1 chronic patient case, and 2 patient education only cases. For the acute and chronic cases, students will have 40 minutes total for history, exam, and follow up writing. They will be expected to develop a differential diagnosis and management plan. The document provides suggestions for time management during the encounters and details the written tasks required after each case, which involve documenting a history, creating a problem list and differential, and suggesting evaluations, management, and prevention plans.
Idea of OSCE in obstetrics in breif
Undergraduate course lectures in obstetrics and gynecology prepared by DR Manal Behery,Faculty of Medicine,Zagazig University
SBAR report to physician about a critical situation S .docx
SBAR report to physician about a critical situation
S
Situation
I am calling about <patient name and location>.
The patient's code status is <code status>
The problem I am calling about is ____________________________.
I am afraid the patient is going to arrest.
I have just assessed the patient personally:
Vital signs are: Blood pressure _____/_____, Pulse ______, Respiration_____ and temperature ______
I am concerned about the:
Blood pressure because it is over 200 or less than 100 or 30 mmHg below usual
Pulse because it is over 140 or less than 50
Respiration because it is less than 5 or over 40.
Temperature because it is less than 96 or over 104.
B
Background
The patient's mental status is:
Alert and oriented to person place and time.
Confused and cooperative or non-cooperative
Agitated or combative
Lethargic but conversant and able to swallow
Stuporous and not talking clearly and possibly not able to swallow
Comatose. Eyes closed. Not responding to stimulation.
The skin is:
Warm and dry
Pale
Mottled
Diaphoretic
Extremities are cold
Extremities are warm
The patient is not or is on oxygen.
The patient has been on ________ (l/min) or (%) oxygen for ______ minutes (hours)
The oximeter is reading _______%
The oximeter does not detect a good pulse and is giving erratic readings.
A
Assessment
This is what I think the problem is: <say what you think is the problem>
The problem seems to be cardiac infection neurologic respiratory _____
I am not sure what the problem is but the patient is deteriorating.
The patient seems to be unstable and may get worse, we need to do something.
R
Recommendation
I suggest or request that you <say what you would like to see done>.
transfer the patient to critical care
come to see the patient at this time.
Talk to the patient or family about code status.
Ask the on-call family practice resident to see the patient now.
Ask for a consultant to see the patient now.
Are any tests needed:
Do you need any tests like CXR, ABG, EKG, CBC, or BMP?
Others?
If a change in treatment is ordered then ask:
How often do you want vital signs?
How long to you expect this problem will last?
If the patient does not get better when would you want us to call again?
This SBAR tool was developed by Kaiser Permanente. Please feel free to use and reproduce these materials in the spirit of patient safety,
and please retain this footer in the spirit of appropriate recognition.
Guidelines for Communicating with Physicians Using the SBAR Process
1. Use the following modalities according to physician preference, if known. Wait no
longer than five minutes between attempts.
1. Direct page (if known)
2. Physician’s Call Service
3. During weekdays, the physician’s office directly
4. On weekends and after hours during the week, physician’s home phone
5. Cell phone
Before as.
How to improve patient´s adherence to ivf cycles
"Serono Meeting for Assisted Reproductive Technology (SMART VI)", Cape Town, South Africa, April 2010
Final report pharmacy clinical intervention
This document summarizes a pharmacy clinical intervention team's work on improving medication reconciliation processes. The team consisted of 8 members from pharmacy and patient care units. They aimed to prevent heart failure readmissions by ensuring accurate medication lists. Initially, obtaining medication histories involved multiple caregivers and led to duplication and errors. The team tested having a pharmacy technician complete medication histories in the ED to improve accuracy. They also developed a heart failure medication education class for patients. The team's work helped reduce medication errors found during patient follow-ups.
2010 retention presentation
The document summarizes key findings from a study on physician retention in rural Michigan communities. It discusses the importance of professional satisfaction, competent medical support staff, and open communication with hospital administration as retention factors. For personal/family retention, safety of the community, comfortable lifestyle, and adequate leisure time were most important. The document also provides a sample rural physician retention plan and tool with steps for onboarding and supporting new physicians.
L&E Chapter 002 Lo
1. The document discusses critical thinking and the nursing process, which involves collecting patient data, developing nursing diagnoses, planning care, implementing interventions, and evaluating outcomes.
2. Critical thinking requires identifying patient problems, making care decisions, and prioritizing needs based on principles of nursing process and scientific reasoning.
3. The nursing process framework establishes a standard of care that respects patient dignity and autonomy while meeting basic health needs.
Strategies to Deal with Collaborative Healthcare Communication
https://www.connectedhealthpulse.com/frs/21894009/streamlining-patient-care--the-integration-of-collaborative-healthcare-software/email
Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.
But what happens when the doctor’s pager is constantly going off, the phones are constantly ringing, and the emails won’t stop? While collaborative healthcare has significantly improved patient care, we also see the negative effects it has on healthcare staff driven by message and alert fatigue.
After this webinar, you will walk away with insight on the following:
The discussion surrounding collaborative healthcare communication
• Better stakeholder engagement to deal with message and alert fatigue
• How to optimize unified communication and collaboration tools
• The importance of setting work-life balance expectations when implementing software
Summer Health Institute Collaborative Hospital Based Program that Works!
Lynn Brooks
Director of Volunteer and Health Career Services
Salinas Valley Memorial Healthcare System
Salinas, CA
Randy Bangs
Director, Mission Trails ROP
Salinas Union High School District
Salinas, CA
This workshop provides an overview of the Summer Health Institute, a collaborative with local community college, UC-Santa Cruz, and Mission Trails R.O.P. Students exposed to health related careers through an articulated summer program, including case studies at the hospital, classroom study on college campus, 60 hours of externship supervised by clinical staff and new community advocacy research and presentations. Students will present a sample of their community advocacy research and presentations.
Similar to Sbarpedirevised1 12801610362549-phpapp02 (20)
Team-Based Care 101 for Health Professions Students
Team-Based Care 101 for Health Professions Students
SBAR report to physician about a critical situation S .docx
SBAR report to physician about a critical situation S .docx
Strategies to Deal with Collaborative Healthcare Communication
Strategies to Deal with Collaborative Healthcare Communication
Summer Health Institute Collaborative Hospital Based Program that Works!
Summer Health Institute Collaborative Hospital Based Program that Works!
Sbarpedirevised1 12801610362549-phpapp02
- 3. SBAR is a communication tool that provides a method of clearly communicating the pertinent information from a clinical encounter Empowers all members of the healthcare team to provide their input into the patient situation including recommendations Assessment and recommendation phases provide an opportunity for discussion among the members of the health care team May not be comfortable at first for either senders or receivers of information
- 4. Why do we Need SBAR? Situation: poor communication = errors/call backs from clinical and clerical staff to get more information (phone tag) Background: Training on communication styles vary Hierarchy - lack of assertiveness Distractions - missing information Assessment: we need a new communication style that all healthcare professionals can use Recommendation: SBAR is a simple tool that is shown to effectively improved communication that will decrease error and has been effectively applied to healthcare
- 5. How it will help us? Similar to the SOAP model Standardized approach that promotes efficient transfer of key information Helps create an environment that allows clerical and clinical staff express their concerns
- 6. What happens now: Multiple Quick Texts to pick from Little information exchanged Non-informative information provided Multiple calls from clinical staff to patients to get pertinent information Multiple call backs from patients returning clinical staff’s calls resulting in higher call volumes Multiple tasks created
- 7. What will happen: Only SBAR communication tool used More information taken and provided to the clinical staff Important parts of phone conversation included in exchange Fewer call backs to patients from Clinical staff Fewer call backs from patients to Clinical staff 1 Task
- 8. SBAR Guidelines: Step 1 (S) Situation: What is the situation you are talking about? Identify self and patient name What is going on with the patient that is a cause for concern. A concise statement of the problem
- 9. SBAR Guidelines: Step 2 (B) Background: What is the clinical background information that is pertinent to the situation? Diagnosis List of current medications & allergies Most recent vital signs Lab results: provide the date and time test was done and results of previous tests for comparison Medical history Recent clinical findings
- 10. SBAR Guidelines: Step 3 (A)Assessment: Share the results of your clinical assessment What are the clinician’s findings? What is the analysis and consideration of options? Is this problem severe or life threatening?
- 11. SBAR Guidelines: Step 4 (R) Recommendation: What do you want to happen and by when? What action/recommendation is needed to correct the problem? What solution can you offer the physician? What do you need from the physician to improve the patient’s condition? In what time frame do you expect this action to take place?
- 12. Parent of a patient calls “Hi, I am calling in regards to my son, Georgie Porgie, DOB: 1/12/05. He has had diarrhea for about 4 days now and when he woke up this morning he had a fever of about 101.2. I would like to speak to a nurse about this if they are available.”
- 13. S (Situation) – Mom, Marge Porgie, would like to speak with a triage nurse. Pt has had diarrhea for 4 days and woke up this morning with a fever of 101. B (Background) – Spoke with a nurse on 1/25 in regards to diarrhea. A (Assessment) – Information sent to Triage for evaluation. R (Recommendation) – Please call back mom at cell # 555- 5555.
- 14. Dr. Levine would like to have Mary Contrary, who was seen for a physical today, to come back into the office in 2-3 months for a weight follow up. Please use SBAR to send a task to the Secretarial task list so that they can call this patient to set up the appointment.
- 15. The mother of Elsie Marley calls with a request for labs that were done on 1/23/10. She is not at home but will have her cell phone with her, 555-0000. Please use SBAR to send a task to the support staff so that they can call the patient back.